Critical assessment of an ocular photoscreener

Thomas Williams, Linda A. Morgan, Robin High, Donny W Suh

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: To determine the accuracy of the PlusoptiX A12 photoscreener (PlusoptiX, Inc., Atlanta, GA) in detecting amblyopia or ambylogenic risk factors in pediatric patients in Nebraska. Methods: Using the PlusoptiX A12 photoscreener, data were collected from pediatric patients seen at a single pediatric ophthalmology practice. Each patient was screened using the device and also received a comprehensive ophthalmic examination. The results of the PlusoptiX A12 photoscreener were compared to the gold standard, comprehensive ophthalmic examination findings. The assessment of amblyopia or amblyogenic risk factors in the patients was based on the updated American Association for Pediatric Ophthalmology and Strabismus (AAPOS) referral criteria guidelines. Results: Data were collected from 219 consecutive pediatric patients (438 eyes) during the 3-month study period. Among the patients, 87 (40%) children were determined to have amblyopia or ambylogenic risk factors after the comprehensive pediatric ophthalmology examination based on the AAPOS guidelines. The PlusoptiX A12 photoscreener was found to have a sensitivity of 93.02%, specificity of 84.96%, false-positive rate of 9.13%, false-negative rate of 2.74%, positive predictive value of 80.00%, and negative predictive value of 94.96%. Conclusions: The PlusoptiX A12 photoscreener is viable and comparable to various commercially available devices in the detection of refractive amblyogenic risk factors based on the Nebraska pediatric patient population. Future studies may show increased sensitivity by combining the use of the PlusoptiX A12 photoscreener with an alternate cover test.

Original languageEnglish (US)
Pages (from-to)194-199
Number of pages6
JournalJournal of Pediatric Ophthalmology and Strabismus
Volume55
Issue number3
DOIs
StatePublished - May 1 2018

Fingerprint

compound A 12
Pediatrics
Amblyopia
Ophthalmology
Guidelines
Equipment and Supplies
Strabismus
Referral and Consultation
Sensitivity and Specificity
Population

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Ophthalmology

Cite this

Critical assessment of an ocular photoscreener. / Williams, Thomas; Morgan, Linda A.; High, Robin; Suh, Donny W.

In: Journal of Pediatric Ophthalmology and Strabismus, Vol. 55, No. 3, 01.05.2018, p. 194-199.

Research output: Contribution to journalArticle

Williams, Thomas ; Morgan, Linda A. ; High, Robin ; Suh, Donny W. / Critical assessment of an ocular photoscreener. In: Journal of Pediatric Ophthalmology and Strabismus. 2018 ; Vol. 55, No. 3. pp. 194-199.
@article{9850588f61164a8ba8f3a71c2d3709c5,
title = "Critical assessment of an ocular photoscreener",
abstract = "Purpose: To determine the accuracy of the PlusoptiX A12 photoscreener (PlusoptiX, Inc., Atlanta, GA) in detecting amblyopia or ambylogenic risk factors in pediatric patients in Nebraska. Methods: Using the PlusoptiX A12 photoscreener, data were collected from pediatric patients seen at a single pediatric ophthalmology practice. Each patient was screened using the device and also received a comprehensive ophthalmic examination. The results of the PlusoptiX A12 photoscreener were compared to the gold standard, comprehensive ophthalmic examination findings. The assessment of amblyopia or amblyogenic risk factors in the patients was based on the updated American Association for Pediatric Ophthalmology and Strabismus (AAPOS) referral criteria guidelines. Results: Data were collected from 219 consecutive pediatric patients (438 eyes) during the 3-month study period. Among the patients, 87 (40{\%}) children were determined to have amblyopia or ambylogenic risk factors after the comprehensive pediatric ophthalmology examination based on the AAPOS guidelines. The PlusoptiX A12 photoscreener was found to have a sensitivity of 93.02{\%}, specificity of 84.96{\%}, false-positive rate of 9.13{\%}, false-negative rate of 2.74{\%}, positive predictive value of 80.00{\%}, and negative predictive value of 94.96{\%}. Conclusions: The PlusoptiX A12 photoscreener is viable and comparable to various commercially available devices in the detection of refractive amblyogenic risk factors based on the Nebraska pediatric patient population. Future studies may show increased sensitivity by combining the use of the PlusoptiX A12 photoscreener with an alternate cover test.",
author = "Thomas Williams and Morgan, {Linda A.} and Robin High and Suh, {Donny W}",
year = "2018",
month = "5",
day = "1",
doi = "10.3928/01913913-20170703-18",
language = "English (US)",
volume = "55",
pages = "194--199",
journal = "Journal of Pediatric Ophthalmology and Strabismus",
issn = "0191-3913",
publisher = "Slack Incorporated",
number = "3",

