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The UCLA preschool vision program, 2012-2013.

Shiva Mehravaran1, Pamela B Duarte1, Stuart I Brown2

  • 1Department of Ophthalmology, Stein Eye Institute, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, California.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|February 27, 2016
PubMed
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The University of California Los Angeles (UCLA) Preschool Vision Program (UPVP) screened 11,260 children, providing glasses to 7.5% and diagnosing amblyopia in 0.8%. Many preschoolers have unmet vision needs, highlighting barriers to eye care.

Area of Science:

  • Public Health
  • Ophthalmology
  • Pediatric Vision Care

Background:

  • Early detection of vision problems in preschoolers is crucial for long-term visual development.
  • The Los Angeles County has a large, diverse preschool population with potential vision impairments.

Purpose of the Study:

  • To introduce the UCLA Preschool Vision Program (UPVP).
  • To describe the utilization patterns and challenges encountered during the first year of UPVP implementation.
  • To assess the vision needs of preschoolers in Los Angeles County.

Main Methods:

  • The UPVP utilized handheld autorefractometry for initial screening of 3- to 5-year-old preschoolers.
  • Follow-up eye examinations were conducted by UCLA Mobile Eye Clinic staff and ophthalmologists.

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  • Eyeglasses were provided on-site, with follow-up calls to ensure compliance.

    • Main Results:

    • 11,260 preschoolers were screened; 7.5% received prescription eyeglasses.
    • 0.8% of screened children were newly diagnosed with amblyopia.
    • A significant proportion of referred children (35%) did not complete a full eye examination.

    Conclusions:

    • A substantial number of Los Angeles County preschoolers have uncorrected refractive errors.
    • Barriers to accessing pediatric eye care require further investigation.
    • Targeted initiatives are needed to improve vision care awareness and compliance in this community.