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The effectiveness of using peek acuity in vision screening for the admission of elementary school students



Abstract

Background: Limiting close physical contact is key to helping reduce the spread of the coronavirus by using the portable eye examination kit (Peek Acuity), which has been recognized as a reliable and valid tool to measure visual acuity. This study is aimed to compare the effectiveness of the Peek Acuity and ETDRS (Early Treatment Diabetic Retinopathy Study) chart as the gold standard for screening in school-age students.

Methods: This study used an observational research design with cross-sectional data collection methods to compare the effectiveness of the Peek Acuity application diagnostic test and ETDRS chart for screening in school-age students. Sample collection was done by total sampling technique on students aged 6-12 from one of the elementary schools in Surabaya. The study was conducted from October 2019 to November 2019. OpenEpi analyzed the validity and reliability of the results to compare the effectiveness of Peek Acuity and the ETDRS chart.

Results: There were 231 students with details aged 6-9 years, as many as 150 students and aged 10-12 years, as many as 81 students. On examination of visual acuity using peek acuity and ETDRS chart, it indicated that the number of subjects with refractive errors was more than normal eyes. Peek acuity has been shown to have low sensitivity and high specificity. Higher specificity was found in children aged 10-12 years compared to 6-9 years.

Conclusion: The Peek Acuity application has higher effectiveness in screening than the ETDRS chart. It is practical, fast, and easy to use. The Peek Acuity application is considered effective for screening school-age students due to its high rate of specificity

