[A computerized method for visual acuity assessment].
OBJECTIVE
To elaborate and to validate a computerized test for visual acuity screening of school-age children.


METHODS
We have created a computerized test for visual acuity assessment with optotypes arranged as those of printed logarithmic charts used in ophthalmic clinic. Ninety seven-year-old students, 8 normal adult volunteers and 10 patients from the Strabismus sector of the Federal University of São Paulo were evaluated by the same examiner and submitted to the visual acuity test through printed visual acuity logarithmic tumble "E" chart and the new computerized test at the same time. Written consent was obtained after clarification about the research project.


RESULTS
Statistical analysis showed excellent correlation between the two methods (r>0.75) besides the slight trend of the computerized test to overestimate visual acuity when compared with the gold standard. Sensitivity of the computerized test was 100% (correctly identified 6 eyes with poor visual acuity) and specificity was 94%.


CONCLUSIONS
The computerized test can be used as a new clinical tool for visual acuity screening of school-age children and it is fast, easy to perform and inexpensive, besides being more attractive for children. The method releases the examiner from the interpretation of the subject's answers and ensures the procedure's standardization even when more than one examiner performs the test. To better understand the effectiveness of this method for visual screening, one option would be to introduce it in elementary schools, after training the teachers to perform this test.
Arippol
Patrícia Katayama Kjaer
PK
Universidade Federal de São Paulo, São Paulo, SP, Brasil. patriciarippol@gmail.com
Salomão
Solange Rios
SR
Belfort
Rubens
R
D000293:Adolescent; D000328:Adult; D002648:Child; D003627:Data Interpretation, Statistical; D003936:Diagnosis, Computer-Assisted / Q000191:economics / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012858:Size Perception / Q000502:physiology; D013285:Strabismus; D014786:Vision Disorders / Q000175:diagnosis* / Q000517:prevention & control; D015351:Vision Screening / Q000191:economics / Q000379:methods*; D014787:Vision Tests / Q000379:methods*; D014792:Visual Acuity / Q000502:physiology*