Lack of Follow-up Exams After Failed School Vision Screenings: An Investigation of Contributing Factors

Kimel, Linda S.

doi:10.1622/1059-8405(2006)022[0156:lofeaf]2.0.co;2

Cited by 13 publications

(18 citation statements)

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“…Other studies 12 have shown that not all children referred to a specialist from a screening receive follow-up care. In one study 13 only 50% of such children received a comprehensive eye examination.…”

Section: P Ediatric Vision Screeningmentioning

confidence: 96%

Comparison Between the plusoptiX and MTI Photoscreeners

Matta¹,

Arnold

Singman³

et al. 2009

Arch Ophthalmol

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Both the Medical Technology and Innovations (MTI) and plusoptiX photoscreeners are used to objectively screen for amblyogenic risk factors in children. The MTI has been extensively studied, but the limited availability of film may render it obsolete. We compared the MTI with the plusoptiX, a newer digital photoscreener, for the ability to detect amblyogenic factors when compared with a comprehensive pediatric ophthalmic examination. We believe our results will help to guide community-based vision screening programs.Methods: One hundred fifty-one children were examined consecutively in our office. Each patient was screened with the MTI and plusoptiX devices on the same day as part of a comprehensive pediatric ophthalmic examination. Results via MTI were evaluated by an expert masked examiner (R.W.A.), and the plusoptiX results were interpreted by the incorporated software.Results: Sixty-five percent of patients were found to have amblyopia or amblyogenic risk factors during the pediatric ophthalmic examination conducted via the American Association of Pediatric Ophthalmology and Strabismus referral criteria. We found the MTI photoscreener to have a sensitivity of 83.6%, specificity of 90.5%, falsepositive rate of 9.4%, false-negative rate of 16.3%, and positive predictive value of 94.2%. The plusoptiX demonstrated a sensitivity of 98.9%, specificity of 96.1%, falsepositive rate of 3.7%, false-negative rate of 1.0%, and positive predictive value of 97.9%. Conclusion:The MTI and plusoptiX photoscreeners proved to be effective when compared with a comprehensive cycloplegic pediatric ophthalmic examination. The plusoptiX, however, was found to have a higher sensitivity and specificity than the MTI.

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Section: P Ediatric Vision Screeningmentioning

confidence: 96%

Comparison Between the plusoptiX and MTI Photoscreeners

Matta¹,

Arnold

Singman³

et al. 2009

Arch Ophthalmol

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“…For example in Indiana, all children are required to be screened with the MCT at enrolment to kindergarten or first grade, and receive additional visual acuity screenings in grades 3 and 8 . In Illinois, school vision screening programs are mandated, with the Department of Public Health providing training and certification in vision screening to school nurses to facilitate compliance …”

Section: Vision Screening Programs In Other Countriesmentioning

confidence: 99%

Review of guidelines for children’s vision screenings

Hopkins

Sampson

Hendicott

et al. 2013

Clinical and Experimental Optometry

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The aim of children's vision screenings is to detect visual problems that are common in this age category through valid and reliable tests. Nevertheless, the cost effectiveness of paediatric vision screenings, the nature of the tests included in the screening batteries and the ideal screening age has been the cause of much debate in Australia and worldwide. Therefore, the purpose of this review is to report on the current practice of children's vision screenings in Australia and other countries, as well as to evaluate the evidence for and against the provision of such screenings. This was undertaken through a detailed investigation of peer‐reviewed publications on this topic. The current review demonstrates that there is no agreed vision screening protocol for children in Australia. This appears to be a result of the lack of strong evidence supporting the benefit of such screenings. While amblyopia, strabismus and, to a lesser extent refractive error, are targeted by many screening programs during pre‐school and at school entry, there is less agreement regarding the value of screening for other visual conditions, such as binocular vision disorders, ocular health problems and refractive errors that are less likely to reduce distance visual acuity. In addition, in Australia, little agreement exists in the frequency and coverage of screening programs between states and territories and the screening programs that are offered are ad hoc and poorly documented. Australian children stand to benefit from improved cohesion and communication between jurisdictions and health professionals to enable an equitable provision of validated vision screening services that have the best chance of early detection and intervention for a range of paediatric visual problems.

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“…Receiving follow‐up care and treatment after failed vision screenings has also been extremely low among disadvantaged youth. For example, only 27% of at‐risk students in a New York City study who were screened obtained the treatment they needed—despite the services being free 11 . Several barriers to obtaining a follow‐up examination for their children were cited by low‐income parents in an urban Illinois study: financial (cost and money concerns, no insurance coverage, and waiting for insurance), logistical (problems scheduling appointments and difficulty planning ahead), social/family (working adults/difficulty getting to appointments and parents having mental/physical disabilities), and perceptual barriers (vision problem not considered priority, belief that screening results were inaccurate/examination not needed, and mistrust of school nurse) 11 …”

Section: Vision Problems In Children—a Problem Of Inequitymentioning

confidence: 99%

Promoting Healthy Vision in Students: Progress and Challenges in Policy, Programs, and Research

Ethan

Basch²

2008

Journal of School Health

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States and schools can take concrete steps to increase the number of children identified and treated for vision problems. Health policy and programs should also address common barriers to children receiving and wearing their glasses at home and in the classroom. Further research is necessary to assess the relationship between children's vision and educational outcomes. To the extent that vision is associated with academic success, policies and programs can be shaped to address the achievement gap that exists among our nation's youth and to support the goal of healthy vision for each child.

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Lack of Follow-up Exams After Failed School Vision Screenings: An Investigation of Contributing Factors

Cited by 13 publications

References 0 publications

Comparison Between the plusoptiX and MTI Photoscreeners

Comparison Between the plusoptiX and MTI Photoscreeners

Review of guidelines for children’s vision screenings

Promoting Healthy Vision in Students: Progress and Challenges in Policy, Programs, and Research

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