Mehravaran Shiva, Duarte Pamela B, Brown Stuart I, Mondino Bartly J, Hendler Karen, Coleman Anne L
Department of Ophthalmology, Stein Eye Institute, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, California.
Department of Ophthalmology, Shiley Eye Center, School of Medicine, University of California-San Diego, La Jolla, California.
J AAPOS. 2016 Feb;20(1):63-7. doi: 10.1016/j.jaapos.2015.10.018.
To introduce the University of California Los Angeles (UCLA) Preschool Vision Program (UPVP) and describe the utilization pattern and challenges of the first year of implementation.
The UPVP aims to improve vision in 3- to 5-year-old preschoolers of Los Angeles County. On the first visit, trained personnel use a handheld autorefractometer (Retinomax 3; Righton, Japan) for initial screening and identify those who would benefit from a complete eye examination. On the second visit, the UCLA Mobile Eye Clinic staff and ophthalmologists provide follow-up examinations. Prescribed eyeglasses are fit and provided by program personnel on the school site on a separate visit. Follow-up calls are made to ensure compliance.
From a population of 12,088 children in 215 preschools, 11,260 preschoolers (mean age, 4.3 years; 49.2% females) were screened successfully. In this sample, 86% were Latino, and almost all (97%) spoke either Spanish or English. About 65% of referred preschoolers underwent a complete eye examination. Prescription eye glasses were provided for 850 preschoolers (7.5%); 95 children (0.8%) were newly diagnosed with amblyopia.
A large proportion of Los Angeles County preschoolers with refractive errors have unmet needs in terms of refractive correction. Further studies are recommended to understand barriers to eye care for children and to devise initiatives for Los Angeles's large, densely populated, and complex community to increase awareness and willingness.
介绍加利福尼亚大学洛杉矶分校（UCLA）学前视力项目（UPVP），并描述实施第一年的使用模式和挑战。
UPVP旨在改善洛杉矶县3至5岁学龄前儿童的视力。在首次就诊时，经过培训的人员使用手持自动验光仪（Retinomax 3；日本Righton）进行初步筛查，并确定那些将从全面眼科检查中受益的儿童。在第二次就诊时，UCLA移动眼科诊所的工作人员和眼科医生提供后续检查。所开的眼镜由项目人员在学校现场另行就诊时配镜并提供。进行随访电话以确保依从性。
在215所幼儿园的12088名儿童中，成功筛查了11260名学龄前儿童（平均年龄4.3岁；49.2%为女性）。在这个样本中，86%是拉丁裔，几乎所有儿童（97%）说西班牙语或英语。约65%被转诊的学龄前儿童接受了全面眼科检查。为850名学龄前儿童（7.5%）提供了验光配镜；95名儿童（0.8%）被新诊断为弱视。
洛杉矶县很大一部分有屈光不正的学龄前儿童在屈光矫正方面有未满足的需求。建议进一步开展研究，以了解儿童眼保健的障碍，并为洛杉矶这个庞大、人口密集且复杂的社区制定倡议，以提高认识和意愿。
