Is school vision screening effective?
Is school vision screening effective?
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学校视力筛查有效吗？
DOI：
10.1111/j.1746-1561.1996.tb06269.x
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Jacobsen,SJ
中科院分区：
文献类型：
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作者：
Yawn,BP;Lydick,EG;Epstein,R;Jacobsen,SJ
对三年内进入幼儿园的所有儿童（N = 2938）进行回顾性随访，从幼儿园到12年级，以估计学校视力筛查异常的发生率和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。转诊的异常筛查从5岁儿童的1.2%增加到13岁儿童的9.1%。总体而言，91%的转诊儿童接受了眼科专业人员的进一步评估。然而，眼科专业人员的就诊经常被推迟；儿童看眼科医生的中位时间为0.8年，看验光师的中位时间为1.8年。结果支持在学校继续使用简单的视力检查。应考虑对12岁以上的儿童进行筛查，并制定方法以提高家长对转诊建议的反应速度。
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.