CC BY 4.0 · Journal of Child Science 2021; 11(01): e110-e113
DOI: 10.1055/s-0041-1728731
Original Article

Assessment of the Utility of Plusoptix A09 Handheld Photo-refractometer in Screening Refractory Errors and Amblyopia in Children

1   Department of Paediatrics, İnönü University Faculty of Medicine, Turgut Ozal Medical Centre Malatya, Turkey
,
Yakıncı Cengiz
1   Department of Paediatrics, İnönü University Faculty of Medicine, Turgut Ozal Medical Centre Malatya, Turkey
,
Soner Demirel
2   Department of Eye Diseases, İnönü University Faculty of Medicine, Turgut Ozal Medical Centre Malatya, Turkey
› Author Affiliations
Funding The research was funded by the Research Projects Unit with project number 2012/151.

Abstract

The aim of this study is to find out the frequency of anisometropic amblyopia in children and to increase awareness about this disease. All children between the ages of 4 and 10 years who were attending 11 kindergarten and primary schools determined by provincial directorate for national education in the center of Malatya were included. A screening team including interns and a resident from the Department of Pediatrics have used Plusoptix A09 handheld photo-refractometer device for detecting amblyopia and its reasons. A total of 7,000 students were screened. The mean age of the students was 7.4 ± 2 years. Amblyopia was suspected in 357 cases with the Plusoptix S09 screening. After eye examinations performed by an ophthalmologist, 303 cases were found to have pathologic eye examination. Amblyopia was found in 67 (18.8%) of the 303 cases, and anisometropic amblyopia was found in 59 of 67 cases. As a result of the screening, sensitivity of Plusoptix A09 was found to be 88.1%, while its specificity was found to be 88.6%. Its positive predictive value was found to be 64.0% and its negative predictive value was found to be 97.0%. We believe that with screenings performed by health professionals who are given short-term training by using a device that can conduct remote measurements, detection of anisometropic amblyopia, which is the most frequent reason for amblyopia, can be done in a fast and relatively less expensive way and with the minimum number of specialist physician required. This way, children with amblyopia can reach the ophthalmologist earlier for treatment.

Author Contributions

The contributions of the authors are as follows—concept: M. S. S. and C. Y.; design: C. Y. and S. D.; supervision: C. Y.; data collection and/or processing: M. S. S. and S. D.; analysis and/or interpretation: S. D. and M. S. S; literature review: M. S. S. and C. Y.; writing: M. S. S. and C. Y.; critical review: C. Y. and S. D.




Publication History

Received: 28 January 2021

Accepted: 09 March 2021

Article published online:
01 June 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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