Shah Riya, Hassan Nimra, Harris Susan
School of Medicine, Wayne State University, Detroit, MI, USA.
Department of Pediatrics, School of Medicine, Wayne State University, Detroit, MI, USA.
Clin Pediatr (Phila). 2024 Jun;63(5):625-632. doi: 10.1177/00099228231191950. Epub 2023 Aug 11.
Pediatric vision screening is important because approximately 80% of visual impairments, including amblyopia, can be prevented or cured, especially if caught early. This retrospective study aims to determine whether the implementation of a machine photoscreener improves vision outcomes in 1- to 4-year-old children in an urban clinic. Before the vision screener, 91 patients were seen (control group), while 205 were seen following its implementation (study group). The number of children screened increased by 27.4% after implementing the photoscreener (57.1% study, 29.7% control, < .001). All patients who failed the screening, 14.6% in the study period, were referred to ophthalmology ( = 30); 40% ( = 12) were evaluated, and 9 were diagnosed with a true vision abnormality. Instrument vision screening allows children as young as 1 year to be screened and allows for early intervention for potential vision-threatening pathologies in a vulnerable urban population.
儿童视力筛查很重要，因为大约 80%的视力障碍，包括弱视，可以预防或治愈，尤其是如果早期发现的话。这项回顾性研究旨在确定在城市诊所中，使用机器照片筛查器是否可以改善 1 至 4 岁儿童的视力结果。在视力筛查器实施之前，有 91 名患者（对照组）接受了检查，而在实施之后，有 205 名患者（研究组）接受了检查。实施照片筛查器后，接受筛查的儿童数量增加了 27.4%（研究组为 57.1%，对照组为 29.7%，<.001）。所有筛查未通过的患者，即研究期间的 14.6%，都被转介到眼科（=30）；其中 40%（=12）接受了评估，其中 9 人被诊断出存在真正的视力异常。仪器视力筛查可以让 1 岁以下的儿童接受筛查，并为弱势城市人群中潜在的威胁视力的病理情况提供早期干预。
