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Perbandingan kemamputerapan uji color vision testing made aesy terhadap uji ishihara dalam skrining buta warna merah - hijau pada anak usia 6 - 12 tahun = Applicability comparison of color vision testing made easy test and ishihara test in screening red-green color vision deficiency on children aged 6-12

Tujuan: untuk mengetahui nilai kesesuaian dan efisiensi skrining uji Color Vision Testing Made Easy (CVTME) dan uji Ishihara dalam skrining buta warna merah hijau pada anak usi 6-12 tahun. Desain : studi potong lintang (cross - sectional study) Bahan dan cara : Status refraksi ditentukan dengan pemeriksaan refraksi subyektif. Dilakukan pemeriksaan uji CVTME (bagian I yaitu 9 panel) dan uji Ishihara (panel nomor 1-21) pada satu subyek dengan dua pemeriksa yang berbeda dengan cara blinding. Diagnostik buta warna dan normal berdasarkan hasil uji masing-masing. Nilai efisiensi dinilai berdasarkan jawaban per panel. Hasil : Total subyek 1383 yang ikut berpartisipasi pada penelitian ini. Nilai kesesuaian Kappa antara uji CVTME dan uji Ishihara adalah 0.62 termasuk kuat tetapi lebih rendah dari nilai yang diharapkan (0.8). Efisiensi skrining uji CVTME lebih baik daripada uji Ishihara (p=0.05) . Kesalahan membaca uji ishihara lebih besar daripada uji CVTME (58%vs 8.7%). Kesalahan membaca pada anak cenderung menurun sesuai pertambahan usia dan tingkatan kelas. Kesimpulan : Kedua uji tidak dapat saling menggantikan. Uji CVTME mempunyai nilai efisiensi skrining yang baik dan kesalahan membaca yang lebih kecil daripada uji Ishihara. Uji CVTME dapat dipakai untuk skrining buta warna merah hijau pada anak usi 6-12 tahun.
Keywords : Color Vision Testing Made Easy, Ishihara, usia 6-12 tahun, buta wana merah hijau


Objective : To determine agreement value and screening efficiency between Color Vision Testing Made Easy (CVTME) test and Ishihara test in screening redgreen color vision deficiency on children 6-12 Design : Cross-sectional study Methods : Refractive status was obtained from subjective refraction. CVTME test (part I; 9 plates) and Ishihara test (plate 1-21) were performed consecutively to one subject by two different examiners who were blinded from the result of other test. Diagnostic criteria for color vision deficiency was established according to each tests results. Efficiency value was determined based on each plate’s answer. Results : One thousand three hundred eighty three subjects were eligible to this study. A good agreement of Kappa value between CVTME test and Ishihara test was achieved (0,62), although this value was less then expected value (0,8). Screening efficiency of CVTME test was significantly better than Ishihara test (p=0,05). Misreading in Ishihara test was higher than CVTME test (58% vs 8,7%). In 6-12 years old children, misreading tend to decrease according to the increase of age and primary school grading. Conclusion : These two tests could not replace each other. Color Vision Testing made Easy test had a good screening efficiency value and less misreading compared to Ishihara test. Color Vision Testing Made Easy test can be used for red-green color vision deficiency screening in 6-12 years old children.
Keywords : Color Vision Testing Made Easy, Ishihara, children, red-green color vision deficiency