Prevalence of, and risk factors for, presenting visual impairment: findings from a vision screening programme based

Alison Bruce1,2, Gillian Santorelli3, John Wright3

  • 1Department of Health Sciences, University of York, York, UK. alison.bruce@bthft.nhs.uk.

Eye (London, England)
|June 15, 2018
PubMed

Insights

Vision screening in UK children found a high prevalence of presenting visual impairment (PVI), particularly in ethnic minority groups. Ethnicity, maternal age, and birth weight were key factors associated with PVI.

Area of Science:

  • Ophthalmology
  • Public Health
  • Pediatrics

Background:

  • Vision screening in early childhood is crucial for identifying and managing potential sight problems.
  • Understanding factors influencing vision screening outcomes in diverse populations is essential for targeted interventions.

Purpose of the Study:

  • To determine presenting visual acuity (VA) levels in 4-5-year-old UK children.
  • To explore factors associated with failing vision screening and presenting visual impairment (PVI) in a multi-ethnic cohort.

Main Methods:

  • Population-based vision screening of 16,541 children aged 4-5 years using the logMAR Crowded Test.
  • Referral criteria based on national recommendations (>0.20 logMAR).
  • Multivariable logistic regression to analyze associations with ethnicity, maternal, and early-life factors.

Main Results:

  • 15% failed screening; 4.4% had PVI (VA >0.3 logMAR).
  • Increased odds of PVI observed in children of Pakistani (OR: 2.49) and other ethnicities (OR: 2.00) compared to white children.
  • Higher odds of PVI also linked to older maternal age and low birth weight.

Conclusions:

  • A significant prevalence of PVI exists in this UK cohort.
  • Ethnicity is a strong predictor of failing vision screening and PVI.
  • The vision screening program demonstrated good positive predictive value for identifying true cases.
Abstract

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