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Vision Screening Recommendations
DRAFT: This information in the Vision section is currently out for review by Pediatric Ophthalmology consultants.
Summary Chart
| Screening Method |
Birth |
INFANCY
Post-birth
to 3 years |
PRESCHOOL
3 to 5 years
|
SCHOOL-AGE
6 years
and older
|
| History: Risk factors and family history related to eye and vision disorders |
x |
x |
x |
x |
| External inspection |
x |
x |
x |
x |
| Vision: fixation and tracking |
|
x |
x |
x |
Eye Movements/
Ocular motility |
|
x |
x |
x |
| Pupil examination |
|
x |
x |
x |
| Red reflex |
|
|
|
|
| Monocular Visual Acuity Assessment (HOTV, Lea Symbols, Snellen Letter or Number Chart, etc) |
|
|
x |
x |
| Color Vision† |
|
|
+/- |
+/- |
| Stereoposis* |
|
|
x |
x |
| Binocular alignment |
|
|
x |
x |
Retinal exam/
Ophthalmoscopy |
|
|
attempt |
x |
† Recommendation for color vision screening is not in 2003 AAP Policy Statement on ‘Eye examination in infants, children and young adults by pediatricians’, but is in potential exam components of the American Optometric Association (see Table 1 in the article ‘Preschool Vision Screening: Summary of a Task Force Report. Pediatrics. 106(5):1105-1116, 2000.)
*Recommended by: Preschool vision screening: Summary of a Task Force Report. Pediatrics. 106(5):1105-1116. 2000. (Note: This is also part of study procedures of Project Universal Preschool Vision Screening (PUPVS), which should help inform future recommendations.)
References
- AAP Policy Statement (2003):
Eye Examination in Infants, Children, and Young Adults by Pediatricians
- American Academy of Ophthalmology Policy statement (2001)
- Preschool Vision Screening: Summary of a Task Force Report’. Hartmann EE et al. Pediatrics. 106(5):1105-1116, 2000.
- Screening for visual impairment in children younger than age 5 years: Recommendation Statement. US Preventive Services Task Force. May, 2004. This recommendation first appeared in Ann Fam Med 2004;2:263-6.
www.ahrq.gov/clinic/3rduspstf/visionscr/vischrs.htm
- Project Universal Preschool Vision Screening (PUPVS) - Procedures
www.medicalhomeinfo.org/screening/Screen Materials/PUPVS_~1.PDF
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