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ISSN 1561-3070 (Electronic)

2016, Number 3

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Rev Cub Oftal 2016; 29 (3)

Visual screening in under three-year old children at the primary health care

Álvarez RMB, Mokey CMO, Izquierdo IME, Álvarez VG, Romero DA

Language: Spanish
References: 15
Page: 385-397
PDF size: 112.85 Kb.


ABSTRACT

Objectives: to determine the level of agreement between the results of the application by primary health carepediatricians of the visual screening that sets a clinical practice guideline for preventive visual care at pediatric ages and the true criteria from the test performed by ophthalmologists.
Methods: descriptive, prospective and cross-sectional study of a sample of 481 children aged 6 to 35 months old, who were seen at the ophthalmology service of Marfan pediatric hospital from February 2014 to January 2015. Two primary health care pediatricians, two ophthalmologists and a certified optometrist participated. The analysis of the level of agreement between the results of the visual screening by pediatricians and the truth criterion was made through the calculation of Kappa´s agreement index based on four variables by using Epidat 4 program.
Results: the estimation of the force of agreement was good in the visual behavior and in the fundus reflection, with k= 0.649 and 0.754, respectively; it was very good in the external exam of the adnexa, the eyeball and the ocular alignment with k= 0.817 and 0.899, respectively.
Conclusions: the level of diagnostic agreement found between ophthalmologists and pediatricians makes the application of the examination procedures established by the suggested clinical practice guideline possible.


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