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Preschool Vision Screening in Pediatric Practice: A Study from the Pediatric Research in Office Settings (Pros) Network. American Academy of Pediatrics


Wasserman RC, Croft CA, Brotherton SE







  • In this cross-sectional study, the vision-screening process is described for 8417 children aged 3 to 5 seen for health supervision in a group of 102 pediatric practices in 23 states and Puerto Rico.

  • Three hundred forty children who failed screening (63% of those who failed) were followed up 2 months after initial screening.

  • The sample was 52% male, 86% white, 9% black, 3% Hispanic, and 1% Asian.

  • Vision screening was attempted on 66% of children overall.

  • Pediatricians’ reasons for not screening were “not routine” (44%), “too young” (40%), and “screening done previously” (17%). Younger children were less likely to be screened than older children (39% of those aged 3), and Hispanics were less likely to be screened than other ethnic groups (P less than .001). Thirty-three percent of children received no screening for latent strabismus.

  • Two months later, 50% of parents whose child had failed a vision test were unaware of this fact on questionnaire follow-up. Eighty-five percent of children referred to an eye specialist had made or kept an appointment.

  • It is concluded that pediatricians need to increase vision screening among younger preschool children and communicate more effectively to parents the results of screening failure.