Comparison between ophthalmologists and community health workers in screening of shallow anterior chamber with oblique flashlight test / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal
; (4): 50-52, 2010.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-299460
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To study the agreement between ophthalmologists and community health workers in detecting shallow anterior chamber with oblique flashlight test.</p><p><b>METHODS</b>Totally 425 subjects were given an eye examination in a community health center. The anterior chamber depth of each subject was examined by one ophthalmologist and two trained community health workers (one nurse and one non-professional health worker) using oblique flashlight test. Inter-observer agreement was determined using the weighted kappa statistic.</p><p><b>RESULTS</b>Among the enrolled subjects, 148 (35%) were male and 277 (65%) were female. Good agreement was noted in all the three observers. The comparison between the ophthalmologist and the nurse showed a kappa statistic of 0.42 for both eyes (P < 0.001). The kappa statistic was 0.54 and 0.52 for right and left eyes respectively between the ophthalmologist and the non-professional health worker (P<0.001). As for agreement between the nurse and the non-professional health, worker, the kappa statistic was 0.49 and 0.38 for right and left eyes, respectively (P < 0.001).</p><p><b>CONCLUSION</b>The oblique flashlight test may be used as an applicable tool by trained community health workers for screening of shallow anterior chamber and play a role in blindness prevention in community.</p>
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Sense Organ Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Ophthalmology
/
Pathology
/
Photic Stimulation
/
Reference Standards
/
Glaucoma, Angle-Closure
/
Risk Factors
/
Sensitivity and Specificity
/
Community Health Workers
/
Diagnosis
/
Diagnostic Tests, Routine
Type of study:
Diagnostic study
/
Etiology study
/
Risk factors
/
Screening study
Limits:
Adult
/
Aged
/
Aged, 80 and over
/
Female
/
Humans
/
Male
Language:
English
Journal:
Chinese Medical Sciences Journal
Year:
2010
Document type:
Article