{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T14:20:26Z","timestamp":1783693226278,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,12,28]],"date-time":"2018-12-28T00:00:00Z","timestamp":1545955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To study Damato Multifixation Campimetry Online (<jats:styled-content style=\"fixed-case\">DMCO<\/jats:styled-content>), an inexpensive online visual field test, used for screening at optician shops in Denmark.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was an evaluation of a diagnostic test and customers were included if minimum 50\u00a0years old, with a visual acuity of minimum 0.5 and with less myopia than 6 D. Standard equipment was a computer, a wireless mouse and a computer monitor. We used the \u2018<jats:styled-content style=\"fixed-case\">DMCO STANDARD<\/jats:styled-content> 4,5\u2019 algorithm for screening. <jats:styled-content style=\"fixed-case\">DMCO<\/jats:styled-content> results were electronically transmitted to the authors. Customers with a positive <jats:styled-content style=\"fixed-case\">DMCO<\/jats:styled-content> test received an eye examination including the reference standard Humphrey Visual Field Analyzer 30\u20132 <jats:styled-content style=\"fixed-case\">SITA<\/jats:styled-content> Fast test. A subset of control participants with a negative <jats:styled-content style=\"fixed-case\">DMCO<\/jats:styled-content> test received the same examination in order to estimate the number of false and true negatives. <jats:styled-content style=\"fixed-case\">DMCO<\/jats:styled-content> specificity and sensitivity were estimated according to five reference standards with 95% confidence intervals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The population comprised 627 individuals, 381 women and 246 men, from 13 optician shops. Mean age was 62\u00a0years (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 7.4). <jats:styled-content style=\"fixed-case\">DMCO<\/jats:styled-content> was positive in 32 individuals and 27 individuals were classified as \u2018true positives\u2019 with diagnoses such as glaucoma, cataract and neurological visual field defects. Of the 595 individuals with a negative <jats:styled-content style=\"fixed-case\">DMCO<\/jats:styled-content> test, 110 were examined and nine individuals were classified as \u2018false negatives\u2019 according to diagnoses. Depending on reference the specificity was 97\u201399% and sensitivity was 14\u201369%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Screening with <jats:styled-content style=\"fixed-case\">DMCO<\/jats:styled-content> demonstrated high specificity, whereas sensitivity was unsatisfactory. Future studies with enough power to estimate the true sensitivity is needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.14005","type":"journal-article","created":{"date-parts":[[2018,12,29]],"date-time":"2018-12-29T06:23:02Z","timestamp":1546064582000},"page":"577-582","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Detection of visual field defects by opticians \u2013 with Damato Multifixation Campimetry Online"],"prefix":"10.1111","volume":"97","author":[{"given":"Ane Sophie","family":"Olsen","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Copenhagen University Hospital Rigshospitalet \u2013 Glostrup Glostrup Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morten","family":"la Cour","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Copenhagen University Hospital Rigshospitalet \u2013 Glostrup Glostrup 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