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A review of primary care vision screening
Pamela Hutt Berg1, David T Wheeler
1From the Casey Eye Institute, Oregon Health Sciences University, Portland, Oregon.
Insights
Preschool vision screening (PVS) is crucial for early detection of vision problems. Integrating PVS into primary care can improve its effectiveness and reach, addressing current program limitations.
Area of Science:
- Ophthalmology
- Pediatrics
- Public Health
Background:
- Preschool vision screening (PVS) is vital for identifying treatable vision loss in children.
- Current PVS programs face challenges with unfunded mandates and lack of standardization, leading to referral inaccuracies.
- PVS is underutilized in primary care settings compared to other health screenings.
Purpose of the Study:
- To investigate the reasons for low PVS uptake in primary care.
- To explore strategies for enhancing the effectiveness and integration of PVS.
- To identify optimal roles for healthcare professionals in PVS.
Main Methods:
- Literature review of current PVS practices and challenges.
- Analysis of barriers to PVS implementation in primary care.
- Discussion of potential solutions and professional roles.
Main Results:
- Primary care integration is essential for effective PVS due to existing patient-provider relationships.
- PVS can be incorporated into routine pediatric wellness visits.
- A significant gap exists in primary care education and training for PVS.
Conclusions:
- Enhanced education and training are needed in primary care for effective PVS.
- Orthoptists are well-suited to perform PVS and educate providers.
- Orthoptists may serve as liaisons to improve PVS integration and training in pediatric and family practice programs.
Introduction And Background:
Preschool vision screening (PVS) is an essential component of detecting treatable vision loss in young children. Many state screening programs are struggling to cope with unfunded mandates. Neither school nor community screenings are standardized, and often result in both under- and over-referrals.
Method:
Compared to hearing and dental screenings, PVS is not being performed in the primary care office. Why is this, and what could be done to change the situation?
Results:
To be effective, PVS relies on the participation of the primary care office that already has a rapport with the child and a relationship with the child's family within the medical home. Vision screening can be included as part of wellness testing strategies.
Conclusion:
The current state of PVS as evidenced by the literature points to a lack of education and training in the primary care arena. Orthoptists are ideally trained to perform accurate PVS and to emphasize its importance. Because of time constraints however, they might be better utilized as a teaching liaison between ophthalmology and pediatric / family practice training programs.
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