The 4 meters Bruckner test: An important tool in amblyopia screening of children with intellectual disability
The screening of amblyopia in children with special should be performed with a rapid and objective examination, such as the Bruckner test. The hypothesis was that the 4 meter Bruckner test performed on special needs children could be at least as useful, if not superior to the 1 meter Bruckner test....
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| Format: | Book |
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Amaltea Medical Publishing House,
2019-12-01T00:00:00Z.
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| Summary: | The screening of amblyopia in children with special should be performed with a rapid and objective examination, such as the Bruckner test. The hypothesis was that the 4 meter Bruckner test performed on special needs children could be at least as useful, if not superior to the 1 meter Bruckner test. The purpose of this study was to determine the sensitivity and specificity of the Bruckner reflex at 1 meter compared to 4 meters for the detection of ametropia and strabismus in intellectual disabled children. Material and method. The study was conducted on thirty-four patients with intellectual disabilities. Four medical students performed the 1 meter Bruckner test and then the 4 meter Bruckner test. After the test, all the patients underwent a full ophthalmological assessment, performed by the expert. The Fischer exact test and Chi square test were used to compare the results. Results. The 1 meter Bruckner test sensitivity was between 0 and 50% and the 4 meter Bruckner test was 55.6%-72% (p < 0.05). The 1 meter Bruckner test specificity was 85.7-100%, while the 4 meter Bruckner test was 81.1-93.8%(p < 0.05). Conclusions. Extending the distance of assessment between the examiner and the patient from 1 meter to 4 meters improves the ametropias detection accuracy. |
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| Item Description: | 10.37897/RJP.2019.4.3 1454-0398 2069-6175 |