Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder

Yalinbas, Duygu; Kara, Caner; Sari, Seda Aybuke; Dursun, Demet; Bozali, Erman

Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder

Duygu YALINBAŞ YETER, (Cumhuriyet Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Sivas, Türkiye)

Erman BOZALİ, (Cumhuriyet Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Sivas, Türkiye)

Caner KARA, (Etlik Zübeyde Hanım Kadın Sağlığı Eğitim ve Araştırma Hastanesi Göz Hastalıkları Kliniği, Ankara, Türkiye)

Seda Aybüke SARI, (Hatay Mustafa Kemal Üniversitesi, Tayfur Ata Sökmen Tıp Fakültesi, Çocuk ve Ergen Psikiyatri, Anabilim Dalı, Hatay, Türkiye)

Demet DURSUN (Düziçi Devlet Hastanesi, Osmaniye, Türkiye)

Pamukkale Tıp Dergisi

5 2

Yıl: 2023 Cilt: 16 Sayı: 2 Sayfa Aralığı: 196 - 207 Metin Dili: İngilizce İndeks Tarihi: 19-04-2023

Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder

Öz:

Purpose: To compare non-cycloplegic refraction measurements of two photoscreeners and the hand-held autorefractometer with cycloplegic measurements of the autorefractometer in patients with attention deficit hyperactivity disorder (ADHD).Meterials and methods: This cross-sectional, comparative study consisted of 53 children who were newly diagnosed with ADHD. We compared spherical, cylindrical, cylindrical axis and spherical equivalent (SE) measurements in Plusoptix A12, Spot Vision Screener, and Retinomax K-plus Screen with Tonoref II. Reliability was analyzed by using the interclass correlation coefficient (ICC) and Bland-Altman plot was used to evaluate the agreement between devices.Results: The mean age of children was 9.45±1.68. All of the devices measured spherical power and SE significantly more myopic than the Tonoref II. While The Spot Vision Screener, PlusoptiX A12, and Tonoref II provided similar cylindrical power, Retinomax K-plus Screen measured significantly lower than the Tonoref II. The excellent reliability was detected in spherical power, cylindrical power, SE and J0 between Tonoref II and PlusoptiX A12 (ICC:0,930, 0,921, 0,927 and 0,920, respectively. All of the hand-held devices showed excellent reliability in terms of cylindrical power and J0 (ICC>0.90, for all) and good reliability for J45 (ICC:0.75-0.90 for all).Conclusion: Despite all devices having advantages or disadvantages, Plusoptix A12 showed excellent reliability for detecting refractive errors in children with ADHD.

Anahtar Kelime: Attention deficit hyperactivity disorder photoscreener autorefractometer children cycloplegia

Yeni tanı konmuş dikkat eksikliği hiperaktivite bozukluğu olan çocuklarda fotoscreener ve el tipi otorefraktometrenin sikloplejik otorefraktometri ile karşılaştırılması

Öz:

