Skip to content

Research at St Andrews

Comparative evaluation of a low cost ophthalmoscope (Arclight) for red reflex assessment among health care workers in Malawi

Research output: Contribution to journalArticle

Author(s)

E. Dooley, Obaid Kousha, J. Msosa, E. Ndaule , C. Abraham, J. Parr, Bernadette Ann-Marie O'Hare, Andrew Blaikie

School/Research organisations

Abstract

We compared the diagnostic performance and ease of use of a new solar powered low-cost Arclight direct ophthalmoscope (AO) to a more expensive traditional direct ophthalmoscope (TDO) (Keeler Professional V.2.8) in detecting abnormal red reflexes in simulated eyes. Both devices were used by 19 optometry students and 17 paediatric doctors based in the Kamuzu Central Hospital Campus in Lilongwe, Malawi. Participants examined four normal and four abnormal red reflexes using the two devices in random order. We scored the participants on their ability to identify clinical signs and make a diagnosis. Participants scored each device for ‘ease of use’. There was no statistically significant difference in diagnostic performance or ‘ease of use’ between the AO and the TDO when attempting to detect abnormal red reflexes in simulated eyes. We conclude that AO is an inexpensive yet equally effective alternative to the TDO in detecting red reflexes and due to its low cost, portability and consumable independence is well suited for use in low-income and middle-income countries.
Close

Details

Original languageEnglish
JournalBMJ Innovations
VolumeOnline First
Early online date9 Apr 2020
DOIs
Publication statusE-pub ahead of print - 9 Apr 2020

Discover related content
Find related publications, people, projects and more using interactive charts.

View graph of relations

Related by author

  1. Government revenue and child and maternal mortality

    Hall, S., Illian, J., Makuta, I., McNabb, K., Murray, S. W., O'Hare, B. A-M., Python, A., Zaidi, S. H. A. & Bar-Zeev, N., 12 Sep 2020, In : Open Economies Review. First Online, 17 p.

    Research output: Contribution to journalArticle

  2. Normative data for peripapillary retinal nerve fibre layer OCT scans in patients of African descent

    Burgess, F. R., Dhalla, K., Mhina, C. F. & Blaikie, A., 11 Sep 2020, In : Eye.

    Research output: Contribution to journalLetter

  3. Comment on: Reshaping ophthalmology training after COVID-19 pandemic

    Hetherington, M. J., Kousha, O., Ali, A. A. M., Kitema, F. & Blaikie, A., 1 Aug 2020, In : Eye (Basingstoke).

    Research output: Contribution to journalLetter

  4. Evaluation of a pilot interprofessional Arclight™ workshop for healthcare students in Rwanda: promoting collaborative practice in eye health

    O'Carroll, V., Sagahutu, J. B., Ndayambaje, D., Kayiranga, D., Kitema, G. F., Rujeni, N. & Blaikie, A., 13 Jun 2020, In : Journal of Interprofessional Care. Latest Articles

    Research output: Contribution to journalArticle

  5. Public money creation to maintain fundamental human rights during the COVID-19 pandemic

    Chimowa, T., Hall, S. & O'Hare, B. A-M., Jun 2020, In : Harvard Health and Human Rights Journal. 22, 1, p. 395–397

    Research output: Contribution to journalComment/debate

Related by journal

  1. Comparative evaluation of a novel solar powered low-cost ophthalmoscope (Arclight) by eye healthcare workers in Malawi

    Blundell, R., Roberts, D., Fioratou, E., Abraham, C., Msosa, J., Chirambo, T. & Blaikie, A., 6 Apr 2018, In : BMJ Innovations. 4, p. 98-102 6.

    Research output: Contribution to journalArticle

ID: 264990622

Top