Abstract:

Objective  To comparare nine external photographs and clinical face to face examinations in diagnosis of strabismus. Design Prospective comparative case series. Participants One hundred and one cases of strabismus patients over 5-year old in Department of Ophthalmology of Beijing Tongren Hospital were selected. Methods Nine external photographs and wryneck photographs were performed. Grading of strabismus was carried out by an experienced ophthalmologist. Main Outcome Measures Kappa value, sensitivity, specificity. Results The results of the Kappa values was 0.91. The sensitivity of the presence of photographs for strabismus was 98.6%, and the specificity was 100%. The Receiver Operating Characteristic analysis was 0.993. Conclusions Nine external photographs have good prospect both in clinic and in screening. It is worth popularizing in tele-ophthalmology. (Ophthalmol CHN, 2017, 26: 314-316)

Key words: strabismus, external photograph, consistency