Quality of visual screening in pre-school children

被引:12
作者
Hohmann, A [1 ]
Russmann, W [1 ]
Kaszli, FA [1 ]
机构
[1] UNIV COLOGNE,AUGENKLIN,SCHIELBEHANDLUNG & NEUROOPHTHALMOL,KLIN & POLIKLIN AUGENHEILKUNDE,D-50924 COLOGNE,GERMANY
关键词
amblyopia-screening; paediatrician; preschool children; visual acuity test; picture; Rodenstock-test; H-test; sensitivity; specificity; field conditions;
D O I
10.1055/s-2008-1035093
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Background In Germany the paediatricians use three different visual acuity tests (Pictures, Rodenstock-Test, H-Test). We investigated the effectiveness of these procedures. Subjects In this study 303 children were referred by paediatricians to the study group in the Cologne Augenklinik. They were fully examined by an orthoptist and an ophthalmologist (gold standard). Results From these data the sensitivity and specificity of the tests used by the paediatricians were calculated. Only the H-Test proved io be satisfactory. Conclusion The actual situation of screening for amblyopia by paediatricians in children aged 3 1/2 to 4 is unsatisfactory in Germany. Paediatricians and ophthalmologists should use a similar test for visual acuity. Continuing education of medical personnel is desirable to ensure an adequate quality of
引用
收藏
页码:41 / 47
页数:7
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