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Referral outcomes from a vision screening program for school-aged children.

Marlee Silverstein1, Katelyn Scharf1, Eileen L Mayro2

  • 1From the Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA.

Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|August 11, 2020
PubMed
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School vision screenings identified children needing eye exams, but only 25% completed them. Social worker assistance helped, yet consent barriers remained for underserved children with conditions like amblyopia.

Area of Science:

  • Ophthalmology
  • Pediatric Eye Care
  • Public Health

Background:

  • School-based vision screenings are crucial for early detection of childhood eye conditions.
  • Underserved populations often face barriers to accessing necessary follow-up eye care.
  • Timely diagnosis and treatment are vital to prevent vision impairment, especially for conditions like amblyopia.

Purpose of the Study:

  • To evaluate the ocular diagnoses and follow-up care patterns of children identified through a school vision screening program.
  • To assess the effectiveness of social worker support in facilitating comprehensive eye examinations for referred children.
  • To identify barriers to completing recommended eye care among elementary school students.

Main Methods:

  • Retrospective chart review of students in grades K-5 from Philadelphia public schools.

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  • Analysis of data from children referred to a pediatric ophthalmology service following vision screening.
  • Inclusion of demographic information, ocular diagnoses, treatments, and follow-up compliance.

    • Main Results:

    • Out of 10,726 screened children, 509 (5%) were referred; only 127 (25%) completed the examination.
    • Common diagnoses included refractive error (76%), amblyopia (43%), and strabismus (16%).
    • Many children (58%) had multiple diagnoses, including potentially vision-threatening conditions.

    Conclusions:

    • The program successfully identified vision-threatening conditions in underserved children.
    • Social worker support and financial aid facilitated eye care access, but consent was a significant barrier.
    • Improving consent processes is essential to ensure referred children receive timely ophthalmic consultations.