Chinese Medical Sciences Journal ›› 2010, Vol. 25 ›› Issue (1): 50-52.doi: 10.1016/S1001-9294(10)60020-X
Yusoh Nuriyah1; Xue-tao Ren1; Li Jiang1; Xi-pu Liu1; 2; and Yan-hong Zou1; 2
Yusoh Nuriyah1; Xue-tao Ren1; Li Jiang1; Xi-pu Liu1; 2; and Yan-hong Zou1; 2
摘要: Objective To study the agreement between ophthalmologists and community health workers in detecting shallow anterior chamber with oblique flashlight test. Methods 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. Results 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). Conclusion 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.