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BMC Ophthalmology

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Open Access 01-12-2016 | Research article

Accuracy of PlusOptix A09 distance refraction in pediatric myopia and hyperopia

Authors: Arnaud Payerols, Claudie Eliaou, Véronique Trezeguet, Max Villain, Vincent Daien

Published in: BMC Ophthalmology | Issue 1/2016

Abstract

Background

The PlusOptix photoscreeners (PlusOptix GmbH, Nuremberg, Germany) is used in many vision screening programs. The purpose of the present study was to further explore the accuracy of the PlusOptix A09 photoscreener in children with ametropia (myopia or hyperopia).

Methods

A total of 70 eyes (35 children) were prospectively included. Before administration with the cycloplegia treatment 1 % cyclopentolate hydrochloride, children underwent refraction measurement with the PlusOptix A09. A refraction was then performed after cycloplegia with either Retinomax hand-held or Nidek autorefractor before and after 3 years old, respectively.

Results

The median (interquartile range) age was 58 (18 to 86) months. The mean (SD) spherical equivalent differed between PlusOptix A09 and cycloplegic autorefraction (+0.54 [1.82] D vs +1.06 [2.04] D, p = 0.04). PlusOptix A09 refraction was positively correlated with cycloplegic autorefraction (r = 0.81, p < 0.001) with higher coefficient in myopic than in hyperopic children (r = 0.91, p = 0.0002 and r = 0.52, p = 0.01, respectively). The mean (SD) difference between PlusOptix A09 and cycloplegic autorefraction was higher with hyperopia than myopia (0.73 [1.34] vs 0.05 [0.66], p = 0.01). The proportion of children with < 1-D difference between cycloplegic and PlusOptix A09 refraction was 68.8 %, higher with myopia than hyperopia (90 % vs 54.5 %, p = 0.01).

Conclusion

The spherical equivalent value with non-cycloplegic PlusOptix A09 refraction is closer to that with cycloplegic autorefraction than non-cycloplegic autorefraction. The PlusOptix A09 photoscreener underestimated the hyperopia of 0.73 D and slightly overestimated myopia of 0.05 D. The PlusOptix A09 could be used for screening with higher accuracy in myopic than hyperopic children.

Cordonnier M, Kallay O. Non-cycloplegic screening for refractive errors in children with the hand-held autorefractor Retinomax: final results and comparison with non-cycloplegic photoscreening. Strabismus. 2001;9(2):59–70.CrossRefPubMed

Cordonnier M, Dramaix M. Screening for refractive errors in children: accuracy of the hand held refractor Retinomax to screen for astigmatism. Br J Ophthalmol. 1999;83(2):157–61.CrossRefPubMedPubMedCentral

Bloomberg JD, Suh DW. The accuracy of the plusoptiX A08 photoscreener in detecting risk factors for amblyopia in central Iowa. J AAPOS Off Publ Am Assoc Pediatr Ophthalmol Strabismus. 2013;17(3):301–4. doi:10.1016/j.jaapos.2013.03.014.CrossRef

Moghaddam AAS, Kargozar A, Zarei-Ghanavati M, Najjaran M, Nozari V, Shakeri MT. Screening for amblyopia risk factors in pre-verbal children using the Plusoptix photoscreener: a cross-sectional population-based study. Br J Ophthalmol. 2012;96(1):83–6. doi:10.1136/bjo.2010.190405.CrossRefPubMed

Paff T, Oudesluys-Murphy AM, Wolterbeek R, et al. Screening for refractive errors in children: the plusoptiX S08 and the Retinomax K-plus2 performed by a lay screener compared to cycloplegic retinoscopy. J AAPOS Off Publ Am Assoc Pediatr Ophthalmol Strabismus. 2010;14(6):478–83. doi:10.1016/j.jaapos.2010.09.015.CrossRef

Matta NS, Arnold RW, Singman EL, Silbert DI. Comparison between the plusoptiX and MTI Photoscreeners. Arch Ophthalmol Chic Ill 1960. 2009;127(12):1591–5. doi:10.1001/archophthalmol.2009.294.CrossRef

