Effectiveness of a photoscreener in identifying undiagnosed unilateral amblyopia at vision screening of 3-year-old children in Japan

Harada, Shiori; Nakashima, Yumiko; Uematsu, Masafumi; Morimoto, Shinpei; Mohamed, Yasser Helmy; Kitaoka, Takashi; Moriuchi, Hiroyuki

doi:10.1007/s10384-021-00896-8

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…To fulfil criterion (4), tests had to be patient-led: while tests administered by parents for paediatric patients were acceptable, involvement of clinicians or other trained personnel justified exclusion [32][33][34]. Criterion 5 mandated exclusion of studies involving tests which did not provide visual acuity measurements which could be compared to conventional clinical assessment or repeated remote measurement [35][36][37]. Study characteristics are summarised in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Accuracy and reliability of self-administered visual acuity tests: Systematic review of pragmatic trials

et al. 2023

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Background Remote self-administered visual acuity (VA) tests have the potential to allow patients and non-specialists to assess vision without eye health professional input. Validation in pragmatic trials is necessary to demonstrate the accuracy and reliability of tests in relevant settings to justify deployment. Here, published pragmatic trials of these tests were synthesised to summarise the effectiveness of available options and appraise the quality of their supporting evidence. Methods A systematic review was undertaken in accordance with a preregistered protocol (CRD42022385045). The Cochrane Library, Embase, MEDLINE, and Scopus were searched. Screening was conducted according to the following criteria: (1) English language; (2) primary research article; (3) visual acuity test conducted out of eye clinic; (4) no clinical administration of remote test; (5) accuracy or reliability of remote test analysed. There were no restrictions on trial participants. Quality assessment was conducted with QUADAS-2. Results Of 1227 identified reports, 10 studies were ultimately included. One study was at high risk of bias and two studies exhibited concerning features of bias; all studies were applicable. Three trials—of DigiVis, iSight Professional, and Peek Acuity—from two studies suggested that accuracy of the remote tests is comparable to clinical assessment. All other trials exhibited inferior accuracy, including conflicting results from a pooled study of iSight Professional and Peek Acuity. Two studies evaluated test-retest agreement—one trial provided evidence that DigiVis is as reliable as clinical assessment. The three most accurate tests required access to digital devices. Reporting was inconsistent and often incomplete, particularly with regards to describing methods and conducting statistical analysis. Conclusions Remote self-administered VA tests appear promising, but further pragmatic trials are indicated to justify deployment in carefully defined contexts to facilitate patient or non-specialist led assessment. Deployment could augment teleophthalmology, non-specialist eye assessment, pre-consultation triage, and autonomous long-term monitoring of vision.

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Section: Resultsmentioning

confidence: 99%

Accuracy and reliability of self-administered visual acuity tests: Systematic review of pragmatic trials

et al. 2023

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Accuracy and reliability of self-administered visual acuity tests: Systematic review of pragmatic trials

Thirunavukarasu

Rafiey

Limonard

et al. 2023

Preprint

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Background: Remote self-administered visual acuity (VA) tests have the potential to allow patients and non-specialists to assess vision without eye health professional input. Validation in pragmatic trials is necessary to demonstrate the accuracy and reliability of tests in relevant settings to justify deployment. Methods: A systematic review was undertaken in accordance with a preregistered protocol (CRD42022385045). The Cochrane Library, Embase, MEDLINE, and Scopus were searched. Screening was conducted according to the following criteria: (1) English languge; (2) primary research article; (3) visual acuity test conducted remotely; (4) no clinical administration of remote test; (5) accuracy or reliability of remote test analysed. There were no restrictions on trial participants. Quality assessment was conducted with QUADAS-2. Results: Of 1227 identified reports, 10 studies were ultimately included. One study was at high risk of bias and two studies exhibited concerning features of bias; all studies were applicable. Three trials—of DigiVis, iSight Professional, and Peek Acuity—from two studies suggested that accuracy of the remote tests was comparable to clinical assessment. All other trials exhibited inferior accuracy, including conflicting results from a pooled study of iSight Professional and Peek Acuity. Two studies evaluated test-retest agreement—one trial provided evidence that DigiVis is as reliable as clinical assessment. The three most accurate tests required access to digital devices. Reporting was inconsistent and often incomplete, particularly with regards to describing methods and conducting statistical analysis. Conclusions: Remote self-administered VA tests appear promising, but further pragmatic trials are indicated to justify deployment at scale to facilitate patient or non-specialist led assessment which could augment teleophthalmology, non-specialist eye assessment, pre-consultation triage, and autonomous long-term monitoring of vision.

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Changes in accommodation in children with hyperopic anisometropia and unilateral amblyopia after laser refractive surgery and pleoptic treatment

Kulikova,

Aleksandrova

2023

Vestn. oftal'mol.

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Effectiveness of a photoscreener in identifying undiagnosed unilateral amblyopia at vision screening of 3-year-old children in Japan

Cited by 3 publications

References 15 publications

Accuracy and reliability of self-administered visual acuity tests: Systematic review of pragmatic trials

Accuracy and reliability of self-administered visual acuity tests: Systematic review of pragmatic trials

Accuracy and reliability of self-administered visual acuity tests: Systematic review of pragmatic trials

Changes in accommodation in children with hyperopic anisometropia and unilateral amblyopia after laser refractive surgery and pleoptic treatment

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