}

TY - JOUR

T1 - Critical assessment of an ocular photoscreener

AU - Williams, Thomas

AU - Morgan, Linda A.

AU - High, Robin

AU - Suh, Donny W

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Purpose: To determine the accuracy of the PlusoptiX A12 photoscreener (PlusoptiX, Inc., Atlanta, GA) in detecting amblyopia or ambylogenic risk factors in pediatric patients in Nebraska. Methods: Using the PlusoptiX A12 photoscreener, data were collected from pediatric patients seen at a single pediatric ophthalmology practice. Each patient was screened using the device and also received a comprehensive ophthalmic examination. The results of the PlusoptiX A12 photoscreener were compared to the gold standard, comprehensive ophthalmic examination findings. The assessment of amblyopia or amblyogenic risk factors in the patients was based on the updated American Association for Pediatric Ophthalmology and Strabismus (AAPOS) referral criteria guidelines. Results: Data were collected from 219 consecutive pediatric patients (438 eyes) during the 3-month study period. Among the patients, 87 (40%) children were determined to have amblyopia or ambylogenic risk factors after the comprehensive pediatric ophthalmology examination based on the AAPOS guidelines. The PlusoptiX A12 photoscreener was found to have a sensitivity of 93.02%, specificity of 84.96%, false-positive rate of 9.13%, false-negative rate of 2.74%, positive predictive value of 80.00%, and negative predictive value of 94.96%. Conclusions: The PlusoptiX A12 photoscreener is viable and comparable to various commercially available devices in the detection of refractive amblyogenic risk factors based on the Nebraska pediatric patient population. Future studies may show increased sensitivity by combining the use of the PlusoptiX A12 photoscreener with an alternate cover test.

AB - Purpose: To determine the accuracy of the PlusoptiX A12 photoscreener (PlusoptiX, Inc., Atlanta, GA) in detecting amblyopia or ambylogenic risk factors in pediatric patients in Nebraska. Methods: Using the PlusoptiX A12 photoscreener, data were collected from pediatric patients seen at a single pediatric ophthalmology practice. Each patient was screened using the device and also received a comprehensive ophthalmic examination. The results of the PlusoptiX A12 photoscreener were compared to the gold standard, comprehensive ophthalmic examination findings. The assessment of amblyopia or amblyogenic risk factors in the patients was based on the updated American Association for Pediatric Ophthalmology and Strabismus (AAPOS) referral criteria guidelines. Results: Data were collected from 219 consecutive pediatric patients (438 eyes) during the 3-month study period. Among the patients, 87 (40%) children were determined to have amblyopia or ambylogenic risk factors after the comprehensive pediatric ophthalmology examination based on the AAPOS guidelines. The PlusoptiX A12 photoscreener was found to have a sensitivity of 93.02%, specificity of 84.96%, false-positive rate of 9.13%, false-negative rate of 2.74%, positive predictive value of 80.00%, and negative predictive value of 94.96%. Conclusions: The PlusoptiX A12 photoscreener is viable and comparable to various commercially available devices in the detection of refractive amblyogenic risk factors based on the Nebraska pediatric patient population. Future studies may show increased sensitivity by combining the use of the PlusoptiX A12 photoscreener with an alternate cover test.

UR - http://www.scopus.com/inward/record.url?scp=85047836160&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85047836160&partnerID=8YFLogxK

U2 - 10.3928/01913913-20170703-18

DO - 10.3928/01913913-20170703-18

M3 - Article

VL - 55

SP - 194

EP - 199

JO - Journal of Pediatric Ophthalmology and Strabismus

JF - Journal of Pediatric Ophthalmology and Strabismus

SN - 0191-3913

IS - 3

ER -