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Results for “Vision Screening”

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PubMed1978

Comparison of vision screening performed by optometrists and nurses.

The rates of patient referral by optometrists and nurses working independently and conjointly in vision screening of schoolchildren are compared. Very few studies in the literature have examined the difference in referral rate; this difference is important because of the shortage of qualified manpower to screen the large number of children in the present school population. The study determined that the nurses correctly referred a greater percentage of children following an educational program and collaboration with the optometrist, but this increase in referral was not statistically significant.

Adolescent↗
PubMed2002

Use of photoscreening for children's vision screening.

This statement asserts that all children should be screened for risk factors associated with amblyopia. Guidelines are suggested for the use of photoscreening as a technique for the detection of amblyopia and strabismus in children of various age groups. The American Academy of Pediatrics favors additional research of the efficacy and cost-effectiveness of photoscreening as a vision screening tool.

Amblyopia↗
PubMedDate not supplied

Small-target random dot stereogram and binocular suppression testing for preschool vision screening.

BACKGROUND: New, small-target (< 1 degree) random dot stereogram (STRDS) and binocular suppression (STBS) tests appropriate for preschool vision screening were developed to correct the shortcomings of previous such tests, particularly missed cases of anisometropic amblyopia such as found with some RDS-based testing. METHODS: In Experiment 1, the tests were administered to 14 patients with current or a recent history of moderate (< or = 20/60) anisometropic amblyopia, or with accommodative esotropia or monofixation syndrome. All subjects had good binocularity (< or = 100" contour stereoacuity). In Experiment 2, the new tests were administered in a screening setting to a group of 112 three- to five-year-olds to determine testability. Visual acuity, cover testing, and photoscreening were administered as control measures. RESULTS: In Experiment 1, eleven of the 14 patients failed both tests. Two anisometropic amblyopes passing one or both tests had an acuity < or = 20/30 in the worse eye and < or = 25" stereoacuity. Three anisometropic amblyopia patients failing the STRDS passed another RDS test with similar disparity but a larger target size, confirming a report34 that anisometropic amblyopes may pass RDS testing with parafoveal stereopsis despite the presence of central suppression. The STRDS and STBS tests indicated 80% and 96% specificity, respectively, with the original methodologies; STRDS specificity increased to 95% with retesting with a different methodology. Administration time was 30 sec to 60 sec per test. CONCLUSION: Small-target RDS or suppression testing may be more effective for strabismus and amblyopia screening of preschoolers than previous RDS test formats.

Adolescent↗
PubMed1990

Random dot stereogram E in vision screening of children.

The random dot stereogram E (RDE) has been shown to be a simple and effective test for the detection of binocular abnormalities and defective visual acuity in children. We determined the validity of the RDE as a screening test for reduced visual acuity, amblyopia and strabismus in two separate populations of children. A nonselective group of 100 school children (aged 5 to 15 years) who presented consecutively to the ophthalmology department at Auckland Public Hospital were tested with the RDE. All cases of amblyopia and strabismus were detected by the RDE. Similar screening with the RDE test of 168 preschool children (aged three to four years) in the community resulted in an unacceptably high over-referral rate. The test was unreliable in the preschool age group because of difficulty in distinguishing between test failure and non-cooperation with the test. The low positive predictive value of the test in the younger age group suggests the test to be unsuitable for preschool vision screening.

Adolescent↗
PubMed1982

A mammoth vision screening--public relations and public service.

This paper describes the methods employed and the results of a very large vision screening program co-sponsored by the State College of Optometry SUNY and WABC-TV. The paper is designed so that other groups might organize a similar public service program.

Adult↗
PubMed1979

The influence of clinical judgment on the rate of referral from a school vision screening program.

It has been observed that black preschool children low income families have a higher than average rate of referral from a school vision screening program. One potential contributing factor results from the fact that examiners often modified the referral criteria based on their clinical judgment. This study was designed to investigate the influence of the application of clinical judgment on the proportion of referrals as a function of ethnicity and socioeconomic income level. The results suggest that modifying the referral criteria based on clinical judgment does not significantly influence the proportion of referrals based on ethnicity or socioeconomic income level.

Black or African American↗
PubMed1990

Evaluation and outcome of the vision screening programme in south Auckland intermediate schools.

Four thousand, seven hundred and fifty-nine form 1 intermediate school children (aged 11 years) in the south Auckland health district were screened in 1987. There were 88 (1.8%) new visual defects detected (defined as a visual acuity (VA) of 6/12 or worse in one or both eyes), while 103 (2.2%) wore glasses and a further 22 (0.5%) did not have their glasses available at the time of the VA test. The total prevalence of screening visual defects was 4.5%. A survey was carried out of those pupils who failed the VA screening test in the previous year and those recorded as wearing glasses. Sixty-seven (76%) of 88 children with newly detected visual defects were interviewed. An abnormal VA test was confirmed in 59 (88%), of which 39 (66%) required treatment. Thirty were prescribed glasses, of which 27 purchased them, but at the time of interview nine did not have them available. Twenty-one (20%) of the 103 children tested with glasses failed the VA test. Twenty-two children had glasses but were not wearing them at the time of the VA test. Only three of these children had a VA better than 6/12 bilaterally. These results highlight the importance of the vision screening programme in this age group and the follow up of children with known visual defects.

