Accuracy of the Lang II Stereotest in Screening for Binocular Disorders in 6-year-old Children

To assess the accuracy of the Lang II stereotest in screening for strabismus, amblyopia, and anisometropia in 6-year-old children. Cross-sectional population-based study. The Sydney Myopia Study examined 1765 6-year-old children (78.9% of eligible) who were identified by random cluster sampling of 3...

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Veröffentlicht in:American journal of ophthalmology 2005-12, Vol.140 (6), p.1130-1132
Hauptverfasser: Huynh, Son C., Ojaimi, Elvis, Robaei, Dana, Rose, Kathryn, Mitchell, Paul
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container_end_page 1132
container_issue 6
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container_title American journal of ophthalmology
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creator Huynh, Son C.
Ojaimi, Elvis
Robaei, Dana
Rose, Kathryn
Mitchell, Paul
description To assess the accuracy of the Lang II stereotest in screening for strabismus, amblyopia, and anisometropia in 6-year-old children. Cross-sectional population-based study. The Sydney Myopia Study examined 1765 6-year-old children (78.9% of eligible) who were identified by random cluster sampling of 34 schools in Sydney, Australia. Sensitivity and specificity of the Lang II stereotest was determined by best stereoacuity. Cycloplegic autorefraction, assessment of visual acuity, and ocular motility were conducted. Test sensitivity ranged from 21.4% for anisometropia (≥1.0 diopter) to 31.3% for amblyopia. The detection rate for new cases of amblyopia ranged from 20% to 40%; the detection rate for new cases of strabismus was 30%. Specificity was >98% in all three conditions. Children with false-negative results included newly diagnosed cases of strabismus (14 of 25 children) or amblyopia (5 of 12 children). The Lang II stereotest, when used alone, has very limited value as a screening test of binocular dysfunction.
doi_str_mv 10.1016/j.ajo.2005.06.032
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Cross-sectional population-based study. The Sydney Myopia Study examined 1765 6-year-old children (78.9% of eligible) who were identified by random cluster sampling of 34 schools in Sydney, Australia. Sensitivity and specificity of the Lang II stereotest was determined by best stereoacuity. Cycloplegic autorefraction, assessment of visual acuity, and ocular motility were conducted. Test sensitivity ranged from 21.4% for anisometropia (≥1.0 diopter) to 31.3% for amblyopia. The detection rate for new cases of amblyopia ranged from 20% to 40%; the detection rate for new cases of strabismus was 30%. Specificity was &gt;98% in all three conditions. Children with false-negative results included newly diagnosed cases of strabismus (14 of 25 children) or amblyopia (5 of 12 children). 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subjects Accuracy
Amblyopia - diagnosis
Anisometropia - diagnosis
Biological and medical sciences
Child
Confidence intervals
Cross-Sectional Studies
False Negative Reactions
Female
Humans
Male
Medical sciences
Miscellaneous
Ophthalmology
Predictive Value of Tests
Reproducibility of Results
Sensitivity and Specificity
Strabismus - diagnosis
Vision Screening - instrumentation
Vision Screening - methods
Vision, Binocular
Visual Acuity
title Accuracy of the Lang II Stereotest in Screening for Binocular Disorders in 6-year-old Children
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