Amaç: Dikkat eksikliği hiperaktivite bozukluğu (DEHB) olan hastalarda iki fotoscreener ve el otorefraktometresinin sikloplejik olmayan refraksiyon ölçümlerini sikloplejik otorefraktometre ölçümleriyle karşılaştırmak.Gereç ve yöntem: Bu kesitsel, karşılaştırmalı çalışmaya yeni DEHB tanısı konan 53 çocuk dahil edildi. Tonoref II ile Plusoptix A12, Spot Vision Screener ve Retinomax K-plus Screen cihazlarında sferik, silindirik, silindirik eksen ve sferik eşdeğer (SE) ölçümlerini karşılaştırdık. Güvenilirlik, sınıflar arası korelasyon katsayısı (SKK) kullanılarak analiz edildi ve cihazlar arasındaki uyumu değerlendirmek için Bland-Altman grafiği kullanıldı.Bulgular: Çocukların yaş ortalaması 9,45±1,68 idi. Tüm cihazlar sferik gücü ve SE’yi Tonoref II'den önemli ölçüde daha miyop ölçtü. Spot Vision Screener, PlusoptiX A12 ve Tonoref II benzer silindirik güç tespit ederken, Retinomax K-plus Screen, Tonoref II'den önemli ölçüde daha düşük silindirik güç ölçtü. Tonoref II ve PlusoptiX A12 (sırasıyla SKK:0.930, 0.921, 0.927 ve 0.920) arasında sferik güç, silindirik güç, SE ve J0'da mükemmel güvenilirlik tespit edildi. Elde taşınan cihazların tümü, silindirik güç ve J0 (tümü için SKK>0,90) ve J45 için iyi güvenilirlik (tümü için SKK:0,75-0,90) açısından mükemmel güvenilirlik gösterdi. Sonuç: Plusoptix A12, tüm cihazların avantaj ve dezavantajlarına rağmen DEHB'li çocuklarda kırma kusurlarını saptamada mükemmel güvenilirlik göstermiştir.

Anahtar Kelime: Dikkat eksikliği hiperaktivite bozukluğu fotoscreener otorefraktometre çocuklar siklopleji.