Child↗
PubMed1999

Vision screening of preverbal children with Teller acuity cards.

OBJECTIVE: To evaluate the modified Teller visual acuity test as a mass screening tool for testing visual acuity in infants and preverbal children. DESIGN: Prospective case series. PARTICIPANTS: A total of 1126 healthy children undergoing mandatory examination at the Mother and Child Health Center. INTERVENTION: Visual acuity was tested by the modified Teller visual acuity test. MAIN OUTCOME MEASURES: Visual acuity was measured in all children. Clinical evaluation was performed in children who failed the Teller acuity test and in a control group. RESULTS: Visual acuity was below the normal range in 5% of the children. In the study group referred for complete eye examination, there were 9% false-negative and 44% false-positive results. In the age range of 12 to 17 months, false-negative and false-positive results were obtained in 5.6% and 50% of the children, respectively. CONCLUSIONS: The Teller acuity card procedure can be used for vision screening in preverbal children. Testing was associated with a high rate of false-positive results.

Child, Preschool↗
PubMed1988

Simple procedures for comprehensive vision screening.

Visual problems can cause poor academic performance or inappropriate behavior. This article explains simple, easily administered procedures to determine if students have problems with acuity, accommodation, binocularity, or eye movements. The evaluator can use vision screening in conjunction with associated learning or behavior problems to initiate referral to the family vision care specialist.

Accommodation, Ocular↗
PubMed1988

Preschool vision screening: a service in need of rationalisation.

A survey of health districts in England and Wales was carried out at the end of 1984 to ascertain among other things the range of current programmes for preschool vision screening. The response rate was 81.3%. Altogether 94% of districts reported screening for both reduced visual acuity and squint; two districts screened for neither. A great variety of different types of tests were in use and screening was carried out at a variety of different ages. A high proportion of districts were screening children for reduced visual acuity in infancy, although screening tests applicable at this age have not been shown to be effective. Districts screened for squint between one and four times. Collection of routine monitoring information by districts was poor.

Child Health Services↗
PubMedDate not supplied

Color vision screening of young children.

Early detection of congenital color vision defects is desirable, but school screening studies have been stymied by lack of a suitable test. We evaluated a new color vision test, the APT-5, for use by volunteer screeners in schools and preschools. The screeners tested 1794 children, ages 3 to 13 years, and found the APT-5 easy to use with young children ages 5 years and up. Children who failed the screening were recruited for diagnostic color vision testing; for the children ages 5 to 13 years, 56% of those who failed the screening were successfully recruited. Data analysis indicated that the false-positive rate in this age group was 1% to 2%, and that for boys in this age group the positive predictive value was 71% to 81%. Retest data indicated that most false-positives were not due to the test itself, but to other factors in the school screening situation. Two thirds of all children scored as abnormal by anomaloscopy were simple deuteranomalous, indicating that the APT-5 effectively identified even mild color defects. The results of this trial indicate that the APT-5 is suitable for school color vision screening of children ages 5 years and up.

Adolescent↗
PubMed1999

Testability of a color vision screening test in a population with mental retardation.

PURPOSE: The purpose of this study was to determine the testability of the "Co or Vision Testing Made Easy" color vision test, marketed as a screening test for young children, in a population of individuals with mental retardation. The test uses simple geometric figures that are easily identified. Previously, the test has demonstrated validity as a measure of color deficiency. METHODS: The test was presented to Special Olympic athletes, who are individuals with mental retardation or significant developmental delay, at four sites: the 1997 World Winter Games in Toronto, Canada; the Texas Summer Games in Houston, Texas; the Massachusetts Summer Games in Boston, Massachusetts; and Regional European Swim Competition in Seville, Spain. The criteria for passing was 8 correct responses on the first trial or 9 of 9 on the second attempt. RESULTS: Testability in Toronto, Canada; Houston, Texas; and Seville, Spain was high--95.5%, 98.7%, and 95.7%, respectively. Testability, however, dropped to 78.8% during the Boston, Massachusetts screening. There was no apparent difference in the testing environment that would account for the difference. The overall rate of testability was 93.2% for the 1078 athletes screened. The frequency of males identified as color deficient was similar to that expected in the general population; only two females (in Spain) failed the color vision screening. CONCLUSIONS: The "Color Vision Testing Made Easy" color vision test was successfully completed by a very high percentage of Special Olympics athletes. These results suggest that this test is useful in screening this population for color deficiencies, and that the prevalence of color vision deficiencies is approximately the same in individuals with mental retardation as in the general population.

Adolescent↗