The authors compared various referral criteria on the same group of patients to determine the sensitivity, specificity and predictive value of each. They also programmed the plusoptix to use the 2013 American Association for Pediatric Ophthalmology and Strabismus (AAPOS) referral criteria. They performed a retrospective review of 109 patients. Amblyopic risk factors based on 2003 AAPOS referral criteria were present in 58 cases. Based on the results they recommend that vision screening programmes which use the plusoptix photoscreener should evaluate their own referral criteria and adjust them as needed. Where high sensitivity with good specificity is required, the Matta / Silbert criteria are recommended. For high specificity with reasonable sensitivity, the Arnold criteria are recommended.

A comparison of referral criteria used by the Plusoptix photoscreener.
Singman E, Matta N, Tian J, Silbert D.
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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