Journal article
Intertester Agreement in Refractive Error Measurements
Optometry and vision science, v 90(10), pp 1128-1137
01 Oct 2013
PMID: 23974664
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose. To determine the intertester agreement of refractive error measurements between lay and nurse screeners using the Retinomax Autorefractor and the SureSight Vision Screener.
Methods. Trained lay and nurse screeners measured refractive error in 1452 preschoolers (3 to 5 years old) using the Retinomax and the SureSight in a random order for screeners and instruments. Intertester agreement between lay and nurse screeners was assessed for sphere, cylinder, and spherical equivalent (SE) using the mean difference and the 95% limits of agreement. The mean intertester difference (lay minus nurse) was compared between groups defined based on the child's age, cycloplegic refractive error, and the reading's confidence number using analysis of variance. The limits of agreement were compared between groups using the Brown-Forsythe test. Intereye correlation was accounted for in all analyses.
Results. The mean intertester differences (95% limits of agreement) were -0.04 (-1.63, 1.54) diopter (D) sphere, 0.00 (-0.52, 0.51) D cylinder, and -0.04 (1.65, 1.56) D SE for the Retinomax and 0.05 (-1.48, 1.58) D sphere, 0.01 (-0.58, 0.60) D cylinder, and 0.06 (-1.45, 1.57) D SE for the SureSight. For either instrument, the mean intertester differences in sphere and SE did not differ by the child's age, cycloplegic refractive error, or the reading's confidence number. However, for both instruments, the limits of agreement were wider when eyes had significant refractive error or the reading's confidence number was below the manufacturer's recommended value.
Conclusions. Among Head Start preschool children, trained lay and nurse screeners agree well in measuring refractive error using the Retinomax or the SureSight. Both instruments had similar intertester agreement in refractive error measurements independent of the child's age. Significant refractive error and a reading with low confidence number were associated with worse intertester agreement.
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Details
- Title
- Intertester Agreement in Refractive Error Measurements
- Creators
- Jiayan Huang - University of PennsylvaniaMaureen G. Maguire - Penn Presbyterian Medical CenterElise Ciner - Salus UniversityMarjean T. Kulp - University of California, BerkeleyGraham E. Quinn - University of PennsylvaniaDeborah Orel-Bixler - University of California, BerkeleyLynn A. Cyert - Northeastern State UniversityBruce Moore - SUNY College of OptometryGui-Shuang Ying - University of Pennsylvania
- Publication Details
- Optometry and vision science, v 90(10), pp 1128-1137
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 10
- Grant note
- U10EY12534; U10EY12545; U10EY12547; U10EY12550; U10EY12644; U10EY12647; U10EY12648; R21EY018908 / National Eye Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Eye Institute (NEI) R21EY018908 / NATIONAL EYE INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Eye Institute (NEI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pennsylvania College of Optometry (PCO)
- Web of Science ID
- WOS:000330348600017
- Scopus ID
- 2-s2.0-84885625002
- Other Identifier
- 991022089044704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Ophthalmology