A systematic review of vision screening tests for the detection of amblyopia.

Journal Article (Journal Article;Systematic Review)

OBJECTIVE: To review the test characteristics and the quality of evidence regarding available screening tests for the detection of amblyopia in preschool-aged children to help primary care practitioners select a screening strategy. DESIGN: Systematic review of published studies. DATA SOURCES: The MEDLINE database was searched from 1966 through January 1999 using a broad and inclusive strategy. A total of 9551 citations were identified. STUDY SELECTION: All studies that compared the results of commercially available screening tests in preschool-aged children to ophthalmologic examination. DATA EXTRACTION: The setting of the study, the age of the population, the type of screening test, criteria for a positive screen, criteria for the ophthalmologic examination, test characteristics, and measures of reliability were abstracted by 2 reviewers for each selected study. DATA SYNTHESIS: Four eligible articles were identified that studied the test characteristics of 3 screening tests. None of these studies were performed in a primary care setting. Each study used different criteria for failure of the ophthalmologic examination. None of the studies measured observer or test reliability. CONCLUSIONS: Few high-quality data exist regarding the performance of preschool vision screening. Important future work should include the development of a consensus gold standard ophthalmologic examination and evaluation of screening tests in the primary care setting.

Full Text

Duke Authors

Cited Authors

  • Kemper, AR; Margolis, PA; Downs, SM; Bordley, WC

Published Date

  • November 1999

Published In

Volume / Issue

  • 104 / 5 Pt 2

Start / End Page

  • 1220 - 1222

PubMed ID

  • 10545578

International Standard Serial Number (ISSN)

  • 0031-4005


  • eng

Conference Location

  • United States