PMID: 9159688Apr 1, 1997Paper

Off-axis photorefractive eye screening in children

Journal of Cataract and Refractive Surgery
K S Morgan, J C Kennemer

Abstract

To determine the utility of mass photoscreening for detecting visual anomalies in young, school-age children. Seventy elementary schools in Alabama, Florida, Georgia, North Carolina, and Virginia, USA. An off-axis photorefractive technique was used to screen 14,591 children in kindergarten, first, and fourth grades in 70 schools in 5 southeastern states in the United States. A total of 14,075 (96.5%) of the screenings yielded analyzable photographs. Overall, 647 (4.6%) children had significant ocular findings; significant was defined as hyperopia 2.50 diopters (D) or more, myopia 1.00 D or more, anisometropia 1.00 D or more, astigmatism 2.00 D or more, media opacity 1.0 mm or more in diameter, or 5 degrees or more or 10.00 prism diopters or more of ocular misalignment. Another 950 (6.7%) had possibly significant findings, defined as the sign being present but in an amount less than that considered significant. The most common refractive error was myopia (4.5%), followed by anisometropia (3.1%), hyperopia (2.9%), and astigmatism (1.0%). Alignment problems were found in 1.7% and media opacities in 0.1%. Among the 1.0% with other ocular anomalies were cases of anisocoria greater than 2.0 mm or irregular pupils, ptosis greater than...Continue Reading

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Citations

Apr 30, 2003·American Journal of Ophthalmology·Jodie Marshall, Glen A Gole
May 26, 1999·Survey of Ophthalmology·E B CinerJ Schultz
Oct 7, 2008·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Yu-Hung LaiWen-Chuan Wu
Feb 5, 2002·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Barbara JunghansSheila Gillard Crewther
Jan 10, 1998·Journal of Cataract and Refractive Surgery·P VadalàR Maggi
Oct 20, 2004·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Nicola S Logan, Bernard Gilmartin
Dec 17, 2008·Seminars in Ophthalmology·Sean P DonahueTammy Johnson
Jun 23, 2004·Journal of Pediatric Ophthalmology and Strabismus·Tatiana A Kovtoun, Robert W Arnold
Oct 17, 2002·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Altuğ CetinkayaPinar Aydin

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