Evaluation of cycloplegic and noncycloplegic performance of spot vision screener in detection of amblyopia risk factors using 2021 AAPOS guidelines

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dc.authoridBASAR, Emel/0000-0002-6138-2386
dc.authoridCelik, Yusuf/0000-0003-2849-4033
dc.contributor.authorBulut, Erkan
dc.contributor.authorDayi, Ozlem
dc.contributor.authorCelik, Yusuf
dc.contributor.authorBulut, Hatice
dc.contributor.authorBasar, Emel
dc.date.accessioned2024-09-11T19:51:19Z
dc.date.available2024-09-11T19:51:19Z
dc.date.issued2024
dc.departmentİstanbul Gelişim Üniversitesien_US
dc.description.abstractPurpose: This research evaluates the effectiveness of the Spot Vision Screener (SVS) before and after cycloplegia to detect amblyogenic refractive errors in children. Methods: Children ages 3 to 10 years old were screened by the SVS before and after cycloplegia. Sensitivity, specificity, positive and negative predictive value, paired t -test, Bland -Altman plot and receiver operating characteristic area under the curve were evaluated by comparing the results of the SVS (v3.0.05) measurements with the results of the cycloplegic Topcon autorefractometer according to the 2021 guidelines of the American Association for Pediatric Ophthalmology and Strabismus. Results: Both eyes of 211 patients aged 3 to 10 years old were included. Regarding the amblyopia risk factors, the noncycloplegic SVS had 65.7 % sensitivity, 94.9 % specificity, 81.2 % positive predictive value and 89.3 % negative predictive value. The SVS's sensitivity increased from 65.7 % to 81.9 % with cycloplegia compared to noncycloplegic SVS results. The sensitivity detection of hyperopia was improved from 4.2 % to 100 % after cycloplegia. Areas under the receiver operator characteristic curve for noncycloplegic SVS and cycloplegic SVS were 0.506 (95 % CI, 0.395 to 0.646, p = 0737) and 0.905 (95 % CI, 0.915 to 0.971, p < 0.001) for hyperopia, respectively. Using the +1.64 D revised cutoff criteria for hyperopia increased sensitivity from 4.2 % to 78 %. Conclusion: Noncycloplegic SVS measurements showed relatively high specificity in detecting amblyopia risk factors. The fact that noncycloplegic measurements have a very low sensitivity for hyperopia is an important weakness of the SVS, especially because hyperopia is the most frequently encountered refractive error in very young children. It should be noted that amblyogenic hyperopia may be overlooked by an SVS without cycloplegia.en_US
dc.identifier.doi10.1016/j.pdpdt.2024.104073
dc.identifier.issn1572-1000
dc.identifier.issn1873-1597
dc.identifier.pmid38570151en_US
dc.identifier.scopus2-s2.0-85189957896en_US
dc.identifier.urihttps://doi.org/10.1016/j.pdpdt.2024.104073
dc.identifier.urihttps://hdl.handle.net/11363/7750
dc.identifier.volume46en_US
dc.identifier.wosWOS:001226268300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofPhotodiagnosis And Photodynamic Therapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240903_Gen_US
dc.subjectAmblyopia risk factorsen_US
dc.subjectChildrenen_US
dc.subjectCycloplegiaen_US
dc.subjectRefractive erroren_US
dc.subjectSpot vision screeneren_US
dc.titleEvaluation of cycloplegic and noncycloplegic performance of spot vision screener in detection of amblyopia risk factors using 2021 AAPOS guidelinesen_US
dc.typeArticleen_US

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