Predictive value from pediatrician plusoptix screening: impact of refraction and binocular alignment.
| Autor: | Arnold RW, Tulip D, McArthur E, Shen J, Tappel J, Arnold LE, Winkle E, Armitage MD |
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| Jazyk: | angličtina |
| Zdroj: | Binocular vision & strabology quarterly, Simms-Romano's [Binocul Vis Strabolog Q Simms Romano] 2012; Vol. 27 (4), pp. 227-32. |
| Abstrakt: | Background: The positive predictive value (PPV) of conventional preschool acuity screening is about 50% whereas previous Polaroid photoscreening with experienced interpretation can achieve PPV greater than 85%. The Plusoptix photoscreener has immediate computer interpretation and a CPT code available to pediatricians. Methods: Two Plusoptix SO9 were used in two pediatric group practices with previously validated refractive criteria and new manufacturer's binocular alignment criteria. CPT billing was monitored. Referred patients had prior gold-standard AAPOS examinations. Results: 12% of 675 photoscreened preschoolers were referred. Of the 39 with AAPOS gold-standard exams, the PPV from strabismus referrals was 17%, while 26 of 27 refractive referrals had true amblyopia risk factors (PPV 96%). Screening CPT code 99174 reimbursement rose from zero to half of insurers in 15 months. Conclusion: Plusoptix photoscreening is valid after adjusting the binocular alignment criteria. Such photoscreening should be employed by pediatric practices to detect and ultimately to reduce amblyopia vision impairment in children. |
| Databáze: | MEDLINE |
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