{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:43:45Z","timestamp":1740185025595,"version":"3.37.3"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T00:00:00Z","timestamp":1651622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T00:00:00Z","timestamp":1651622400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002839","name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002839","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ophthalmologie"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Amblyopie ist der h\u00e4ufigste Grund einer Sehminderung im Kindesalter. Wichtige Risikofaktoren f\u00fcr eine Amblyopie (ARF) sind Refraktionsfehler. Ziel dieser Studie war zu untersuchen, wie viele Kinder mit auff\u00e4lligem Screening eine Untersuchung beim Augenarzt erhielten und wie verl\u00e4sslich der Plusoptix Autorefractor A09 (POA09) in der Ermittlung refraktiver ARF ist.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>Wir f\u00fchrten eine prospektive, einarmige und nicht verblindete Studie von 2\/2012 bis 9\/2015 durch. Es wurden Kinder im Alter von 6\u00a0Monaten bis 12\u00a0Jahren in Kinderg\u00e4rten und Schulen auf refraktive ARF gescreent. Folgende Refraktionswerte galten im Screening und bei der Messung des Refraktionsfehlers in Zykloplegie als auff\u00e4llig: Hyperopie \u2265\u202f3,5 Dioptrien\u00a0(D), Myopie \u2265\u202f3,0\u202fD, Anisometropie \u2265\u202f1,5\u202fD und Astigmatismus \u2265\u202f1,5\u202fD (90\u00b0 oder 180\u00b0\u202f\u00b1\u200910\u00b0) oder \u2265\u202f1,0\u202fD (\u2265\u202f10\u00b0 Abweichung von 90\u00b0 oder 180\u00b0). Im Screening auff\u00e4lligen Kindern wurde eine Vorstellung beim Augenarzt empfohlen, und deren Sorgeberechtigte wurden hinsichtlich der Ergebnisse des Augenarztbesuches nachbefragt. Kinder mit auff\u00e4lligem Screening sowie eine Referenzgruppe aus Kindern mit unauff\u00e4lligem Screening erhielten eine vollst\u00e4ndige orthoptische Untersuchung und eine Messung des Refraktionsfehlers in Zykloplegie. Anhand der Kinder mit auff\u00e4lligem Screening wurde der Anteil der richtig erkannten refraktiven ARF untersucht. Anhand der Referenzgruppe wurden der Anteil der richtig ausgeschlossenen refraktiven ARF und die falsch negative Rate berechnet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Es wurden 3170 Kinder gescreent. Bei 715 Kindern (22,3\u202f%) war das Screening auff\u00e4llig, von diesen lag bei 460 (64,3\u202f%) Antwort auf die Nachbefragung vor, und bei 132 lagen vollst\u00e4ndige Angaben zu in Zykloplegie gemessenen Refraktionsfehlern vor. H\u00e4ufigste Auff\u00e4lligkeiten im Screening waren Astigmatismus (90,9\u202f%) und Anisometropie (11,4\u202f%). Nach Messung des Refraktionsfehlers in Zykloplegie waren Astigmatismus (56,8\u202f%) und Hyperopie (18,9\u202f%) am h\u00e4ufigsten. Der Anteil im Screening richtig erkannter refraktiver ARF war f\u00fcr Astigmatismus (60\u202f%) und Anisometropie (53,3\u202f%) am h\u00f6chsten, f\u00fcr Hyperopie (33,3\u202f%) und Myopie (25\u202f%) geringer.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Refraktive ARF konnten im Screening mit dem POA09 nur eingeschr\u00e4nkt erkannt werden, was die Wichtigkeit eines systematischen Amblyopiescreenings unterstreicht. Denkbar w\u00e4re u.\u202fa. ein Screening in Zykloplegie, wozu weitere Studien erforderlich sind.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00347-022-01645-z","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T14:02:49Z","timestamp":1651672969000},"page":"1035-1040","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Erkennung refraktiver Amblyopierisikofaktoren mittels Plusoptix Autorefractor A09","Detections of refractive risk factors for amblyopia with Plusoptix Autorefractor A09"],"prefix":"10.1007","volume":"119","author":[{"given":"Philip","family":"Al-Romhein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Fr\u00f6hlich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie","family":"Schmickler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3678-6183","authenticated-orcid":false,"given":"Daniel J.","family":"Salchow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,5,4]]},"reference":[{"key":"1645_CR1","unstructured":"Berufsverband der Augen\u00e4rzte Deutschlands. 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Von allen Patienten liegt eine Einverst\u00e4ndniserkl\u00e4rung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}