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Karaca I, Biler ED, Onay MP, Özbaran B, Üretmen Ö. Stereoacuity, fusional vergence amplitudes, and refractive errors prior to treatment in patients with attention-deficit hyperactivity disorder. Turk J Ophthalmol 2020;50:15-19. https://doi.org/10.4274/tjo. galenos.2019.17802
2. Larrañaga Fragoso P, Noval S, Rivero JC, Boto de los Bueis A. The effects of methylphenidate on refraction and anterior segment parameters in children with attention deficit hyperactivity disorder. Journal of American Association for Pediatric Ophthalmology and Strabismus 2015;19:322-326. https://doi.org/10.1016/j. jaapos.2015.04.005
3. Ho JD, Sheu JJ, Kao YW, Shia BC, Lin HC. Associations between attention-deficit/hyperactivity disorder and ocular abnormalities in children: a population-based study. Ophthalmic Epidemiol 2020;27:194-199. https:// doi.org/10.1080/09286586.2019.1704795
4. Ababneh LT, Bashtawi M, Ababneh BF, Mahmoud IH, Rashdan M, Zahran M. Ocular findings in children with attention deficit hyperactivity disorder: a case–control study. Ann Med Surg 2020;57:303-306. https://doi.org/ 10.1016/j.amsu.2020.08.005
5. Mezer E, Wygnanski Jaffe T. Do children and adolescents with attention deficit hyperactivity disorder have ocular abnormalities? Eur J Ophthalmol 2012;22:931-935. https://doi.org/10.5301/ejo.5000145
6. Marzolf AL, Peterseim MM, Forcina BD, et al. Use of the spot vision screener for patients with developmental disability. J AAPOS 2017;21:313-315. https://doi. org/10.1016/j.jaapos.2017.04.008
7. Teberik K, Eski MT, Kaya M, Ankarali H. A comparison of three different photoscreeners in children. J Pediatr Ophthalmol Strabismus 2018;55:306-311. https://doi. org/10.3928/01913913-20180405-03
8. Yilmaz I, Ozkaya A, Alkin Z, Ozbengi S, Yazici AT, Demirok A. Comparison of the plusoptix a09 and retinomax k-plus 3 with retinoscopy in children. J Pediatric Ophthalmol Strabismus 2015;52:37-42. https://doi.org/10.3928/01913913-20141230-06
9. Prabakaran S, Dirani M, Chia A, et al. Cycloplegic refraction in preschool children: Comparisons between the hand-held autorefractor, table-mounted autorefractor and retinoscopy. Ophthalmic Physiol Opt 2009;29:422-426. https://doi.org/10.1111/j.1475- 1313.2008.00616.x
10. Choong YF, Chen AH, Goh PP. A comparison of autorefraction and subjective refraction with and without cycloplegia in primary school children. Am J Ophthalmol 2006;142:68-74. https://doi.org/10.1016/j. ajo.2006.01.084
11. Donahue SP, Arthur B, Neely DE, et al. Guidelines for automated preschool vision screening: a 10-year, evidence-based update. J AAPOS 2013;17:4-8. https:// doi.org/10.1016/j.jaapos.2012.09.012
12. Akil H, Keskin S, Çavdarli C. Comparison of the refractive measurements with hand-held autorefractometer, table-mounted autorefractometer and cycloplegic retinoscopy in children. Korean J Ophthalmol 2015;29:178-184. https://doi.org/10.3341/ kjo.2015.29.3.178
13. Thibos LN, Wheeler W, Horner D. Power vectors: an application of fourier analysis to the description and statistical analysis of refractive error. Optom Vis Sci 1997;74:367-375. https://doi.org/10.1097/00006324- 199706000-00019
14. Grönlund M, Aring E, Landgren M, Hellström A. Visual function and ocular features in children and adolescents with attention deficit hyperactivity disorder, with and without treatment with stimulants. Eye 2007;21:494- 502. https://doi.org/10.1038/sj.eye.6702240
15. Redondo B, Vera J, Molina R, et al. Attention-deficit/ hyperactivity disorder children exhibit an impaired accommodative response. Graefes Arch Clin Exp Ophthalmol 2018;256:1023-1030. https://doi. org/10.1007/s00417-018-3948-2
16. Birch EE, Kelly KR. Pediatric ophthalmology and childhood reading difficulties: Amblyopia and slow reading. J AAPOS 2017;21:442-447. https://doi. org/10.1016/j.jaapos.2017.06.013
17. Collins ME, Mudie LI, Inns AJ, Repka MX. Pediatric ophthalmology and childhood reading difficulties: overview of reading development and assessments for the pediatric ophthalmologist. J AAPOS 2017;21:433- 436. https://doi.org/10.1016/j.jaapos.2017.06.017
18. Bilbao C, Piñero DP. Diagnosis of oculomotor anomalies in children with learning disorders. Clin Exp Optom 2020;103:597-609. https://doi.org/10.1111/ cxo.13024
19. Su CC, Tsai CY, Tsai TH, Tsai IJ. Incidence and risk of attention deficit hyperactivity disorder in children with amblyopia: a nationwide cohort study. Clin Exp Ophthalmol 2019;47:259-264. https://doi.org/10.1111/ ceo.13465
20. Fogel Levin M, Doron R, Wygnanski Jaffe T, Ancri O, Zion IB. A comparison of plusoptix a12 measurements with cycloplegic refraction. J AAPOS 2016;20:310-314. https://doi.org/10.1016/j.jaapos.2016.04.006
21. Ugurbas SC, Alpay A, Efe YK, Ugurbas SH, Tutar H, Sagdik HM. Validity of plusoptix s04 photoscreener as a vision screening tool in children with intellectual disability. J AAPOS 2011;15:14-15. https://doi. org/10.1016/j.jaapos.2011.01.055
22. McCurry TC, Lawrence LM, Wilson ME, Mayo L. The plusoptix s08 photoscreener as a vision screening tool for children with autism. J AAPOS 2013;17:374-377. https://doi.org/10.1016/j.jaapos.2013.05.006
23. Saini V, Raina UK, Gupta A, et al. Comparison of plusoptix s12r photoscreener with cycloplegic retinoscopy and autorefraction in pediatric age group. Indian J Ophthalmol 2019;67:1555-1559. https://doi. org/10.4103/ijo.IJO_1465_18
24. Mirzajani A, Qasemi F, Asharlous A, et al. Are the results of handheld auto-refractometer as valid as the result of table-mounted refractometer? J Curr Ophthalmol 2019;31:305-311. https://doi.org/10.1016/j. joco.2018.10.012
25. Tuncer I, Zengin MO, Karahan E. Comparison of the retinomax hand-held autorefractor versus table- top autorefractor and retinoscopy. Int J Ophthalmol 2014;7:491-495. https://doi.org/10.3980/j.issn.2222- 3959.2014.03.19
26. Cordonnier M, Kallay O. Non-cycloplegic screening for refractive errors in children with the hand-held autorefractor retinomax: final results and comparison with non-cycloplegic photoscreening. Strabismus 2001;9:59-70. https://doi.org/10.1076/stra.9.2.59.701
27. Barugel R, Touhami S, Samama S, et al. Evaluation of the spot vision screener for children with limited access to ocular health care. J AAPOS 2019;23:151-153. https://doi.org/10.1016/j.jaapos.2018.09.012
28. Qian X, Li Y, Ding G, et al. Compared performance of spot and sw800 photoscreeners on chinese children. Br J Ophthalmol 2019;103:517-522. https://doi. org/10.1136/bjophthalmol-2018-311885
29. Yassa ET, Ünlü C. Comparison of autorefraction and photorefraction with and without cycloplegia using 1% tropicamide in preschool children. J Ophthalmol 2019;2019:1487013. https://doi. org/10.1155/2019/1487013
30. Demirci G, Arslan B, Özsütçü M, Eliaçık M, Gulkilik G. Comparison of photorefraction, autorefractometry and retinoscopy in children. Int Ophthalmol 2014;34:739- 746. https://doi.org/10.1007/s10792-013-9864-x

