Objective vision screening in 3-year-old children at a multispecialty practice

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Eugene A LowryOmondi Nyong'o

Abstract

Vision screening is rarely effectively accomplished for 3-year-olds as part of pediatric well-child examinations. We investigate changes in screening rates and positive predictive values of referrals for 3-year-olds after introducing a photoscreener to a multispecialty group practice. The vision screening results of 3-year-old children undergoing routine well-child examinations between 2007 and 2013 were retrospectively reviewed. From 2007 to 2009, the only method available for vision screening was the Kindergarten Eye Test Chart. From 2010 to 2013 a PlusOptix photoscreener was also available. Rates of vision screening before and after PlusOptix adoption were compared. All children who failed screening were referred to a single pediatric ophthalmologist. Referral rates, follow-up rates, and positive predictive values were determined for PlusOptix photoscreening. Cases were defined by cycloplegic retinoscopy using the 2013 American Association for Pediatric Ophthalmology and Strabismus (AAPOS) vision screening recommendations for amblyopia risk factors. Of 593 children seen for their 3-year well-child examination between 2007-2009, before introduction of a photoscreener, 59 (10%) received vision screening. The screening rate inc...Continue Reading

References

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Jul 27, 2005·Investigative Ophthalmology & Visual Science·UNKNOWN Vision in Preschoolers Study Group
Feb 3, 2006·Pediatrics·E Eugenie HartmannUNKNOWN PUPVS Panel for the American Academy of Pediatrics
Mar 11, 2006·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Sean P DonahueTammy M Johnson
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Jun 7, 2008·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Noelle S MattaDavid I Silbert
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Jan 6, 2009·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Brian W ArthurJonathan Wong
Dec 17, 2009·Archives of Ophthalmology·Noelle S MattaDavid I Silbert
Jan 12, 2010·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Wendy L Marsh-TootleTerry C Wall
May 11, 2010·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Noelle S MattaDavid I Silbert
Nov 24, 2011·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Alex R KemperJohn E Crews
Feb 27, 2014·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Eugene A LowryAlejandra G de Alba Campomanes

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Citations

Dec 23, 2015·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Reed M JostEileen E Birch
Aug 31, 2018·Journal of Pediatric Ophthalmology and Strabismus·Robert W ArnoldR Kevin Winkle
Sep 24, 2019·Journal of Pediatric Ophthalmology and Strabismus·Sandra GuimarãesEduardo Silva
Jan 5, 2021·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Guang-Ji WangJie Chen

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