Yawn B P, Lydick E G, Epstein R, Jacobsen S J
Olmsted Medical Center, Rochester, MN 55903-4300, USA.
J Sch Health. 1996 May;66(5):171-5. doi: 10.1111/j.1746-1561.1996.tb06269.x.
A population-based cohort of all children entering kindergarten in a three-year period (N = 2,938) was followed retrospectively from kindergarten through 12th grade to estimate incidence of abnormal school vision screening tests and rates of follow-up by community ophthalmologists or optometrists. Overall 28% of children had at least one abnormal school vision screening test. Abnormal screening with referral increased from 1.2% of five-year-olds to 9.1% of 13-year-olds. Overall, 91% of children referred had further evaluation by eye care professionals. However, visits to an eye care professional often were delayed; median time was 0.8 years for children seeing an ophthalmologist and 1.8 years for children seeing an optometrist. Results support the continued use of simple visual acuity screening in schools. Consideration should be given to screening children beyond age 12 and developing methods to increase the rapidity of parental response to referral recommendations.
对一个基于人群的队列进行了回顾性研究，该队列包括在三年期间进入幼儿园的所有儿童（N = 2,938），从幼儿园到12年级对他们进行跟踪，以估计学校视力筛查测试异常的发生率以及社区眼科医生或验光师的随访率。总体而言，28%的儿童至少有一次学校视力筛查测试异常。转诊的异常筛查率从五岁儿童的1.2%上升到13岁儿童的9.1%。总体而言，91%被转诊的儿童接受了眼保健专业人员的进一步评估。然而，去看眼保健专业人员的时间往往会延迟；看眼科医生的儿童中位时间为0.8年，看验光师的儿童中位时间为1.8年。研究结果支持在学校继续使用简单的视力筛查。应考虑对12岁以上的儿童进行筛查，并开发提高家长对转诊建议反应速度的方法。
