Final Visual Outcomes and Treatment Received for Children Referred from a UK Primary School Visual Screening Program: A Comparison of An Orthoptic-led Program with Orthoptic-delivered Services
Autor: | Tess Garretty |
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Rok vydání: | 2017 |
Předmět: |
Male
Visual acuity genetic structures Reduced vision education ComputingMethodologies_IMAGEPROCESSINGANDCOMPUTERVISION School screening Visual Acuity Vision Low Amblyopia 03 medical and health sciences 0302 clinical medicine Ocular Motility Disorders Vision Screening medicine Humans 030212 general & internal medicine Prospective Studies Child Referral and Consultation Schools business.industry eye diseases United Kingdom Strabismus Ophthalmology Eyeglasses Child Preschool 030221 ophthalmology & optometry Optometry Female medicine.symptom business Orthoptic Visual screening Orthoptics |
Zdroj: | Strabismus. 25(4) |
ISSN: | 1744-5132 |
Popis: | There is little published evidence relating to the final visual acuity of children who are identified as having reduced vision at a school screening program. The school vision screening program in Leeds (led by an orthoptist but delivered by health care support workers within the school nursing team) is examined.7807 children were screened in school between November 1, 2013, and September 1, 2014. Of these, 319 (4%) failed the screen and were referred to the general optometry service and 547 (7%) were referred to the Children's Community Eye Service (CCES). Of the children who were referred to the CCES, 79.4% attended their first appointment and 86.4% were positive referrals. Of the children with reduced vision, 31 (8.3%) were found to have a manifest strabismus or eye movement disorder; 75 (20% of the positive referrals) required occlusion therapy for amblyopia; 52.6% of those with initially reduced vision obtained good visual acuity following spectacle correction alone within an 18- to 24-week refractive adaptation period. Of those who completed their treatment, 92.9% had vision within normal limits for their age in both eyes at discharge. Of children referred from vision screening who were found to have a defect, 64.6% had that treatment completed within three visits.Vision screening identifies individuals with treatable vision defects who have a greater than 90% chance of achieving normal visual acuity with good compliance to treatment. Vision screening programs led by an orthoptist but delivered by well-trained and monitored screeners can be of as good quality as a screening program delivered by orthoptists. |
Databáze: | OpenAIRE |
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