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Using an Automated Hirschberg Test App to Evaluate Ocular Alignment
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Access to Pediatric Eye Care Following Vision Screening.

Michael Chung, Ben Robinson, Matthew Fukuda

    Journal of Pediatric Ophthalmology and Strabismus
    |March 11, 2022
    PubMed
    Summary

    Most vision screening centers are accessible to optometrists within minutes and pediatric ophthalmologists within 70 minutes. Eye care access correlates with population density and income, favoring urbanized areas.

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    Area of Science:

    • Public Health
    • Ophthalmology
    • Geographic Information Systems (GIS)

    Background:

    • Vision screening identifies potential vision impairments in children.
    • Accessibility of follow-up eye care is crucial for timely treatment.
    • Understanding geographic distribution of eye care providers is essential for public health planning.

    Purpose of the Study:

    • To quantify eye care provider accessibility from vision screening sites.
    • To analyze accessibility in relation to population density and income.

    Main Methods:

    • Driving times were mapped using OpenStreetMap.
    • Population density and median household income data were integrated using ArcGIS.
    • Correlations between driving times and socioeconomic factors were analyzed.

    Main Results:

    • Median driving times to optometrists and ophthalmologists were 4.74 and 25.10 minutes.
    • 90% of screening centers were within 12.46 minutes of an optometrist and 67.19 minutes of an ophthalmologist.
    • Shorter driving times correlated with higher population density and median household income.

    Conclusions:

    • Most vision screening centers have reasonable driving times to optometrists and pediatric ophthalmologists.
    • Accessibility is greater for optometrists than pediatric ophthalmologists.
    • Eye care providers are concentrated in urban areas with higher socioeconomic status.