A national sample of pediatricians was surveyed to evaluate preschool vision screening practices (response rate 55%, 377 of 690 eligible respondents). The rate of acuity screening for 3- year-old children was low (35%), but increased for 4- (73%) and 5-year-old children (66%). Few used photoscreening or autorefraction (8%). Common barriers were that screening is too time-consuming and children are uncooperative. Half reported that there should be separate reimbursement for vision screening. Financial incentives may be important for ensuring the delivery of preschool vision screening, as well as adoption of emerging screening technologies if such devices are shown to be effective.
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References
1.
Committee on Practice and Ambulatory Medicine Section on Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus, American Academy of Ophthalmology. Eye examination in infants, children, and young adults by pediatricians. Pediatrics. 2003;111:902-907.
2.
US Preventive Services Task Force. Screening for visual impairment in children younger than 5 years: recommendation statement. Ann Fam Med. 2004;2:264-266.
3.
Wasserman RC, Croft CA, Brotherton SE.Preschool vision screening in pediatric practice: a study from the Pediatric Research in Office Settings (PROS) network. Pediatrics. 1992; 89:834-838.
4.
Wall TC, Marsh-Tootle W, Evans HH, et al.Compliance with vision-screening guidelines among a national sample of pediatricians. Ambul Pediatr. 2002;2:449-455.
5.
Hartmann EE, Dobson V, Hainline L, et al.Preschool vision screening: summary of a task force report. Pediatrics. 2000;106:1105-1116.
6.
Schmidt P, Maguire M, Dobson V, et al.Comparison of preschool vision screening tests as administered by licensed eye care professionals in the Vision In Preschoolers Study. Ophthalmology. 2004;111:637-650.
7.
American Medical Association. CPT 2000: Current Procedural Terminology. Chicago: AMA Press; 1999.
8.
Council of American Survey Research Organizations. On the definition of response rates. CASRO Task Force Special Report, 1982. Available at: http://www.casro.org/resprates.cfm. Accessed March 21, 2005.
9.
Kemper AR, Margolis PA, Downs SM, Bordley WC.A systematic review of vision screening tests for the detection of amblyopia. Pediatrics. 1999;104:1220-1222.
