Vision screening for children 36 to G72 Months: Recommended practices

Susan A. Cotter, Lynn A. Cyert, Joseph M. Miller, Graham E. Quinn, Shirley A. Russ, Sandra S. Block, Murray Walker, Martha Dewey Bergren, Richard T. Bunner, Holly A. Grason, E. Eugenie Hartmann, Karen F. Hughes, Amy K. Hutchinson, Alex R. Kemper, Sandra Leonard, Stacy Ayn Lyons, Wendy L. Marsh-Tootle, Renee Mika, Bruce D. Moore, Nicole PrattJean E. Ramsey, Michael X. Repka, David K. Wallace

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Purpose. This article provides recommendations for screening children aged 36 to younger than 72 months for eye and visual system disorders. The recommendations were developed by the National Expert Panel to the National Center for Children's Vision and Eye Health, sponsored by Prevent Blindness, and funded by the Maternal and Child Health Bureau of the Health Resources and Services Administration, United States Department of Health and Human Services. The recommendations describe both best and acceptable practice standards. Targeted vision disorders for screening are primarily amblyopia, strabismus, significant refractive error, and associated risk factors. The recommended screening tests are intended for use by lay screeners, nurses, and other personnel who screen children in educational, community, public health, or primary health care settings. Characteristics of children who should be examined by an optometrist or ophthalmologist rather than undergo vision screening are also described. Results. There are two current best practice vision screening methods for children aged 36 to younger than 72 months: (1) monocular visual acuity testing using single HOTV letters or LEA Symbols surrounded by crowding bars at a 5-ft (1.5 m) test distance, with the child responding by either matching or naming, or (2) instrument-based testing using the Retinomax autorefractor or the SureSight Vision Screener with the Vision in Preschoolers Study data software installed (version 2.24 or 2.25 set to minus cylinder form). Using the Plusoptix Photoscreener is acceptable practice, as is adding stereoacuity testing using the PASS (Preschool Assessment of Stereopsis with a Smile) stereotest as a supplemental procedure to visual acuity testing or autorefraction. Conclusions. The National Expert Panel recommends that children aged 36 to younger than 72 months be screened annually (best practice) or at least once (accepted minimum standard) using one of the best practice approaches. Technological updates will be maintained at http://nationalcenter.preventblindness.org.

Original languageEnglish (US)
Pages (from-to)6-16
Number of pages11
JournalOptometry and Vision Science
Volume92
Issue number1
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Vision Screening
Practice Guidelines
Vision Disorders
Visual Acuity
United States Health Resources and Services Administration
United States Dept. of Health and Human Services
Depth Perception
Crowding
Amblyopia
Refractive Errors
Strabismus
Blindness
Primary Health Care
Software
Public Health
Nurses
Health

Keywords

  • Amblyopia
  • Autorefraction
  • Autorefractor
  • Children's vision
  • Hyperopia
  • Photoscreener
  • Photoscreening
  • Preschool
  • Preschool
  • Refractive error
  • Risk factor
  • Stereopsis
  • Strabismus
  • Vision screening
  • Visual acuity

ASJC Scopus subject areas

  • Ophthalmology
  • Optometry

Cite this

Cotter, S. A., Cyert, L. A., Miller, J. M., Quinn, G. E., Russ, S. A., Block, S. S., ... Wallace, D. K. (2015). Vision screening for children 36 to G72 Months: Recommended practices. Optometry and Vision Science, 92(1), 6-16. https://doi.org/10.1097/OPX.0000000000000429

Vision screening for children 36 to G72 Months : Recommended practices. / Cotter, Susan A.; Cyert, Lynn A.; Miller, Joseph M.; Quinn, Graham E.; Russ, Shirley A.; Block, Sandra S.; Walker, Murray; Bergren, Martha Dewey; Bunner, Richard T.; Grason, Holly A.; Hartmann, E. Eugenie; Hughes, Karen F.; Hutchinson, Amy K.; Kemper, Alex R.; Leonard, Sandra; Lyons, Stacy Ayn; Marsh-Tootle, Wendy L.; Mika, Renee; Moore, Bruce D.; Pratt, Nicole; Ramsey, Jean E.; Repka, Michael X.; Wallace, David K.

In: Optometry and Vision Science, Vol. 92, No. 1, 01.01.2015, p. 6-16.

Research output: Contribution to journalArticle

Cotter, SA, Cyert, LA, Miller, JM, Quinn, GE, Russ, SA, Block, SS, Walker, M, Bergren, MD, Bunner, RT, Grason, HA, Hartmann, EE, Hughes, KF, Hutchinson, AK, Kemper, AR, Leonard, S, Lyons, SA, Marsh-Tootle, WL, Mika, R, Moore, BD, Pratt, N, Ramsey, JE, Repka, MX & Wallace, DK 2015, 'Vision screening for children 36 to G72 Months: Recommended practices', Optometry and Vision Science, vol. 92, no. 1, pp. 6-16. https://doi.org/10.1097/OPX.0000000000000429
Cotter SA, Cyert LA, Miller JM, Quinn GE, Russ SA, Block SS et al. Vision screening for children 36 to G72 Months: Recommended practices. Optometry and Vision Science. 2015 Jan 1;92(1):6-16. https://doi.org/10.1097/OPX.0000000000000429
Cotter, Susan A. ; Cyert, Lynn A. ; Miller, Joseph M. ; Quinn, Graham E. ; Russ, Shirley A. ; Block, Sandra S. ; Walker, Murray ; Bergren, Martha Dewey ; Bunner, Richard T. ; Grason, Holly A. ; Hartmann, E. Eugenie ; Hughes, Karen F. ; Hutchinson, Amy K. ; Kemper, Alex R. ; Leonard, Sandra ; Lyons, Stacy Ayn ; Marsh-Tootle, Wendy L. ; Mika, Renee ; Moore, Bruce D. ; Pratt, Nicole ; Ramsey, Jean E. ; Repka, Michael X. ; Wallace, David K. / Vision screening for children 36 to G72 Months : Recommended practices. In: Optometry and Vision Science. 2015 ; Vol. 92, No. 1. pp. 6-16.
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AU - Russ, Shirley A.

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