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Paediatric community vision screening--a new model.

M P Karas1, L Donaldson, A Charles

  • 1Department of Optometry, Moorfields Eye Hospital, London, UK.

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
|January 25, 2000
PubMed
Summary
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A community-based vision screening model using hospital optometrists and community orthoptists offers a practical secondary service for children. This approach reduces hospital referrals and provides a convenient, local

Area of Science:

  • Ophthalmology
  • Public Health
  • Pediatric Vision Care

Background:

  • Primary vision screening identifies children with potential visual impairments.
  • Secondary screening is crucial for accurate diagnosis and management.
  • Existing models may lead to delays and inconvenience for families.

Purpose of the Study:

  • To evaluate a community-based secondary vision screening model.
  • To assess the effectiveness of a collaborative approach between hospital optometrists and community orthoptists.
  • To determine the feasibility of a 'one-stop service' for pediatric vision care.

Main Methods:

  • A secondary vision screening service was established in an Inner London Health Centre.
  • Hospital optometrists and community orthoptists assessed children who failed primary screening.

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  • Data collected on patient numbers, referral sources, and onward referral rates.

    • Main Results:

    • 483 new patients were seen between April 1994 and March 1996.
    • The school nurse screening program was the largest referral source.
    • Only 14% of patients required onward referral to the Hospital Eye Service, with 78% of diagnoses aligning with the referral reason.

    Conclusions:

    • The community-based model provides a practical and efficient secondary vision screening service.
    • This model significantly reduces the need for hospital referrals.
    • It offers a convenient 'one-stop service' for children and parents, improving access to timely vision care.