The Performance of Spot Photoscreener in 6 to 10 Weeks Infants in China: A Cross-Sectional Study

Purpose. To compare the refractive errors measured by the Spot photoscreener (with or without cycloplegia) to cycloplegic retinoscopy in 6- to 10-week-old infants. Materials and Methods. 101 right eyes from 101 healthy infants aged 6 to 10 weeks were recruited for this cross-sectional observational...

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Main Authors: Yaoling Li, Jing Li, Huiyu Wang, Mingyang Du, Lirong Wei, Teng Su, Gang Ding, Xuehan Qian, Ning Hua
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2024/8817530
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author Yaoling Li
Jing Li
Huiyu Wang
Mingyang Du
Lirong Wei
Teng Su
Gang Ding
Xuehan Qian
Ning Hua
author_facet Yaoling Li
Jing Li
Huiyu Wang
Mingyang Du
Lirong Wei
Teng Su
Gang Ding
Xuehan Qian
Ning Hua
author_sort Yaoling Li
collection DOAJ
description Purpose. To compare the refractive errors measured by the Spot photoscreener (with or without cycloplegia) to cycloplegic retinoscopy in 6- to 10-week-old infants. Materials and Methods. 101 right eyes from 101 healthy infants aged 6 to 10 weeks were recruited for this cross-sectional observational study. Refractive errors were measured using Spot photoscreener before and after cycloplegia, as well as cycloplegic retinoscopy. Comparisons between the refractive measurements were performed using one-way ANOVA with the post hoc Tukey HSD test or Kruskal–Wallis test with the Steel–Dwass test according to the data normality. Pearson’s correlation test and 95% confidence intervals were calculated. The agreement was evaluated using a Bland–Altman plot with 95% limits of agreement of the differences. Results. Spot photoscreener was found to underestimate the spherical equivalent by 2.33 Diopters (D) in these infants. Following the induction of cycloplegia, the spherical equivalent measured by Spot photoscreener was in excellent agreement with cycloplegic retinoscopy with the mean difference of 0.01 D. Spot photoscreener overestimated cylindrical parameter by 0.2 D with poor agreement with cycloplegic retinoscopy no matter whether cycloplegia was induced. It had good agreement with cycloplegic retinoscopy in the J0 vector than the J45 vector measurement. Conclusions. With the induction of cycloplegia, Spot photoscreener can accurately evaluate spherical equivalent in hyperopic infants with mild-to-moderate astigmatism. While it may provide valuable measurements of astigmatism, discrepancies in cylinder and axis should be taken into account.
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spelling doaj-art-64120bdc14f7467196ac4fb83e2ce9fe2025-08-20T03:34:24ZengWileyJournal of Ophthalmology2090-00582024-01-01202410.1155/2024/8817530The Performance of Spot Photoscreener in 6 to 10 Weeks Infants in China: A Cross-Sectional StudyYaoling Li0Jing Li1Huiyu Wang2Mingyang Du3Lirong Wei4Teng Su5Gang Ding6Xuehan Qian7Ning Hua8Tianjin Key Laboratory of Retinal Functions and DiseasesTianjin Key Laboratory of Retinal Functions and DiseasesTianjin Key Laboratory of Retinal Functions and DiseasesBeichen Women’s and Children’s Health CenterBeichen Women’s and Children’s Health CenterTianjin Binhai New Area Maternal and Child Health Care and Family Planning Service CenterTianjin Key Laboratory of Retinal Functions and DiseasesTianjin Key Laboratory of Retinal Functions and DiseasesTianjin Key Laboratory of Retinal Functions and DiseasesPurpose. To compare the refractive errors measured by the Spot photoscreener (with or without cycloplegia) to cycloplegic retinoscopy in 6- to 10-week-old infants. Materials and Methods. 101 right eyes from 101 healthy infants aged 6 to 10 weeks were recruited for this cross-sectional observational study. Refractive errors were measured using Spot photoscreener before and after cycloplegia, as well as cycloplegic retinoscopy. Comparisons between the refractive measurements were performed using one-way ANOVA with the post hoc Tukey HSD test or Kruskal–Wallis test with the Steel–Dwass test according to the data normality. Pearson’s correlation test and 95% confidence intervals were calculated. The agreement was evaluated using a Bland–Altman plot with 95% limits of agreement of the differences. Results. Spot photoscreener was found to underestimate the spherical equivalent by 2.33 Diopters (D) in these infants. Following the induction of cycloplegia, the spherical equivalent measured by Spot photoscreener was in excellent agreement with cycloplegic retinoscopy with the mean difference of 0.01 D. Spot photoscreener overestimated cylindrical parameter by 0.2 D with poor agreement with cycloplegic retinoscopy no matter whether cycloplegia was induced. It had good agreement with cycloplegic retinoscopy in the J0 vector than the J45 vector measurement. Conclusions. With the induction of cycloplegia, Spot photoscreener can accurately evaluate spherical equivalent in hyperopic infants with mild-to-moderate astigmatism. While it may provide valuable measurements of astigmatism, discrepancies in cylinder and axis should be taken into account.http://dx.doi.org/10.1155/2024/8817530
spellingShingle Yaoling Li
Jing Li
Huiyu Wang
Mingyang Du
Lirong Wei
Teng Su
Gang Ding
Xuehan Qian
Ning Hua
The Performance of Spot Photoscreener in 6 to 10 Weeks Infants in China: A Cross-Sectional Study
Journal of Ophthalmology
title The Performance of Spot Photoscreener in 6 to 10 Weeks Infants in China: A Cross-Sectional Study
title_full The Performance of Spot Photoscreener in 6 to 10 Weeks Infants in China: A Cross-Sectional Study
title_fullStr The Performance of Spot Photoscreener in 6 to 10 Weeks Infants in China: A Cross-Sectional Study
title_full_unstemmed The Performance of Spot Photoscreener in 6 to 10 Weeks Infants in China: A Cross-Sectional Study
title_short The Performance of Spot Photoscreener in 6 to 10 Weeks Infants in China: A Cross-Sectional Study
title_sort performance of spot photoscreener in 6 to 10 weeks infants in china a cross sectional study
url http://dx.doi.org/10.1155/2024/8817530
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