Academic Journal
Hyperopia in schoolchildren: investigating the impact on vision and determining appropriate methods for screening
| العنوان: | Hyperopia in schoolchildren: investigating the impact on vision and determining appropriate methods for screening |
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| المؤلفون: | Hopkins, Shelley, Read, Scott A., Cox, Rebecca A., Oduro, Bright A., Strang, Niall, Wood, Joanne M. |
| المصدر: | Hopkins , S , Read , S A , Cox , R A , Oduro , B A , Strang , N & Wood , J M 2024 , ' Hyperopia in schoolchildren: investigating the impact on vision and determining appropriate methods for screening ' , Ophthalmic and Physiological Optics , vol. 44 , no. 1 , pp. 42-51 . https://doi.org/10.1111/opo.13236 |
| سنة النشر: | 2024 |
| مصطلحات موضوعية: | vision screening, hyperopia, plus lens test, schoolchildren, /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being, name=SDG 3 - Good Health and Well-being, /dk/atira/pure/sustainabledevelopmentgoals/quality_education, name=SDG 4 - Quality Education, /dk/atira/pure/subjectarea/asjc/2800/2809, name=Sensory Systems, /dk/atira/pure/subjectarea/asjc/2700/2731, name=Ophthalmology, /dk/atira/pure/subjectarea/asjc/3600/3610, name=Optometry |
| الوصف: | Introduction: Hyperopia is associated with reduced vision and educational outcomes in schoolchildren. This study explored the impact of clinically significant hyperopia (≥+2.00 D) on visual function in schoolchildren and compared the ability of different screening tests (alone and in combination) to detect this level of hyperopia. Methods: Vision testing including monocular logMAR visual acuity (VA) measured to threshold (distance [DVA], near [NVA] and DVA through a plus lens [+2.50 D]), stereoacuity and cycloplegic autorefraction (tropicamide 1%) were undertaken on 263 schoolchildren (mean age: 11.76 years ± 3.38) in Queensland, Australia. Vision measures were compared between children with clinically significant hyperopia in at least one meridian (≥+2.00 D) and emmetropia/low hyperopia (>0.00 and <+2.00 D). Receiver operating curve (ROC) analysis was performed to identify optimal pass/fail criteria for each test and the diagnostic accuracy of individual and combinations of tests. Results: Thirty-two children had clinically significant hyperopia and 225 had emmetropia/low hyperopia. DVA and NVA were worse (p < 0.01), while the difference in DVA through a plus lens was less in children with clinically significant hyperopia (p < 0.01). ROC analysis for individual tests resulted in areas under the curve (AUCs) ranging from 0.65 to 0.85. Combining screening tests revealed that failing one or more of the following tests was most effective for detecting hyperopia: DVA, NVA and difference in DVA through a plus lens, resulting in a sensitivity and specificity of 72% and 81%, respectively. Conclusion: Significant differences in visual function existed between schoolchildren with clinically significant hyperopia and emmetropia/low hyperopia. Combining measures of DVA and NVA and the difference in DVA through a plus lens demonstrated good discriminative ability for detecting clinically significant hyperopia in this population. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | https://researchonline.gcu.ac.uk/en/publications/24d4c7dd-2263-4f45-958f-2b4887c10238 |
| DOI: | 10.1111/opo.13236 |
| الاتاحة: | https://researchonline.gcu.ac.uk/en/publications/24d4c7dd-2263-4f45-958f-2b4887c10238 https://doi.org/10.1111/opo.13236 https://researchonline.gcu.ac.uk/ws/files/79101667/78572602.pdf |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.E3109EC2 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1111/opo.13236 |
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