Chang Duane A, Ede Roger C, Chow Dominic C, Souza Ryan D, Gangcuangco Louie Mar A, Hanks Nancy, Nakamoto Beau K, Mitchell Brooks, Masutani Alison T, Fisk Sam, Shikuma Cecilia M, Dill Jan E
Vision Care Centers of Hawai'i, Honolulu, HI (DAC, RCE).
Hawaii J Med Public Health. 2015 Sep;74(9):292-6.
The goal of early childhood vision screening is to detect subnormal vision and amblyopic risk factors that threaten visual development so that treatment can be initiated early to yield the highest benefit. Hand-held, portable, instrument-based vision screening devices can be used in children as young as 6 months of age. We assessed the feasibility of hand-held photoscreeners to screen for vision disorders in pre-school children in Hawai'i. A total of 137 preschool children on O'ahu in the "Tutu and Me"/Partners in Development program were screened at 6 different locations using the Plusoptix S12 hand-held photoscreener. Once technical issues were resolved, screening was fast and well tolerated. Possible vision abnormalities were found in 11 of the 137 children (8%). Poor compliance for follow-up with formal vision examination limited our ability to confirm these abnormalities. We conclude that photoscreening has the potential to facilitate early childhood vision screening in Hawai'i. The optimal referral criteria for use in Hawai'i will need to be determined after considering the age of the screening population and the available medical resources in Hawai'i. Early detection of treatable eye disorders has far-reaching benefits for the visual development and long term health and well-being of children. A comprehensive early childhood vision screening program in Hawai'i utilizing automated hand-held photoscreeners may have public health value. Such a program should integrate referral to an eye care professional for confirmation and management of vision disorders of at-risk children found on screening.
幼儿视力筛查的目标是检测出威胁视力发育的视力低下及弱视风险因素，以便尽早开始治疗，从而获得最大益处。手持式、便携式、基于仪器的视力筛查设备可用于6个月大的儿童。我们评估了手持式照片筛查仪对夏威夷学龄前儿童进行视力障碍筛查的可行性。在“图图与我”/发展伙伴计划中，共有137名瓦胡岛的学龄前儿童在6个不同地点使用Plusoptix S12手持式照片筛查仪进行了筛查。一旦技术问题得到解决，筛查速度快且耐受性良好。137名儿童中有11名（8%）被发现可能存在视力异常。因对后续正式视力检查的依从性差，限制了我们确认这些异常情况的能力。我们得出结论，照片筛查有潜力促进夏威夷的幼儿视力筛查。在考虑筛查人群的年龄和夏威夷现有的医疗资源后，需要确定在夏威夷使用的最佳转诊标准。早期发现可治疗的眼部疾病对儿童的视力发育以及长期健康和幸福有着深远的益处。在夏威夷利用自动手持式照片筛查仪开展全面的幼儿视力筛查项目可能具有公共卫生价值。这样一个项目应将转诊至眼科专业人员以确认和管理筛查中发现的有视力障碍风险儿童纳入其中。
