Mandated Kindergarten Eye Examinations in a US Suburban Clinic: Is It Worth the Cost?
| Autor: | Matthew P Kipp, Michael A. Kipp, Noha S. Ekdawi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Refractive error
medicine.medical_specialty Pediatrics genetic structures Prevalence Fundus (eye) 03 medical and health sciences 0302 clinical medicine cost analysis Ophthalmology Chart review medicine Screening programs kindergarten vision screening refractive error Dioptre Original Research amblyopia medicine.diagnostic_test business.industry Clinical Ophthalmology medicine.disease eye diseases Eye examination 030221 ophthalmology & optometry Cost analysis business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Ophthalmology (Auckland, N.Z.) |
| ISSN: | 1177-5483 |
| Popis: | Purpose The state of Illinois has required an examination by an optometrist or ophthalmologist prior to mandatory kindergarten since 2008. This requirement has allowed us to gather information regarding disease prevalence in a local suburban population. Methods A retrospective chart review was undertaken of kindergarten eye examinations performed at the Wheaton Eye Clinic between September 2008 and February 2017. Inclusion criteria included school eye examination as a reason for the visit, and a cycloplegic refraction was completed. Results Of 3612 patient charts identified, 1085 satisfied the inclusion criteria, of which 48% were female. The average age of the patients was 5.3 years (range, 3.8 to 6.7). Historical characteristics showed 143 (13%) were premature, 28 (3%) patients were autistic and 109 (10%) were developmentally delayed. On examination, 56 (5%) had +3.50 diopters and one < −3.00 diopters. Fifty-eight patients (5%) were diagnosed with amblyopia and 101 patients (9.3%) were given glasses. Abnormal external exam finding was found in 218 (20%) while 16 (1.5%) had an abnormal fundus finding. Thirteen percent (146/1085) had a clinically relevant diagnosis in our examinations, with a cost of $1635/diagnosis. In total, our follow-up rate was 83% (78/94). Conclusion Our rate of treatable ocular conditions discovered via state-mandated kindergarten eye examinations is similar to large-scale screening programs. The cost per condition found with full examinations was substantially higher; however, follow-up was more consistent. Video abstract Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/MkFxH5uqZcw |
| Databáze: | OpenAIRE |
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