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.
Abstract

Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Glaucoma: Overview01:25

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...