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[Vision screening for children: Recommended practices from AFSOP].

L Lequeux1, D Thouvenin1, C Couret2

  • 1Ophtalmologie Rive-Gauche, clinique Rive-Gauche, 47, allées Charles-de-Fitte, 31300 Toulouse, France.

Journal Francais D'Ophtalmologie
|January 3, 2021
PubMed
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This summary is machine-generated.

Updated guidelines recommend early ophthalmologic exams for high-risk infants and toddlers to detect amblyopia. Children without risk factors should undergo systematic visual screening in their third year.

Area of Science:

  • Ophthalmology
  • Pediatric Optometry
  • Vision Science

Background:

  • Amblyopia, or "lazy eye," is a leading cause of preventable vision impairment in children.
  • Early detection and intervention are crucial for successful treatment outcomes.
  • Existing screening protocols require updates based on current evidence.

Purpose of the Study:

  • To provide updated, evidence-based recommendations for visual screening in children.
  • To define age-specific screening strategies for different risk groups.
  • To establish clear referral criteria for pediatric ophthalmologic examination.

Main Methods:

  • A workgroup of experts convened to review international literature and formulate guidelines.
  • Recommendations include ophthalmologic examinations for at-risk infants and toddlers.
Keywords:
AmblyopiaAmblyopieDépistage visuelPhoto dépistagePhoto screeningRecommandationsRecommendationsSignes d’appelVisual screeningWarning signs

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  • Systematic orthoptic screening is advised for children without risk factors.

    • Main Results:

    • Ophthalmologic exams are recommended within the first month for infantile organic amblyopia risk.
    • Cycloplegic refraction is advised between 12-15 months for functional amblyopia risk.
    • Screening at age three includes visual acuity, cover test, and photoscreening with specific referral criteria.

    Conclusions:

    • Updated guidelines provide a structured approach to pediatric visual screening.
    • Timely and appropriate screening can prevent vision loss from amblyopia.
    • Clear referral criteria ensure efficient use of ophthalmologist resources.