Preschool Vision Screening in Pediatric Practice: A Study From the Pediatric Research in Office Settings (PROS) Network
1 From the Pediatric Research in Office Settings (PROS) Network, American Academy of Pediatrics, Elk Grove Village, IL; and the Department of Pediatrics, University of Vermont College of Medicine, Burlington
2 From the Pediatric Research in Office Settings (PROS) Network, American Academy of Pediatrics, Elk Grove Village, IL
In this cross-sectional study, the vision-screening process is described for 8417 children aged 3 to 5 seen for health supervision in a group of 102 pediatric practices in 23 states and Puerto Rico. Three hundred forty children who failed screening (63% of those who failed) were followed up 2 months after initial screening. The sample was 52% male, 86% white, 9% black, 3% Hispanic, and 1% Asian. Vision screening was attempted on 66% of children overall. Pediatricians' reasons for not screening were "not routine" (44%), "too young" (40%), and "screening done previously" (17%). Younger children were less likely to be screened than older children (39% of those aged 3), and Hispanics were less likely to be screened than other ethnic groups (P < .001). Thirty-three percent of children received no screening for latent strabismus. Two months later, 50% of parents whose child had failed a vision test were unaware of this fact on questionnaire follow-up. Eighty-five percent of children referred to an eye specialist had made or kept an appointment. It is concluded that pediatricians need to increase vision screening among younger preschool children and communicate more effectively to parents the results of screening failure.
Key Words: vision • visual acuity • strabismus • binocularity • amblyopia • screening • preschool children • health supervision
Submitted on April 15, 1991
Accepted on October 1, 1991
CiteULike 
Connotea 
Del.icio.us 
Digg 
Facebook 
Reddit 
Technorati 
Twitter What's this?
This article has been cited by other articles:
|
|
 |
|
  D. R. Halloran, J. M. Hardin, and T. C. Wall Validity of Pure-Tone Hearing Screening at Well-Child Visits Arch Pediatr Adolesc Med, February 1, 2009; 163(2): 158 - 163. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. H. Bernstein, C. Spino, S. Finch, R. Wasserman, E. Slora, C. Lalama, C. L. Touloukian, H. Lilienfeld, and M. C. McCormick Decision-Making for Postpartum Discharge of 4300 Mothers and Their Healthy Infants: The Life Around Newborn Discharge Study Pediatrics, August 1, 2007; 120(2): e391 - e400. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Mazyck and A. Sheetz Why Is Preschool Vision Screening Important? NASN School Nurse, July 1, 2007; 22(4): 7 - 9. [PDF]
|
|
|
|
 |
|
 M. X. Repka The Pediatric Eye Disease Investigator Group Amer. Orthoptic Jrnl., January 1, 2007; 57(1): 41 - 47. [Abstract] [PDF]
|
|
|
|
|
|
J. S. Shaw, R. C. Wasserman, S. Barry, T. Delaney, P. Duncan, W. Davis, and P. Berry Statewide Quality Improvement Outreach Improves Preventive Services for Young Children Pediatrics, October 1, 2006; 118(4): e1039 - e1047. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. J. Slora, K. A. Thoma, R. C. Wasserman, S. E. Pedlow, and A. B. Bocian Patient Visits to a National Practice-Based Research Network: Comparing Pediatric Research in Office Settings With the National Ambulatory Medical Care Survey Pediatrics, August 1, 2006; 118(2): e228 - e234. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. R. Kemper and S. J. Clark Preschool Vision Screening in Pediatric Practices Clinical Pediatrics, April 1, 2006; 45(3): 263 - 266. [Abstract] [PDF]
|
|
|
|
|
|
E. E. Hartmann, G. E. Bradford, P. K. Nottingham Chaplin, T. Johnson, A. R. Kemper, S. Kim, W. Marsh-Tootle, and Writing Committee, Submitted on behalf of PUPVS Pa Project Universal Preschool Vision Screening: A Demonstration Project Pediatrics, February 1, 2006; 117(2): e226 - e237. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. R. Kemper, L. M. Keating, J. L. Jackson, and E. M. Levin Comparison of Monocular Autorefraction to Comprehensive Eye Examinations in Preschool-aged and Younger Children Arch Pediatr Adolesc Med, May 1, 2005; 159(5): 435 - 439. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Drazin, A. Guevarra, E. Schuler, and M. Silverberg Is Home Schooling a Risk for Missing Amblyopia? Pediatrics, March 1, 2004; 113(3): 629 - 630. [Full Text] [PDF]
|
|
|
|
|
|
A. R. Kemper Valuing Vision Pediatrics, February 1, 2004; 113(2): 404 - 405. [Full Text] [PDF]
|
|
|
|
 |
|
 L. Cowen and W. R. Bobier The Pattern of Astigmatism in a Canadian Preschool Population Invest. Ophthalmol. Vis. Sci., October 1, 2003; 44(10): 4593 - 4600. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. W. Hered and M. Rothstein Preschool Vision Screening Frequency After an Office-Based Training Session for Primary Care Staff Pediatrics, July 1, 2003; 112(1): e17 - 21. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Cash PROS studies violence, child abuse prevention AAP News, April 1, 2003; 22(4): 143 - 151. [Full Text] [PDF]
