[Visual screening in infancy: recommendation's update in France]

Area of Science:

• Ophthalmology
• Pediatrics
• Public Health

Background:

• Amblyopia affects 3-5% of the French population.
• Early detection and treatment are crucial for effective management of amblyopia.
• Current screening practices in France are being optimized.

Purpose of the Study:

• To outline a strategy for early visual screening in French infants and children.
• To integrate ophthalmic assessments into routine pediatric care.
• To reduce the prevalence and impact of amblyopia through timely interventions.

Main Methods:

• Pediatricians and general practitioners will identify clinical signs and risk factors for ophthalmic pathologies.
• Referrals for ophthalmological consultations will be made within the first month or between 12-15 months of life.
• Systematic orthoptic examinations, including visual acuity, cover-test, and photo-screener refractive screening, will be conducted in the third year for children without initial concerns.

Main Results:

• The proposed protocol aims to systematically screen all children for visual impairments.
• Integration of screening into primary care enhances early detection rates.
• Timely interventions based on screening results are expected to improve visual outcomes.

Conclusions:

• A structured visual screening program in infancy and early childhood is essential for managing amblyopia in France.
• Collaboration between pediatricians and ophthalmologists is key to successful implementation.
• This approach ensures comprehensive eye care from infancy through early childhood.