How often are spectacles prescribed to "normal" preschool children?

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Sean P Donahue

Abstract

Legislation to require formal eye examination prior to school entry is being considered in several states and is supported by optical trade organizations. Pediatric ophthalmologists cite anecdotal cases that suggest children receive spectacles unnecessarily, but data to support this are lacking. Eye examination results from children referred to local eye doctors following a statewide preschool photoscreening program were reviewed to determine how often glasses were prescribed for children who did not have amblyogenic factors (those with false-positive screenings). Of 102,508 preschool children screened, 890 children did not have amblyogenic factors (false-positive screenings). Nevertheless, spectacles were prescribed for 174 (19.5%) of these children. Only 5/272 children (1.8%) were prescribed glasses following examination by a pediatric ophthalmologist, while glasses were prescribed for 24/205 children (11.7%) examined by comprehensive ophthalmologists and 145/413 (35.1%) of children seen by optometrists (P < 0.001). Eighty children were prescribed glasses for refractive error ranging from -0.75 sph to +2.00 sph, 32 of whom had spherical equivalent of 1D or less. While some preschoolers without amblyogenic factors may require ...Continue Reading

References

Aug 1, 1981·The British Journal of Ophthalmology·V Tommila, A Tarkkanen
Dec 26, 2001·Ophthalmology·S P Donahue, T M Johnson
Mar 5, 2002·Pediatrics·UNKNOWN Committee on Practice and Ambulatory Medicine and Section on Ophthalmology, UNKNOWN American Academy of Pediatrics
May 9, 2002·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Sean P DonahueWilliam E Scott
Oct 21, 2003·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Sean P DonahueUNKNOWN AAPOS Vision Screening Committee

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Citations

Dec 20, 2005·The British Journal of Ophthalmology·S J Shea, L Gaccon
Mar 22, 2019·Journal of Binocular Vision and Ocular Motility·Guy Barnett-ItzhakiNoa Ela-Dalman
Feb 15, 2007·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Donald O Mutti
Jan 1, 2005·Current Opinion in Ophthalmology·Natalie C Kerr, Robert W Arnold
Aug 26, 2006·Current Opinion in Ophthalmology·Jean E Ramsey, Geoffrey E Bradford
Sep 6, 2011·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Susan J LeatElizabeth L Irving
May 20, 2011·The Journal of School Health·Noelle S Matta
Jan 22, 2009·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Brendan T Barrett
Dec 8, 2007·Journal of Pediatric Ophthalmology and Strabismus·Alex R KemperMontea Del Monte
Jan 3, 2006·American Journal of Ophthalmology·Carolyn Wu, David G Hunter
Jan 18, 2006·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Dana RobaeiPaul Mitchell
Aug 5, 2010·Ophthalmology·Sean P Donahue, John D Baker
Feb 2, 2011·Pediatrics·Roger ChouChristina Bougatsos

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