Journal of American Association for Pediatric Ophthalmology and Strabismus
Major ArticleThe effectiveness of the Spot Vision Screener in detecting amblyopia risk factors
Section snippets
Methods
This prospective study was approved by the Medical University of South Carolina Institutional Review Board and adhered to the US Health Insurance Portability and Accountability Act of 1996. Written informed consent was obtained from parents or guardians. Patients 1-16 years of age presenting for complete pediatric ophthalmological examination to the Storm Eye Institute of the Medical University of South Carolina between June 2012 and November 2013, with appropriate personnel and guardianship
Results
A total of 444 children (226 males [51%]) were included: 54% white, 35% African American/black, and 9% Hispanic. Average age was 72 months (range, 11-221 months). The prevalence of 2013 AAPOS amblyopia risk factors was found to be 55%. Of those children found to have amblyopia risk factors, 93 (38%) were referred for strabismus and 127 (52%) for refractive error.
With version 1.151, the Spot referred 61% (272/444) of the patients. When compared with the ophthalmologist's examination, the
Discussion
This study compared the updated version of the Spot Vision Screener to ophthalmological examination in children seen at a pediatric ophthalmology practice. Using the manufacturer's referral criteria, we found reasonably good sensitivity and specificity with both recent software updates, as did Silbert and Matta9 using the original software and higher than did Arnold and colleagues.6 While a specificity in the low 70% range may be not be adequate for some screening situations, adjustments in
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Cited by (0)
Supported in part by an unrestricted grant to MUSC-SEI from Research to Prevent Blindness, Inc, New York, NY, and by the South Carolina Clinical and Translational Research Institute, with a home at Medical University of South Carolina, through NIH/NCRR Grant Number UL1RR029882.