|
|
|
|
|
|
Committee on Practice and Ambulatory Medicine of A, Section on Ophthalmology of American Academy of Pe, American Association of Certified Orthoptists, American Association for Pediatric Ophthalmology a, and American Academy of Ophthalmology Eye Examination in Infants, Children, and Young Adults by Pediatricians Pediatrics, April 1, 2003; 111(4): 902 - 907. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Flores, E. Fuentes-Afflick, O. Barbot, O. Carter-Pokras, L. Claudio, M. Lara, J. A. McLaurin, L. Pachter, F. Ramos Gomez, F. Mendoza, et al. The Health of Latino Children: Urgent Priorities, Unanswered Questions, and a Research Agenda JAMA, July 3, 2002; 288(1): 82 - 90. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Gardner, K. A. Pajer, K. J. Kelleher, S. H. Scholle, and R. C. Wasserman Child Sex Differences in Primary Care Clinicians' Mental Health Care of Children and Adolescents Arch Pediatr Adolesc Med, May 1, 2002; 156(5): 454 - 459. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Policy Statements Adopted by the Governing Council of the American Public Health Association, October 24, 2001 Am J Public Health, March 1, 2002; 92(3): 451 - 483. [Full Text] [PDF]
|
|
|
|
|
|
E. E. Hartmann, V. Dobson, L. Hainline, W. Marsh-Tootle, G. E. Quinn, M. S. Ruttum, P. P. Schmidt, K. Simons, and on Behalf of the Maternal and Child Health Bureau Preschool Vision Screening: Summary of a Task Force Report Pediatrics, November 1, 2000; 106(5): 1105 - 1116. [Full Text]
|
|
|
|
|
|
W. Gardner, K. J. Kelleher, R. Wasserman, G. Childs, P. Nutting, H. Lillienfeld, and K. Pajer Primary Care Treatment of Pediatric Psychosocial Problems: A Study From Pediatric Research in Office Settings and Ambulatory Sentinel Practice Network Pediatrics, October 1, 2000; 106(4): 44e - 44. [Abstract] [Full Text]
|
|
|
|
|
|
T. K. McInerny, P. G. Szilagyi, G. E. Childs, R. C. Wasserman, and K. J. Kelleher Uninsured Children With Psychosocial Problems: Primary Care Management Pediatrics, October 1, 2000; 106(4): 930 - 936. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. J. Kelleher, T. K. McInerny, W. P. Gardner, G. E. Childs, and R. C. Wasserman Increasing Identification of Psychosocial Problems: 1979-1996 Pediatrics, June 1, 2000; 105(6): 1313 - 1321. [Abstract] [Full Text]
|
|
|
|
|
|
A. R. Kemper, P. A. Margolis, S. M. Downs, and W. C. Bordley A Systematic Review of Vision Screening Tests for the Detection of Amblyopia Pediatrics, November 1, 1999; 104(5): 1220 - 1222. [Abstract] [Full Text]
|
|
|
|
 |
|
 H. A. Pincus, D. A. Zarin, T. L. Tanielian, J. L. Johnson, J. C. West, A. R. Pettit, S. C. Marcus, R. C. Kessler, and J. S. McIntyre Psychiatric Patients and Treatments in 1997: Findings From the American Psychiatric Practice Research Network Arch Gen Psychiatry, May 1, 1999; 56(5): 441 - 449. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. S. Jellinek, J. M. Murphy, M. Little, M. E. Pagano, D. M. Comer, and K. J. Kelleher Use of the Pediatric Symptom Checklist to Screen for Psychosocial Problems in Pediatric Primary Care: A National Feasibility Study Arch Pediatr Adolesc Med, March 1, 1999; 153(3): 254 - 260. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. C. Wasserman, E. J. Slora, A. B. Bocian, G. V. Fleming, A. E. Baker, S. E. Pedlow, and W. Kessel Pediatric Research in Office Settings (PROS): A National Practice-Based Research Network to Improve Children's Health Care Pediatrics, December 1, 1998; 102(6): 1350 - 1357. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Madlon-Kay Use of a Structured Encounter Form to Improve Well-Child Care Documentation Arch Fam Med, September 1, 1998; 7(5): 480 - 483. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D Briscoe, T Lifshitz, M Grotman, A Kushelevsky, H Vardi, S Weizman, and B Biedner A new computer program for mass screening of visual defects in preschool children Br J Ophthalmol, April 1, 1998; 82(4): 415 - 418. [Abstract] [Full Text]
|
|
|
|
|
|
K. J. Kelleher, G. E. Childs, R. C. Wasserman, T. K. McInerny, P. A. Nutting, and W. P. Gardner Insurance Status and Recognition of Psychosocial Problems: A Report From the Pediatric Research in Office Settings and the Ambulatory Sentinel Practice Networks Arch Pediatr Adolesc Med, November 1, 1997; 151(11): 1109 - 1115. [Abstract] [PDF]
|
|
|
|
|
|
M. Genel Lessons From Practice-based Clinical Research Pediatrics, April 1, 1997; 99(4): 597 - 598. [Full Text] [PDF]
|
|
|
|
|
|
J. F. Marcinak and S. C. Werntz Yount Evaluation of Vision Screening Practices of Illinois Pediatricians Clinical Pediatrics, July 1, 1995; 34(7): 353 - 357. [Abstract] [PDF]
|
|
|
|
|
|
L. A. Green, R. S. Miller, F. M. Reed, D. C. Iverson, and G. E. Barley How Representative of Typical Practice Are Practice-Based Research Networks? A Report From the Ambulatory Sentinel Practice Network Inc (ASPN) Arch Fam Med, September 1, 1993; 2(9): 939 - 949. [Abstract] [PDF]
|
|
