Evidence map›Paper›PMID 30197499›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2018

Evaluation of a smartphone photoscreening app to detect refractive amblyopia risk factors in children aged 1-6 years.

Robert W Arnold, James W O'Neil, Kim L Cooper, David I Silbert, Sean P Donahue

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04297969 (Detection of Hyperopia by Photoscreener GoCheckKids With Glow Fixation Device), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04297969 completednot on this mapstarted 2019, after this paper: background citation

Detection of Hyperopia by Photoscreener GoCheckKids With Glow Fixation Device

TypeobservationalSponsorAlaska Blind Child DiscoveryRan2019 to 2020Enrolled133ConditionsAmblyopia Bilateral, Hyperopia of Both Eyes, Astigmatism Bilateral, Accommodation DisorderArmsobjective pediatric vision screen "GCK glow fixation"
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Vision screening using a smartphone platform.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2022
    Article
  12. [Telemedical applications in ophthalmology in times of COVID-19].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2021
    Review
  13. Article
  14. Article
  15. 2020 Evaluation of Portable Vision Screening Instruments.The Yale journal of biology and medicine · 2021
    Article
  16. Clinically useful smartphone ophthalmic imaging techniques.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Using an Automated Hirschberg Test App to Evaluate Ocular Alignment.Journal of visualized experiments : JoVE · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Robert W ArnoldAlaska Children's Eye & Strabismus, Anchorage, AK, USA, eyedoc@alaska.net.
James W O'NeilPhoenix Children's Medical Group-Ophthalmology, Phoenix, AZ, USA.
Kim L CooperPediatric Ophthalmology & Family Eye Care, Burlingame, CA, USA.
David I SilbertConestoga Eye, Lancaster, PA, USA.
Sean P DonahueDepartment of Ophthalmology, Vanderbilt University, Nashville, TN, USA.
Conestoga College · CAEye Care Associates · USOphthalmology Associates (United States) · USPhoenix Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the specificity and sensitivity of a smartphone app (GoCheckKids [GCK] used as a photoscreening tool on the iPhone 7 to detect refractive amblyopia risk factors in children aged 1-6 years. PARTICIPANTS AND

methodsA prospective, multicenter, 10-month evaluation of children aged 1-6 years old who underwent photoscreening with the GCK app to detect amblyopia risk factors. The first acceptable quality photograph of each study subject was evaluated by trained technicians using GCK's proprietary automated image processing algorithm to analyze for amblyopia risk factors. Trained graders, masked to the cycloplegic clinical data, remotely reviewed photographs taken with the app and compared results to the gold standard pediatric ophthalmology examinations using the 2013 American Association for Pediatric Ophthalmology & Strabismus amblyopia risk factor guidelines. Primary outcome was the ability of the GCK app to identify amblyopia risk factors compared to the cycloplegic refraction.

resultsThere were 287 patient images analyzed. The overall sensitivity and specificity in detecting amblyopia risk factors were 76% and 85%, respectively using manual grading. The overall automated grading results had a sensitivity and sensitivity in detecting amblyopia risk factors of 65% and 83%, respectively.

conclusionThe GCK smartphone app is a viable photoscreening device for the detection of amblyopia risk factors in children aged 1-6 years.

Indexed as

Apple iPhoneblindnesschildfriendlycost-effectiveinstrument-based screeninglazy eyepediatric

Identifiers

PMID30197499
PMCPMC6112812
OpenAlexW2888387837

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.