Final Visual Outcomes and Treatment Received for Children Referred from a UK Primary School Visual Screening Program: A Comparison of An Orthoptic-led Program with Orthoptic-delivered Services

Garretty, Tess

doi:10.1080/09273972.2017.1392988

Cited by 10 publications

(22 citation statements)

References 10 publications

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“…1). The final analysis was performed on 36 articles that reported implementation in 18 countries from 5 continents (Table 2), comprising North America ( n = 2),19, 27, 28, 29, 30, 31, 32, 33, 34, 35 Asia ( n = 8),3, 21, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46 Oceania ( n = 2),16, 17 Europe ( n = 4),6, 20, 47, 48, 49, 50 and Africa ( n = 2) 51, 52. Objectives of screening program were dissected based on target age groups according to their learning stages and target conditions.…”

Section: Resultsmentioning

confidence: 99%

“…Non-eyecare practitioners, including trained staff, nurses, and parents, were involved in 94% of the countries 3, 16, 17, 36, 37, 39, 42, 44, 45, 46, 51, 52. The most diverse background of vision screeners was engaged in Canada, Italy, the Netherlands, the United Kingdom, and the United States that comprising specialist-level (pediatricians, general practitioners, orthoptist, and physician), nurses, and lay screeners (trained technicians, teachers, and parents) 6, 28, 30, 35, 47, 49, 50, 55. Orthoptists were involved as vision screeners in Italy and the United Kingdom 6, 48.…”

Section: Resultsmentioning

confidence: 99%

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Comparison of the pediatric vision screening program in 18 countries across five continents

Chen

Bakar

Arthur

2019

Journal of Current Ophthalmology

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PurposeIncorporating mass pediatric vision screening programs as part of a national agenda can be challenging. This review assessed the implementation strategy of the existing pediatric vision screening program.MethodsA search was performed on PubMed, EBSCO host MEDLINE Complete, and Scopus databases encompassing the past ten years for mass pediatric screening practice patterns that met the selection criteria regarding their objectives and implementation. Results were analyzed from 18 countries across five continents.ResultsEight countries (44%) offered screening for distance visual acuity only, where the majority of the countries (88%) used either Snellen or Tumbling E chart. High-income countries initiated screening earlier and applied a more comprehensive approach, targeting conditions other than reduced vision only, compared with middle-income countries. Chart-based testing was most commonly performed, with only three countries incorporating an instrument-based approach. Lack of eyecare and healthcare practitioners frequently necessitated the involvement of non-eyecare personnel (94%) as a vision screener including parent, trained staff, and nurse.ConclusionsImplementation of a vision screening program was diverse within countries preceded by limited resources issues. Lack of professional eyecare practitioners implied the need to engage a lay screener. The limitation of existing tests to detect a broader range of visual problems at affordable cost advocated the urgent need for the development of an inexpensive and comprehensive screening tool.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Comparison of the pediatric vision screening program in 18 countries across five continents

Chen

Bakar

Arthur

2019

Journal of Current Ophthalmology

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“…There is no doubt testing vision, as a stand-alone screening tool, in an orthoptic-led service with a stringent training programme in place can also achieve good outcomes for detecting amblyopia (Garretty 2017). However, the service in Scotland is orthoptic delivered, and as such, the other tests are easily carried out as part of our service, and, therefore, do not result in any additional cost to the service that is provided.…”

Section: Discussionmentioning

confidence: 99%

Scottish Pre-School Vision Screening – First 3 Years of National Data

Pentland

Patel

2020

British and Irish Orthoptic Journal

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Introduction: Pre-school orthoptic vision screening (POVS) was implemented by the Scottish government and is a standardised assessment to promote early detection of visual problems in children. The target conditions are amblyopia, refractive errors and strabismus. We present the preliminary findings for the first three years of the screening program. Methods: The data from POVS was collected retrospectively. The data includes screening years 2013 to 2016 inclusive. Data was collected from each health board in Scotland. We report the coverage, referral rate, true positives and positive predictive values. Results: A total of 167,962 children were due to have vision screening over the 3 screening years included in this paper. This figure does not include the children that opted out of the eye test (mean opt-out rate 1.8%) and children that already attend the hospital eye service (mean already attend rate 3.1%). The POVS program had a mean coverage of 85.5%, ranging from 63.7% to 94.8% between health boards. Over the 3 year screening period, the mean referral rate was found to be 17.9%. The mean true positive rate was 88.9%, and the mean positive predictive value was 86.9%. Conclusion: The Scottish data set on pre-school orthoptic vision screening has shown excellent mean coverage. A consistently high true positive rate over the three screening years demonstrates it is a sensitive screening program, which is essential for the detection of visual problems in children.

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“…Childhood vision screening must be conducted by trained and experienced screeners who strictly adhere to mandated screening guidelines. It is known that visual acuity testing can be reliably performed by adequately trained personnel 18,24,30 . In Australia and internationally, vision screening has been performed by nurses, orthoptists and trained lay people 17,26,27,29,38 .…”

Section: Database Search and Literature Reviewmentioning

confidence: 99%

Towards a national pre‐school vision screening programme

Crippa

Flaherty

Silveira

2022

J Paediatrics Child Health

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The aim of the study is to examine common approaches to pre‐school vision screening, including the current New South Wales model which is known as Statewide Eyesight Preschooler Screening (StEPS) to determine whether the criteria set by the World Health Organization are fulfilled by StEPS, and therefore, whether there is sufficient justification to deploy a similar model nationally. A literature review was conducted to answer four key questions related to vision screening. The authors sought to review (i) the justification for vision screening of a pre‐school population; (ii) the principles and best approaches to vision screening such as how, where and who should conduct vision screening; (iii) the conditions that are targeted in vision screening; and (iv) the acceptable pass/fail vision screening criteria. The StEPS vision screening model is an accurate, reliable and economical way of screening for reduced vision at a time when neural plasticity allows improvement in vision following intervention. It fulfils World Health Organization criteria for a successful screening programme. StEPS has very high participation rates compared to other screening methods in Australia due to its unique model whereby screeners utilise early childhood settings to recruit and screen 4‐year‐old children. Due consideration should be given to deploying the StEPS vision screening model nationally.

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Final Visual Outcomes and Treatment Received for Children Referred from a UK Primary School Visual Screening Program: A Comparison of An Orthoptic-led Program with Orthoptic-delivered Services

Cited by 10 publications

References 10 publications

Comparison of the pediatric vision screening program in 18 countries across five continents

Comparison of the pediatric vision screening program in 18 countries across five continents

Scottish Pre-School Vision Screening – First 3 Years of National Data

Towards a national pre‐school vision screening programme

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