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Screening for Pediatric Ophthalmologic Disorders

  • Chapter
Pediatric Ophthalmology

Abstract

• Screening of ocular structure and function is necessary to detect pediatric ocular disease. Screening examinations, repeated throughout childhood, detect disease when treatment is most effective.

• The sensitivity and specificity of a screening test or device may vary appropriately with respect to the severity and impact of the disease to be detected. The choice of test sensitivity should take into account the importance of timely detection, and the relative decrease in treatment effectiveness that would result from a delay in diagnosis if the pathology is missed.

• Since most pediatric eye screening is performed by the primary care physician, screening methodologies need to be coordinated between the primary care physician and a pediatric ophthalmologist.

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References

  1. Arnold RW (2004) Vision in Preschoolers Study. Ophthalmology 111(12):2313

    Article  PubMed  Google Scholar 

  2. Arnold RW, Gionet EG, Jastraebski AI, et al. (2000) The Alaska Blind Child Discovery project; rationale, methods and results of 4000 screening. Alaska Med 2(3):58−72

    Google Scholar 

  3. Arnold RW, Donahue SP (2006) The yield and challenges of charitable state-wide photoscreening. Binocul VIS Strabismus Q 21(2):93−100

    Google Scholar 

  4. Atkinson J, Braddick O, Robier B, et al. (1996) Two infant vision screening programmes: prediction and prevention of strabismus and amblyopia from photo- and videorefractive screening. Eye 10:189−98

    PubMed  Google Scholar 

  5. Stewart-Brown SL, Snowdon SK (1998) Evidence-based dilemmas in pre-school vision screening. Arch Dis Child 78:406−7

    PubMed  CAS  Google Scholar 

  6. Cheng KP, Hiles DA, Biglan AW, et al. (1991) Visual results after early surgical treatment of unilateral congenital cataracts. Ophthalmology 98:903−1010

    PubMed  CAS  Google Scholar 

  7. Chiang MD, Jiang L, Gelman R, Du YE, Flynn JT (2007) Interexpert agreement of plus disease diagnosis in retinopathy of prematurity. Arch Ophthalmol 125(7):963−4

    Google Scholar 

  8. Clausen MM, Arnold RW (2007) Pediatric eye/vision screening. Referral criteria for the pedia vision plus optix s 04 photoscreener compared to visual acuity and digital photoscreening. Kindergarten computer photoscreening. Binocul Vis Strtabismus Q 22(2):83−9

    Google Scholar 

  9. Cliner EB, Dobson V, Schmidt PP, et al. (1999) A survey of vision screening policy of preschool children in the United States. Surv Ophthalmol 43:445−57

    Article  Google Scholar 

  10. Committee on Practice and Ambulatory Medicine of American Academy of Pediatrics Section on Ophthalmology of American Academy of Pediatrics, American Association of Certified Orthoptists, American Association for Pediatric Ophthalmology and Strabismus and American Academy of Ophthalmology (2003) Policy Statement: Eye examination in infants, children and young adults by pediatricians. Pediatrics 111(4):902−7

    Article  Google Scholar 

  11. Committee on Practice and Ambulatory Medicine and Section on Ophthalmology; American Academy of Pediatrics (2002) Use of photoscreening for children’s vision screening. Pediatrics 109(3):524−5

    Google Scholar 

  12. Cordonnier M, Kallay O (2001) Non-cycloplegic screening for refractive errors in children with the hand-held autorefractor Retinomax: final results and comparison with non-cycloplegic photoscreening. Strabismus 9:59−70

    Article  PubMed  CAS  Google Scholar 

  13. Cryotherapy for Retinopathy of Prematurity Cooperative Group (1988) Multicenter trial of cryotherapy for retinopathy of prematurity. Preliminary results. Arch Ophthalmol 106:471−9

    Google Scholar 

  14. Donahue SP (2004) How often are spectacles prescribed to “normal” preschool children? J AAPOS. 2004 8(3):224−9. Comment in: J AAPOS 8(3):222−3, author reply: J AAPOS 9(3):299−302

    Google Scholar 

  15. Donahue SP, Johnson TM, Leonard-Martin TC (2000) Screening for amblyogenic factors using a volunteer lay network and the MTI photoscreener. Initial results from 15,000 preschool children in a state-wide effort. Ophthalmology 107:1637−44

    Article  PubMed  CAS  Google Scholar 

  16. Donahue SP, Arnold RW, Ruben JB (2003) Preschool Vision Screening: What should we be detecting and how should we report it? Uniform guidelines for reporting results of preschool vision screening studies. J AAPOS 7:314−6

    Article  PubMed  Google Scholar 

  17. Donahue SP, Baker JD, Scott WE, et al. (2006) Lions Club International Foundation Core Four Photoscreening: results from 17 programs and 400,000 preschool children. J AAPOS 10(1):44−8

