Amblyopia risk factors among pediatric patients in a hospital-based setting using photoscreening.

Autor: Al-Haddad C; Ophthalmology Department, American University of Beirut, Beirut, Lebanon., El Moussawi Z; Ophthalmology Department, American University of Beirut, Beirut, Lebanon., Hoyeck S; Ophthalmology Department, American University of Beirut, Beirut, Lebanon., Mehanna CJ; Ophthalmology Department, American University of Beirut, Beirut, Lebanon., El Salloukh NA; Ophthalmology Department, American University of Beirut, Beirut, Lebanon., Ismail K; Ophthalmology Department, American University of Beirut, Beirut, Lebanon., Hnaini M; Pediatric Neurology Division, Department of Pediatrics and Adolescent Medicine, AUBMC Special Kids Clinic, Beirut, Lebanon., Boustany RN; Pediatric Neurology Division, Department of Pediatrics and Adolescent Medicine, AUBMC Special Kids Clinic, Beirut, Lebanon.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 Jul 29; Vol. 16 (7), pp. e0254831. Date of Electronic Publication: 2021 Jul 29 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0254831
Abstrakt: Purpose: The aim of our study was to determine the prevalence of amblyopia risk factors in children visiting the American University of Beirut Medical Center (AUBMC) using automated vision screening.
Methods: This was a hospital-based screening of 1102 children aged between 2 and 6 years. Vision screening was performed using PlusoptiX S12 over 2 years (2018-2020). The need for referral to a pediatric ophthalmologist was based on the amblyopia risk factors set forth by the American Association for Pediatric Ophthalmology and Strabismus. Referred patients underwent a comprehensive eye examination.
Results: A total of 1102 children were screened, 63 were referred for amblyopia risk factors (5.7%); 37/63 (59%) underwent comprehensive eye examination and 73% were prescribed glasses. Of the non-referred group of children, 6.35% had astigmatism, 6.25% were hyperopic and 3.27% were myopic. The refractive errors observed among the examined patients were distributed as follows: 41% astigmatism, 51% hyperopia, and 8% myopia; amblyopia was not detected. Refractive amblyopia risk factors were associated with the presence of systemic disorders. Bland-Altman plots showed most of the differences to be within limits of agreement.
Conclusion: Using an automated vision screener in a hospital-based cohort of children aged 2 to 6 years, the rate of refractive amblyopia risk factors was 5.7%. Hyperopia was the most commonly encountered refractive error and children with systemic disorders were at higher risk.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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