Quality of vision screening in childhood

In Germany the paediatricians use three different visual acuity tests (Pictures, Rodenstock-Test, H-Test). We investigated the effectiveness of these procedures. In this study 303 children were referred by paediatricians to the study group in the Cologne Augenklinik. They were fully examined by an o...

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Veröffentlicht in:Klinische Monatsblätter für Augenheilkunde 1997-07, Vol.211 (1), p.41-47
Hauptverfasser: Hohmann, A, Rüssmann, W, Kaszli, F A
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creator Hohmann, A
Rüssmann, W
Kaszli, F A
description In Germany the paediatricians use three different visual acuity tests (Pictures, Rodenstock-Test, H-Test). We investigated the effectiveness of these procedures. 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). From these data the sensitivity and specificity of the tests used by the paediatricians were calculated. Only the H-Test proved to be satisfactory. 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 screening.
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source MEDLINE; Thieme Connect Journals
subjects Amblyopia - diagnosis
Amblyopia - prevention & control
Child, Preschool
Female
Humans
Male
Observer Variation
Patient Care Team
Quality Assurance, Health Care
Sensitivity and Specificity
Vision Disorders - diagnosis
Vision Disorders - prevention & control
Vision Screening
Vision Tests
Visual Acuity
title Quality of vision screening in childhood
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