Ayse YK, Onder U, Suheyla K. Accuracy of Plusoptix S04 in children and teens. Can J Ophthalmol J Can Ophtalmol. 2011;46(2):153–7.CrossRef

Matta NS, Singman EL, Silbert DI. Performance of the Plusoptix vision screener for the detection of amblyopia risk factors in children. J AAPOS Off Publ Am Assoc Pediatr Ophthalmol Strabismus. 2008;12(5):490–2. doi:10.1016/j.jaapos.2008.04.004.CrossRef

Arthur BW, Riyaz R, Rodriguez S, Wong J. Field testing of the plusoptiX S04 photoscreener. J AAPOS Off Publ Am Assoc Pediatr Ophthalmol Strabismus. 2009;13(1):51–7. doi:10.1016/j.jaapos.2008.08.016.CrossRef

10.

Silbert D, Matta N, Tian J, Singman E. Comparing the SureSight autorefractor and the plusoptiX photoscreener for pediatric vision screening. Strabismus. 2014;22(2):64–7. doi:10.3109/09273972.2014.904896.CrossRefPubMed

11.

Matta NS, Singman EL, Silbert DI. Performance of the plusoptiX S04 photoscreener for the detection of amblyopia risk factors in children aged 3 to 5. J AAPOS Off Publ Am Assoc Pediatr Ophthalmol Strabismus. 2010;14(2):147–9. doi:10.1016/j.jaapos.2010.01.006.CrossRef

12.

Wang X, Yi H, Lu L, et al. Population prevalence of need for spectacles and spectacle ownership among urban migrant children in Eastern China. JAMA Ophthalmol. 2015;133(12):1399–406. doi:10.1001/jamaophthalmol.2015.3513.CrossRefPubMed

13.

Schimitzek T, Lagrèze WA. Accuracy of a new photo-refractometer in young and adult patients. Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Für Klin Exp Ophthalmol. 2005;243(7):637–45. doi:10.1007/s00417-004-1056-y.CrossRef

14.

Mirzajani A, Heirani M, Jafarzadehpur E, Haghani H. A comparison of the Plusoptix S08 photorefractor to retinoscopy and cycloretinoscopy. Clin Exp Optom. 2013;96(4):394–9. doi:10.1111/cxo.12063.CrossRefPubMed

15.

Erdurmus M, Yagci R, Karadag R, Durmus M. A comparison of photorefraction and retinoscopy in children. J AAPOS Off Publ Am Assoc Pediatr Ophthalmol Strabismus. 2007;11(6):606–11. doi:10.1016/j.jaapos.2007.04.006.CrossRef

16.

Dahlmann-Noor AH, Comyn O, Kostakis V, et al. Plusoptix Vision Screener: the accuracy and repeatability of refractive measurements using a new autorefractor. Br J Ophthalmol. 2009;93(3):346–9. doi:10.1136/bjo.2008.138123.CrossRefPubMed

17.

Rajavi Z, Parsafar H, Ramezani A, Yaseri M. Is noncycloplegic photorefraction applicable for screening refractive amblyopia risk factors? J Ophthalmic Vis Res. 2012;7(1):3–9.PubMedPubMedCentral

18.

Dahlmann-Noor AH, Vrotsou K, Kostakis V, et al. Vision screening in children by Plusoptix Vision Screener compared with gold-standard orthoptic assessment. Br J Ophthalmol. 2009;93(3):342–5. doi:10.1136/bjo.2008.138115.CrossRefPubMed

Title: Accuracy of PlusOptix A09 distance refraction in pediatric myopia and hyperopia
Authors: Arnaud Payerols
Claudie Eliaou
Véronique Trezeguet
Max Villain
Vincent Daien
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Ophthalmology / Issue 1/2016
Electronic ISSN: 1471-2415
DOI: https://doi.org/10.1186/s12886-016-0247-8

At a glance: The STEP trials

Springer Medicine

Accuracy of PlusOptix A09 distance refraction in pediatric myopia and hyperopia

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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