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Alaska Blind Child Discovery

A cooperative, charitable research project to vision screen every preschool Alaskan
   

Validation of Screening

 
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Screening tests are validated with the following statistics:
 

2021 AAPOS Uniform Guidelines | 2013 | 2003.

Amblyogenic factors to be detected by 2021 screening:
Anisometropia (spherical of cylindrical) > 1.25 D
Any manifest strabismus > 8PD
Hyperopia > 4.0 D in any meridian
Myopia magnitude > 3.0 D in any meridian age <4y

Myopia of 2 diopters or more >48 months
Astigmatism > 3 D age <4y
Astigmatism > 1.75 D older than 48 months
Media opacity > 1 mm

Visual acuity: per age-appropriate standards*

Report presence of amblyopia

Prevalence of 2003 Risk Factors


Photoscreening Flowchart (JPOS 51:46-52, 2014)

ABCD introduction to Validation (2021)

ABCD Excel Validation grid (download)

ABCD 2021 Validation Assistant (Excel template)

ABCD History
 
Exam +
Exam -
Exam lost
Kids Eye Disorders
Screen +
A
B
G
Amblyopia
Screen -
C
D
H
Vision Screening
Screen ?
E
F
I
Issues
    N=A+B+C+D    
ABCD Clinics
           
References

Sensitivity A/(A+C)
Specificity D/(D+B)
Positive Predictive Value A/(A+B)
Negative Predictive Value D/(C+D)
Prescreening Probability (A+C)/N
ABCD sensitivity A/(A+C+E+F)
ABCD specificity D/(D+B+E+F)

Alaska Med 45(3):34-45

ir-Sens (A+E+F)/(A+C+E+F)

irSpec (D)/(D+B+E+F)

     
Contact ABCD
     
 
     
JPOS 51:46-52 2014
     
 
     
VIDEO Education
     
 
     
Excel Grid download
     
Excel 2021 Valid Assist
     
2021 GSE AAPOS blinq
     
 
     
photoscValid
2 Kinds of Criteria?     grid
 
                 

 

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