    Google Scholar 

  18. Eibschitz-Tsimhoni M, Friedman T, Naor J, et al. (2000) Early screening for amblyogenic risk factors lowers the prevalence and severity of amblyopia. J AAPOS 4:194−9

    Article  PubMed  CAS  Google Scholar 

  19. Ells AL, Holmes JM, Astle WF Williams G, et al. (2003) Telemedicine approach to screening for severe retinopathy of prematurity: a pilot study. Ophthalmology 110(11):2113−7

    Article  Google Scholar 

  20. Freedman H (2004) Vision screening. Ophthalmology 111(4):1249

    Google Scholar 

  21. Hartmann EB, Dobson V, Hainline L, et al. (2001) Preschool vision screening: summary of a task force report. Ophthalmology 108:479−86

    Article  PubMed  CAS  Google Scholar 

  22. Kennedy RA, Thomas DE (2000) Evaluation of the iScreen digital screening system for amblyogenic factors. Can J Ophthalmol 35(5):258−62

    Google Scholar 

  23. Konig HH, Barry JC (2002) Economic evaluation of different methods of screening for amblyopia in kindergarten. Pediatrics 109:e59

    Article  PubMed  Google Scholar 

  24. Kvarnstrom G, Jakobsson P, Lennerstand G (2001) Visual screening of Swedish children: an ophthalmological evaluation. Acta Ophthalmol 79:240−4

    Article  CAS  Google Scholar 

  25. Lang D, Leman R, Arnold AW, et al. (2007) Validated portable pediatric vision screening in the Alaska Bush. A VIPS-like study in the Koyukon. Alaska Med 49(1):2−15

    Google Scholar 

  26. Lueder GT (2005) The effect of initial recognition of abnormalities by physicians on outcome of retinoblastoma. J AAPOS 9(4):383−5

    Google Scholar 

  27. Membreno JH, Brown MM, Brown GC, et al. (2002) A cost-utility analysis of therapy for amblyopia. Ophthalmology 109:2265−71

    Article  PubMed  Google Scholar 

  28. Morgan KS, Kennemer JC (1997) Off-axis photorefractive eye screening in children. J Cataract Refract Surg 23(3):423−8

    Google Scholar 

  29. Paysse LA, Lindsey JL, Coats DK, et al. (1999) Therapeutic outcomes of cryotherapy versus transpupillary diode laser photocoagulation for threshold retinopathy of prematurity. J AAPOS 3:234−40

    Article  PubMed  CAS  Google Scholar 

  30. Pediatric Eye Disease Investigator Group (2002) A randomized trial of atropine vs patching for treatment of moderate amblyopia in children. Arch Ophthalmol 120(3):268−78

    Google Scholar 

  31. Pediatric Eye Disease Investigator Group (2003) A comparison of atropine and patching treatments for moderate amblyopia by patient age, cause of amblyopia, depth of amblyopia, and other factors. Ophthalmology 110(8):1623−8

    Google Scholar 

  32. Pediatric Eye Disease Investigator Group (2003) A randomized trial of prescribed patching regimens for treatment of severe amblyopia in children. Ophthalmology 110(11):2075−87

    Google Scholar 

  33. Pediatric Eye Disease Investigator Group (2003) A randomized trial of patching regimens for treatment of moderate amblyopia in children. Arch Ophthalmol 121(5):603−11

    Article  Google Scholar 

  34. Pediatric Eye Disease Investigator Group (2004) A randomized trial of atropine regimens for treatment of moderate amblyopia in children. Ophthalmology 111(11):2076−85

    Google Scholar 

  35. Pediatric Eye Disease Investigator Group (2004) Risk of amblyopia recurrence after cessation of treatment. J AAPOS 8(5):420−8

    Google Scholar 

  36. Pediatric Eye Disease Investigator Group (2004) A prospective, pilot study of treatment of amblyopia in children 10 to <18 years old. Am J Ophthalmol 137(3):581−3

    Google Scholar 

  37. Pediatric Eye Disease Investigator Group (2005) Two-year follow-up of a 6-month randomized trial of atropine vs patching for treatment of moderate amblyopia in children. Arch Ophthalmol 123(2):149−57

    Article  Google Scholar 

  38. Pediatric Eye Disease Investigator Group (2005) Randomized trial of treatment of amblyopia in children aged 7 to 17 years. Arch Ophthalmol 123(4):437−47

    Article  Google Scholar 

  39. Pediatric Eye Disease Investigator Group (2006) A randomized trial to evaluate 2 hours of daily patching for strabismic and anisometropic amblyopia in children. Ophthalmology 113(6):904−12

    Google Scholar 

  40. Pediatric Eye Disease Investigator Group (2007) Stability of visual acuity improvement following discontinuation of amblyopia treatment in children aged 7 to 12 years. Arch Ophthalmol 125(5):655−9

    Article  Google Scholar 

  41. Rahi JS, Logan S, Timms C, et al. (2002) Risk, causes, and outcomes of visual impairment after loss of vision in the non-amblyopic eye: a population-based study. Lancet 360:597−602

