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Screening of infants for significant refractive error using videorefraction
Author(s) -
Hodi Samara
Publication year - 1994
Publication title -
ophthalmic and physiological optics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.147
H-Index - 66
eISSN - 1475-1313
pISSN - 0275-5408
DOI - 10.1111/j.1475-1313.1994.tb00016.x
Subject(s) - refractive error , medicine , optometry , ophthalmology , eye disease
Isotropic photorefraction has been suggested as a suitable method for screening infants for refractive error. Recently published data suggested that reasonable consistency with retinoscopy results might be achieved using cycloplegic videophotore fraction (VPR) for spherical refractive error but that results might be unreliable for astigmatic errors. Non‐cycloplegic VPR did not appear to produce results consistent with retinoscopy. A practical idea of how many children might he identified using this technique and how many missed was needed by personnel designing screening projects. Hence the VPR was tested by screening a population of 247 infants for significant refractive error, and comparing the results with cycloplegic retinoscopy, Sensitivity and specificity scores were calculated for a range of test levels of ametropia. Without cycloplegia, sensitivity of VPR was poor. With cycluplegia the situation was much improved, with sensitivity for hyperopia + 4.00 D or over of 83.3% and specificity of 90.6%. Sensitivity for astigmatism of 1 D or greater (84.6%) was high but specificity was poor (45.6%). Acceptable sensitivity was achieved for identifying children in this age group at risk of developing squint and amblyopia due to refractive error, providing cycloplegia was used.