Keywords: ETDRS high rate peek acuity screening specificity visual acuity

References

  1. Bourne RRA, Steinmetz JD, Flaxman S, Briant PS, Taylor HR, Resnikoff S, et al. Trends in prevalence of blindness and distance and near vision impairment over 30 years: An analysis for the Global Burden of Disease Study. Lancet Glob Heal. 2021;9(2):e130–43. DOI:https://doi.org/10.1016/S2214-109X(20)30425-3
  2. World Health Organization. The Impact of Myopia and High Myopia [Internet]. World Health Organization–Brien Holden Vision Institute. 2015. p1–40. Available from: https://www.who.int/blindness/causes/MyopiaReportforWeb.pdf
  3. Theophanous C, Modjtahedi BS, Batech M, Marlin DS, Luong TQ, Fong DS. Myopia prevalence and risk factors in children. Clin Ophthalmol. 2018;12:1581-1587. Published 2018 Aug 29. doi:10.2147/OPTH.S164641.
  4. Ismandari F. Situasi Gangguan Penglihatan. InfoDATIN - Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia [Internet]. 2018. Available from: https://pusdatin.kemkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin-Gangguan-penglihatan-2018.pdf
  5. Satgunam P, Thakur M, Sachdeva V, Reddy S, Rani PK. Validation of visual acuity applications for teleophthalmology during COVID-19. Indian J Ophthalmol. 2021;69(2):385-390. doi:10.4103/ijo.IJO_2333_20.
  6. Bastawrous A, Rono HK, Livingstone IA, et al. Development and Validation of a Smartphone-Based Visual Acuity Test (Peek Acuity) for Clinical Practice and Community-Based Fieldwork [published correction appears in JAMA Ophthalmol. 2015 Sep;133(9):1096]. JAMA Ophthalmol. 2015;133(8):930-937. doi:10.1001/jamaophthalmol.2015.1468.
  7. Evani S, Witono AA, Junaidi FJ. Perbandingan Hasil Pemeriksaan Tajam Penglihatan Menggunakan Kartu Snellen dan Aplikasi Smartphone PEEK Acuity pada Anak Usia 5-6 Tahun. Cdk. 2019;46(8):492–6. DOI:http://dx.doi.org/10.55175/cdk.v46i8.445.
  8. Rono HK, Bastawrous A, Macleod D, et al. Smartphone-based screening for visual impairment in Kenyan school children: a cluster randomised controlled trial [published correction appears in Lancet Glob Health. 2018 Oct;6(10):e1072]. Lancet Glob Health. 2018;6(8):e924-e932. doi:10.1016/S2214-109X(18)30244-4.
  9. Baird PN, Saw SM, Lanca C, et al. Myopia. Nat Rev Dis Primers. 2020;6(1):99. Published 2020 Dec 17. doi:10.1038/s41572-020-00231-4.
  10. Ma MY and Wei CC. A comparative study of children's concentration performance on picture books: age, gender, and media forms. Interactive Learning Environments. 2016;24(8). p1922-1937. DOI: 10.1080/10494820.2015.1060505.
  11. Guo DD, Wu JF, Hu YY, et al. Stereoacuity and Related Factors: The Shandong Children Eye Study. PLoS One. 2016;11(7):e0157829. doi:10.1371/journal.pone.0157829.
  12. Wu JF, Bi HS, Wang SM, et al. Refractive error, visual acuity and causes of vision loss in children in Shandong, China. The Shandong Children Eye Study. PLoS One. 2013;8(12):e82763. doi:10.1371/journal.pone.0082763.
  13. Ali Q, Heldal I, Helgesen CG, Krumina G, Costescu C, Kovari A, et al. Current challenges supporting school-aged children with vision problems: A rapid review. Appl Sci. 2021;11(20). DOI: https://doi.org/10.3390/app11209673
  14. Weiss RS, Park S. Recent updates on myopia control: preventing progression 1 diopter at a time. Curr Opin Ophthalmol. 2019;30(4):215-219. doi:10.1097/ICU.0000000000000571.
  15. WHO. Global Data on. Glob Data Vis Impair 2010 [Internet]. 2010;17. Available from: http://www.who.int/blindness/GLOBALDATAFINALforweb.pdf
  16. Pujari A, Modaboyina S, Agarwal D, Saluja G, Thangavel R, Rakheja V, Saxena R, Sharma N, Titiyal JS KA. Myopia in India. Clin Ophthalmol [Internet]. 2022;16:163–76. DOI: https://doi.org/10.2147/OPTH.S349393
  17. Harb E. Hyperopia. In: Encyclopedia of the Eye [Internet]. Elsevier; 2010 [cited 2021 Jun 5]. p. 257–62. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560716/
  18. Thylefors B. A global initiative for the elimination of avoidable blindness. Am J Ophthalmol. 1998;125(1):90-93. doi:10.1016/s0002-9394(99)80239-6.
  19. Yared AW, Belaynew WT, Destaye S, Ayanaw T, Zelalem E. Prevalence of refractive errors among school children in gondar town, northwest ethiopia. Middle East Afr J Ophthalmol. 2012;19(4):372-376. doi:10.4103/0974-9233.102742.
  20. Laiginhas R, Figueiredo L, Rothwell R, Geraldes R, Chibante J, Ferreira CC. Long-term refractive outcomes in children with early diagnosis of moderate to high hyperopia. Strabismus. 2020;28(2):61-66. doi:10.1080/09273972.2020.1752265.
  21. Alberg AJ, Park JW, Hager BW, Brock MV, Diener-West M. The use of "overall accuracy" to evaluate the validity of screening or diagnostic tests. J Gen Intern Med. 2004;19(5 Pt 1):460-465. doi:10.1111/j.1525-1497.2004.30091.x.
  22. Caltrider D, Gupta A, Tripathy K. Evaluation Of Visual Acuity. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2022.
  23. Morjaria P, Bastawrous A, Murthy GVS, et al. Effectiveness of a novel mobile health (Peek) and education intervention on spectacle wear amongst children in India: Results from a randomized superiority trial in India. EClinicalMedicine. 2020;28:100594. Published 2020 Oct 17. doi:10.1016/j.eclinm.2020.100594.
  24. de Venecia B, Bradfield Y, Trane RM, Bareiro A, Scalamogna M. Validation of Peek Acuity application in pediatric screening programs in Paraguay. Int J Ophthalmol. 2018;11(8):1384-1389. Published 2018 Aug 18. doi:10.18240/ijo.2018.08.21.
  25. Suo L, Ke X, Zhang D, et al. Use of Mobile Apps for Visual Acuity Assessment: Systematic Review and Meta-analysis. JMIR Mhealth Uhealth. 2022;10(2):e26275. Published 2022 Feb 14. doi:10.2196/26275.
  26. Power M, Fell G, Wright M. Principles for high-quality, high-value testing. Evid Based Med. 2013;18(1):5-10. doi:10.1136/eb-2012-100645.
  27. Tiraset N, Poonyathalang A, Padungkiatsagul T, Deeyai M, Vichitkunakorn P, Vanikieti K. Comparison of Visual Acuity Measurement Using Three Methods: Standard ETDRS Chart, Near Chart and a Smartphone-Based Eye Chart Application. Clin Ophthalmol. 2021;15:859-869. Published 2021 Feb 26. doi:10.2147/OPTH.S304272.
  28. Rono H, Bastawrous A, Macleod D, Wanjala E, Gichuhi S, Burton M. Peek Community Eye Health - mHealth system to increase access and efficiency of eye health services in Trans Nzoia County, Kenya: study protocol for a cluster randomised controlled trial. Trials. 2019;20(1):502. Published 2019 Aug 14. doi:10.1186/s13063-019-3615-x.
  29. Jin P, Zhu J, Zou H, et al. Screening for significant refractive error using a combination of distance visual acuity and near visual acuity. PLoS One. 2015;10(2):e0117399. Published 2015 Feb 17. doi:10.1371/journal.pone.0117399.
  30. Livingstone IA, Tarbert CM, Giardini ME, Bastawrous A, Middleton D, Hamilton R. Photometric Compliance of Tablet Screens and Retro-Illuminated Acuity Charts As Visual Acuity Measurement Devices. PLoS One. 2016;11(3):e0150676. Published 2016 Mar 22. doi:10.1371/journal.pone.0150676.

How to Cite

Aritonang, C., Putri, S. A., & Utomo, B. (2022). The effectiveness of using peek acuity in vision screening for the admission of elementary school students. Bali Medical Journal, 11(2), 671–675. https://doi.org/10.15562/bmj.v11i2.3445
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Christina Aritonang
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Salsabila Auliya Putri
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Budi Utomo
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