Chinese Medical Sciences Journal ›› 2010, Vol. 25 ›› Issue (1): 50-52.doi: 10.1016/S1001-9294(10)60020-X

• Original Article • Previous Articles     Next Articles

Comparison between Ophthalmologists and Community Health Workers in Screening of Shallow Anterior Chamber with Oblique Flashlight Test

Yusoh Nuriyah1; Xue-tao Ren1; Li Jiang1; Xi-pu Liu1; 2; and Yan-hong Zou1; 2   

  1. 1Department of Ophthalmology; Sekwa Eye Hospital; Beijing 100088; China 
    2Department of Ophthalmology; First Hospital of Tsinghua University; Beijing 100016; China
  • Online:2010-03-10 Published:2010-03-10

Abstract: 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.

Key words: glaucoma, shallow anterior chamber, oblique flashlight test

Funding: Supported by Tsinghua-Yue-Yuen Medical Sciences Fund (20240000564) and Norwegian Fredskorpset Exchange Program

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