APA	Yalinbas D, Bozali E, Kara C, Sari S, Dursun D (2023). Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder. , 196 - 207.
Chicago	Yalinbas Duygu,Bozali Erman,Kara Caner,Sari Seda Aybuke,Dursun Demet Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder. (2023): 196 - 207.
MLA	Yalinbas Duygu,Bozali Erman,Kara Caner,Sari Seda Aybuke,Dursun Demet Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder. , 2023, ss.196 - 207.
AMA	Yalinbas D,Bozali E,Kara C,Sari S,Dursun D Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder. . 2023; 196 - 207.
Vancouver	Yalinbas D,Bozali E,Kara C,Sari S,Dursun D Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder. . 2023; 196 - 207.
IEEE	Yalinbas D,Bozali E,Kara C,Sari S,Dursun D "Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder." , ss.196 - 207, 2023.
ISNAD	Yalinbas, Duygu vd. "Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder". (2023), 196-207.

APA	Yalinbas D, Bozali E, Kara C, Sari S, Dursun D (2023). Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder. Pamukkale Tıp Dergisi, 16(2), 196 - 207.
Chicago	Yalinbas Duygu,Bozali Erman,Kara Caner,Sari Seda Aybuke,Dursun Demet Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder. Pamukkale Tıp Dergisi 16, no.2 (2023): 196 - 207.
MLA	Yalinbas Duygu,Bozali Erman,Kara Caner,Sari Seda Aybuke,Dursun Demet Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder. Pamukkale Tıp Dergisi, vol.16, no.2, 2023, ss.196 - 207.
AMA	Yalinbas D,Bozali E,Kara C,Sari S,Dursun D Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder. Pamukkale Tıp Dergisi. 2023; 16(2): 196 - 207.
Vancouver	Yalinbas D,Bozali E,Kara C,Sari S,Dursun D Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder. Pamukkale Tıp Dergisi. 2023; 16(2): 196 - 207.
IEEE	Yalinbas D,Bozali E,Kara C,Sari S,Dursun D "Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder." Pamukkale Tıp Dergisi, 16, ss.196 - 207, 2023.
ISNAD	Yalinbas, Duygu vd. "Comparison of photoscreeners and hand-held autorefractometer with cycloplegic autorefractometry in children with newly diagnosed attention deficit hyperactivity disorder". Pamukkale Tıp Dergisi 16/2 (2023), 196-207.