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題 名 | Comparison of Trained Kindergarten Teachers and Public Health Nurses in the Administration of Preschool Amblyopia and Strabismus Screening Tests=學齡前兒童弱視及斜視篩檢--受訓幼教老師與衛生所護士執行之比較 |
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作 者 | 童逸楨; 蔡榮坤; 張承賢; 許明木; | 書刊名 | 慈濟醫學 |
卷 期 | 18:1 民95.02 |
頁 次 | 頁29-33+77 |
分類號 | 416.7 |
關鍵詞 | 弱視; 斜視; 遠視力; 近視力; 亂點立體圖; Amblyopia; Strabismus; Distance visual acuity test; Near visual acuity test; NTU random-dot stereograms; |
語 文 | 英文(English) |
英文摘要 | Objective: The purpose of this study is to evaluate the validity of preschool amblyopia and strabismus screening performed by well-trained kindergarten teachers and compare their performance with that of local public health nurses. This study also compares the NTU Random-dot Stereograms and the Hirschberg corneal light reflection test for strabismus screening. Materials and Methods: The screening tests consisted of the uncorrected distance visual acuity test, uncorrected near visual acuity test, NTU Random-dot Stereograms and Hirschberg corneal light reflection test. The subjects were preschool children 3-6 years old who lived in eastern Taiwan. The first cohort comprised 5,232 children who were screened by local public health nurses. The second cohort included 2,868 children who received screening performed by well-trained kindergarten teachers. Screening results were compared based on the results of a standard eye examination by one experienced ophthalmologist. Results: The sensitivities, positive predictive values achieved by well-trained kindergarten teachers were significantly higher statistically than those of public health nurses with the uncorrected distance visual acuity test, near visual acuity test and Hirschberg corneal light reflection test. When the strabismus screening tests were compared, the sensitivity, specificity, and positive predictive value were better with the Hirschberg corneal light reflection test than with NTU Random-dot Stereograms. Conclusion: Well-trained kindergarten teachers can achieve good efficacy and accuracy in amblyopia and strabismus screening in preschool children. In addition, we suggest that the Hirschberg corneal light reflection test be added to preschool strabismus screening. |
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