Editor’s Note: Welcome to “Eye Catching: Let's Chat,” a blog series featuring contributions from members of the ophthalmic community. These blogs are an opportunity for ophthalmic bloggers to engage with readers with about a topic that is top of mind, whether it is practice management, experiences with patients, the industry, medicine in general, or healthcare reform. The series continues with this blog by Alan B. Richards, MD. The views expressed in these blogs are those of their respective contributors and do not represent the views of Ophthalmology Times or UBM Medica.
For Children’s Eye Health & Safety Month, I thought I would review some simple and helpful information eye-care providers should keep in mind when treating children.
Children, for the most part, do not need complete eye examinations, but they do need serial screening.
Objective, device-based vision screening or photoscreening is an excellent way to accomplish screening in kids. Today’s devices are all excellent when used with the correct referral criteria for the target population and age-group.
This type of screening is not meant to be one and done, however. Vision screening should be performed yearly in children.
For children ages 12 months to 36 months, the American Association for Pediatric Ophthalmology and Strabismus recommends the option of photoscreening. A child who fails the screening will be referred for a complete cycloplegic eye examination.1
Importance of screening
When screenings are performed in the preschool age using a device—such as the Plusoptix Vision Screening Device, SPOT Vision Screener, iScreen, or GoCheck Kids—risks factors for amblyopia can be identified and treated. Beyond the preschool age, we are researching whether the Plusoptix can be used in school-aged children.
It should be noted that not every child with refractive error needs glasses.
Dr. Silverstein is a consultant for Welch Allyn.
1. American Association for Pediatric Ophthalmology and Strabismus. Vision screening guidelines. https://www.aapos.org/resources/vision_screening_recommendations. Accessed June 14, 2018.
2. How often are spectacles prescribed to “normal” preschool children. J AAPOS. 2004;8:224-229. https://doi.org/10.1016/j.jaapos.2004.05.004. Accessed June 14, 2018.