Validity of plusoptiX S04 photoscreener as a vision screening tool in children with intellectual disability

Abstract

abnormal neuro-imaging have normal retinas. Patients with only nonskull fractures are unlikely to have retinal hemorrhages. Conclusions: In our population, evaluation for NAT should include both neuro-imaging and DFE, as DFE alone would miss a large portion of patients. Patients with isolated fractures may be considered low-risk for retinal hemorrhages.048 Intraocular pressure spike after secondary IOL implantation in aphakic glaucoma. John H. Boden, Casey Mickler, Rupal H. Trivedi, M. Edward Wilson Purpose: We compared the incidence of intraocular pressure (IOP) spike after secondary intraocular lens (IOL) implant in eyes with and without aphakic glaucoma. Methods: This is a retrospective review of pediatric secondary IOL implantation performed by a single surgeon (MEW) on 133 eyes of 85 patients. Post operative day one records were reviewed and evaluated for historical elements and examination findings that would suggest an increase in IOP, and IOP readings when applicable (IOP greater then 21 mmHg). Results: In 133 eyes, 22 eyes had the diagnosis of aphakic glaucoma at the time of secondary IOL implantation. An early postoperative acute rise in IOP was noted in 6 of 22 eyes (27.3%) diagnosed with aphakic glaucoma versus 3 of 111 eyes (2.7%) without glaucoma (p \ 0.001). Two out of the 9 eyes with IOP spikes on post operative day one were asymptomatic (IOP measured 28 and 26 mm Hg). The seven eyes that were symptomatic had an average IOP of 38mmHg (range 26-65 mmHg) Discussion: We compared the incidence of an early post operative IOP spike in patients with and without aphakic glaucoma when receiving a secondary IOL implant. Patients with aphakic glaucoma had an increased incidence of having a post-operative elevation in IOP. Conclusions: The high incidence of a symptomatic early IOP spike in patients with aphakic glaucoma warrants meticulous ophthalmic viscosurgerical device ("viscoelastics") removal at the end of surgery and consideration of the routine use of prophylactic topical and systemic glaucoma medication during the early postoperative period.

Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefraction as a vision screening tool for children with newly diagnosed attention deficit hyperactivity disorder

“…Photoscreeners and hand-held autorefractometers have been used for screening refractive errors, and several studies were conducted to compare devices in healthy school-aged children and also some speci c patient populations, including autism and intellectual disability [18,19,7]. However, there was no study comparing non-cycloplegic measurements of photoscreeners and hand-held autorefractometers with cycloplegic measurements in children with ADHD in the literature.…”

“…The Plusoptix was found very useful compared with cycloplegic retinoscopy, especially in determining axis and cylinder power in various studies [20]. Ugurbas et al evaluated the validity of Plusoptix S04 as a vision screening device and reported that non-cycloplegic measurements of the device are accurate for children with intellectual disability [18]. Furthermore, in a study by McCurry et al, it was reported that vision screening with Plusoptix S08 reduced the full ophthalmologic examination requirement in one-third of the screening children with autism [19].…”

Yeni tanı konmuş dikkat eksikliği hiperaktivite bozukluğu olan çocuklarda fotoscreener ve el tipi otorefraktometrenin sikloplejik otorefraktometri ile karşılaştırılması

“…Photoscreeners and hand-held autorefractometers have been used for screening refractive errors, and several studies were conducted to compare devices in healthy school-aged children and also some specific patient populations, including autism and intellectual disability [7,21,22]. However, there was no study comparing non-cycloplegic measurements of photoscreeners and hand-held autorefractometers with cycloplegic measurements in children with ADHD in the literature.…”

“…The Plusoptix was found very useful compared with cycloplegic retinoscopy, especially in determining axis and cylinder in various studies [23]. Ugurbas et [21] evaluated the validity of Plusoptix S04 as a vision screening device and reported that non-cycloplegic measurements of the device are accurate for children with intellectual disability.…”