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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Objective vision screening using PlusoptiX for children aged 3-11 years in rural Turkey
Silay Canturk Ugurbas1, Numan Kucuk2, Irem Isik2
1Department of Ophthalmology, Faculty of Medicine, Zonguldak Bulent Ecevit University, Esenkoy-Kozlu, 67600, Zonguldak, Turkey. silaycanturk@gmail.com.
Vision screening in rural Turkish children using PlusoptiX identified significant amblyopia risk factors and underdiagnosed refractive errors. This highlights the need for improved vision screening programs in underserved school populations.
Area of Science:
- Ophthalmology
- Public Health
- Pediatric Optometry
Background:
- Population-based cross-sectional study conducted in a rural district of Northwestern Turkey.
- Focus on detecting amblyopia risk factors and myopia in children.
- Utilized the PlusoptiX S12R photoscreener for vision screening.
Purpose of the Study:
- To evaluate the effectiveness of the PlusoptiX S12R photoscreener in a community setting.
- To identify the prevalence of amblyopia risk factors and myopia in rural school children.
- To assess the diagnostic performance (sensitivity, specificity, PPV) of the PlusoptiX device.
Main Methods:
- Vision screening of children from 38 rural schools using the PlusoptiX S12R photoscreener.
- Data analysis employed factory default level 5 referral criteria.
- Referral rates, 'unable' readings, and positive predictive value (PPV) were calculated.
Main Results:
- Analyzed data from 2846 children (mean age 7.9 years).
- 11% were referred; 32% of referrals were 'unable' readings.
- Positive predictive value (PPV) was 69% (83% excluding 'unable' readings).
- 93 children identified with amblyopia risk factors; 49 had amblyopia (33 newly diagnosed).
Conclusions:
- PlusoptiX demonstrated reasonable PPV in a community setting, suitable for preschool and school-aged children.
- Significant underdiagnosis of amblyogenic refractive errors in rural school children was observed.
- The findings emphasize the critical need for enhanced vision screening initiatives in these populations.
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