Using the Amsler Grid Test for Age-Related Macular Degeneration Screening
Objectives:To evaluate the use of the Amsler grid test (AGT) in screening for age-related macular degeneration (AMD), one of the most common causes of blindness, in primary healthcare settings.Materials and Methods:The AGT was applied to 700 eyes of 355 people aged 50 and over who applied to a famil...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2024-02-01
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| Series: | Türk Oftalmoloji Dergisi |
| Subjects: | |
| Online Access: |
http://www.oftalmoloji.org/archives/archive-detail/article-preview/using-the-amsler-grid-test-for-age-related-macular/64470
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| _version_ | 1797293878034825216 |
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| author | Seyyide Ayşenur Kuzucu Üşümüş Ayşe Gül Koçak Altıntaş Ayşe Özdemir Cenk Aypak |
| author_facet | Seyyide Ayşenur Kuzucu Üşümüş Ayşe Gül Koçak Altıntaş Ayşe Özdemir Cenk Aypak |
| author_sort | Seyyide Ayşenur Kuzucu Üşümüş |
| collection | DOAJ |
| description | Objectives:To evaluate the use of the Amsler grid test (AGT) in screening for age-related macular degeneration (AMD), one of the most common causes of blindness, in primary healthcare settings.Materials and Methods:The AGT was applied to 700 eyes of 355 people aged 50 and over who applied to a family health center in Ankara and had no eye complaints. The test was considered positive if the lines on the AGT card were seen as broken or curved, there was a difference in shape or size between the squares, or a color change or blurring was described in any area. An ophthalmologist was consulted if the AGT was positive in one or both eyes. Patients considered suitable by ophthalmologists were evaluated with optical coherence tomography. AGT results were compared with ophthalmologist examination and tomography findings in terms of AMD detection.Results:The AGT was positive in 97 (13.9%) and negative in 603 (86.1%) out of 700 eyes included in the study. A total of 184 eyes, 79 with a positive AGT and 105 eyes with a negative test, were evaluated by an ophthalmologist. As a result of examinations and tests performed by ophthalmologists, AMD was detected in a total of 67 eyes: 42 of 79 eyes with positive AGT and 25 of 105 eyes with negative AGT but referred to an ophthalmologist for different reasons. In our study, the AGT had 62.7% sensitivity and 68.4% specificity.Conclusion:The AGT is an inexpensive and easily applicable test. Although moderate sensitivity and specificity were found in our study; further studies are needed to evaluate the suitability of its use for AMD screening in primary care with limited facilities. |
| first_indexed | 2024-03-07T21:22:11Z |
| format | Article |
| id | doaj.art-a2e0cb878a3d49168dccfb69a1f26bd9 |
| institution | Directory Open Access Journal |
| issn | 1300-0659 2147-2661 |
| language | English |
| last_indexed | 2024-03-07T21:22:11Z |
| publishDate | 2024-02-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj.art-a2e0cb878a3d49168dccfb69a1f26bd92024-02-27T10:28:09ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612024-02-01541111610.4274/tjo.galenos.2023.0423813049054Using the Amsler Grid Test for Age-Related Macular Degeneration ScreeningSeyyide Ayşenur Kuzucu Üşümüş0Ayşe Gül Koçak Altıntaş1Ayşe Özdemir2Cenk Aypak3 Sağlık Bilimleri Üniversitesi, Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, Ankara, Türkiye Objectives:To evaluate the use of the Amsler grid test (AGT) in screening for age-related macular degeneration (AMD), one of the most common causes of blindness, in primary healthcare settings.Materials and Methods:The AGT was applied to 700 eyes of 355 people aged 50 and over who applied to a family health center in Ankara and had no eye complaints. The test was considered positive if the lines on the AGT card were seen as broken or curved, there was a difference in shape or size between the squares, or a color change or blurring was described in any area. An ophthalmologist was consulted if the AGT was positive in one or both eyes. Patients considered suitable by ophthalmologists were evaluated with optical coherence tomography. AGT results were compared with ophthalmologist examination and tomography findings in terms of AMD detection.Results:The AGT was positive in 97 (13.9%) and negative in 603 (86.1%) out of 700 eyes included in the study. A total of 184 eyes, 79 with a positive AGT and 105 eyes with a negative test, were evaluated by an ophthalmologist. As a result of examinations and tests performed by ophthalmologists, AMD was detected in a total of 67 eyes: 42 of 79 eyes with positive AGT and 25 of 105 eyes with negative AGT but referred to an ophthalmologist for different reasons. In our study, the AGT had 62.7% sensitivity and 68.4% specificity.Conclusion:The AGT is an inexpensive and easily applicable test. Although moderate sensitivity and specificity were found in our study; further studies are needed to evaluate the suitability of its use for AMD screening in primary care with limited facilities. http://www.oftalmoloji.org/archives/archive-detail/article-preview/using-the-amsler-grid-test-for-age-related-macular/64470 amsler grid testmacular degenerationscanningspecificitysensitivity |
| spellingShingle | Seyyide Ayşenur Kuzucu Üşümüş Ayşe Gül Koçak Altıntaş Ayşe Özdemir Cenk Aypak Using the Amsler Grid Test for Age-Related Macular Degeneration Screening Türk Oftalmoloji Dergisi amsler grid test macular degeneration scanning specificity sensitivity |
| title | Using the Amsler Grid Test for Age-Related Macular Degeneration Screening |
| title_full | Using the Amsler Grid Test for Age-Related Macular Degeneration Screening |
| title_fullStr | Using the Amsler Grid Test for Age-Related Macular Degeneration Screening |
| title_full_unstemmed | Using the Amsler Grid Test for Age-Related Macular Degeneration Screening |
| title_short | Using the Amsler Grid Test for Age-Related Macular Degeneration Screening |
| title_sort | using the amsler grid test for age related macular degeneration screening |
| topic | amsler grid test macular degeneration scanning specificity sensitivity |
| url |
http://www.oftalmoloji.org/archives/archive-detail/article-preview/using-the-amsler-grid-test-for-age-related-macular/64470
|
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