    Article  PubMed  Google Scholar 

  42. Reynolds JD, Dobson V, Quinn GE, et al. (2002) Evidence-based screening criteria for retinopathy of prematurity: natural history data from the CRYO-ROP and LIGHT-ROP studies. Arch Ophthalmol 120:1470−6

    PubMed  Google Scholar 

  43. Roth DB, Morales D, Feuer WJ, et al. (2001) Screening for retinopathy of prematurity employing the RetCam 120; sensitivity and specificity. Arch Ophthalmol 119:268−72

    PubMed  CAS  Google Scholar 

  44. Rowatt AJ, Donahue SP, Crosby C, et al. (2007) Field evaluation of the Welch Allyn SureSight vision screener: incorporating the vision in preschoolers study recommendations. J AAPOS 11(3):213−4

    Google Scholar 

  45. Saunders RA, Bluestein EC, Sinatra RB, et al. (1995) The predictive value of posterior pole vessels in retinopathy of prematurity. J Pediatr Ophthal Strabismus 32:82−5

    CAS  Google Scholar 

  46. Schmidt P, Maguire M, Dobson V, et al. (2004) Vision in Preschoolers Study Group. Ophthalmology 111:637−50

    Article  PubMed  Google Scholar 

  47. Section on Ophthalmology, American Academy of Pediatrics (2002) Red reflex examination in infants. Pediatrics 109(5):980−1

    Article  Google Scholar 

  48. Section on Ophthalmology, American Academy of Pediatrics, American Academy of Ophthalmology and American Association for Pediatric Ophthalmology and Strabismus (2006) Screening examination of premature infants for retinopathy of prematurity. Pediatrics 117(2):572−6

    Article  Google Scholar 

  49. Shah PK, Narendran V, Saravan VR Raghuram A, Chattopadhyay A, Kashyap M (2006) Screening of retinopathy of prematurity: a comparison between binocular indirect ophthalmoscopy and RetCam 120. Indian J Ophthalmol 54(1):35−8

    Article  Google Scholar 

  50. Simon JW, Siegfried JB, Mills MD, et al. (2004) A new visual evoked potential system for vision screening in infants and young children. J AAPOS 8(6):549−4

    Google Scholar 

  51. Simons K, Preslan M (1999) Natural history of amblyopia untreated owing to lack of compliance. Br J Ophthalmol 83:582−7

    Article  PubMed  CAS  Google Scholar 

  52. Tommila V, Tarkkanen A (1981) Incidence of loss of vision in the healthy eye in amblyopia. Br J Ophthalmol 65:575−7

    Article  PubMed  CAS  Google Scholar 

  53. Wall TC, Marsh-Tootle W, Evans HH, et al. (2002) Compliance with vision-screening guidelines among a national sample of pediatricians. Ambul Pediatr 2:449−55

    Article  PubMed  Google Scholar 

  54. White JE, Repka MX (1997) Randomized comparison of diode laser photocoagulation versus cryotherapy of threshold retinopathy of prematurity: 3-year outcome. J Pediatr Ophthal Strabismus 34:83−7

    CAS  Google Scholar 

  55. Williams C, Northstone K, Harrad RA, et al. ALSPAC Study Team. (2002) Amblyopia treatment outcomes after screening before or at age 3 years. Follow-up from a randomized trial. Br Med J 324:1549

    Article  CAS  Google Scholar 

  56. Wu C, Petersen RA, VanderVeen DK (2006) RetCam imaging for retinopathy of prematurity screening. J AAPOS 10(2):107−11

    Google Scholar 

  57. Ying Gs, Kulp MT, Maguire M, et al. (2005) Vision in Preschoolers Study Group. Sensitivity of screening tests for detecting vision in preschoolers-targeted vision disorders when specificity is 94%. Optom Vis Sci 82(5):432−8

    Article  PubMed  Google Scholar 

  58. Zaba JN, Johnson RA, Reynolds WA (2003) Vision examinations for all children entering public school: the new Kentucky law. Optometry 74:149−58

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Pediatrics and Neurology, Vanderbilt Eye Institute, Tennessee Lions Eye Center, 104 Medical Arts Building, 37212, Nashville, TN, USA

    Sean P. Donahue

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  1. Sean P. Donahue
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Editors and Affiliations

  1. Albert Florens Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina, 167, Ashley Avenue, 29425, Charleston, SC, USA

    M. Edward Wilson , Rupal H. Trivedi  & Richard A. Saunders ,  & 

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© 2009 Springer-Verlag Berlin Heidelberg

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Donahue, S. (2009). Screening for Pediatric Ophthalmologic Disorders. In: Wilson, M., Trivedi, R., Saunders, R. (eds) Pediatric Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68632-3_6

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  • DOI: https://doi.org/10.1007/978-3-540-68632-3_6

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  • Print ISBN: 978-3-540-68630-9

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