Plusoptix photoscreener use for paediatric vision screening in Flanders and Iran

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Bostamzad, P., Horwood, A. M. orcid id iconORCID: https://orcid.org/0000-0003-0886-9686, Schalij-Delfos, N. E., Boelaert, K., Koning, H. J. and Simonsz, H. J. (2020) Plusoptix photoscreener use for paediatric vision screening in Flanders and Iran. Acta Ophthalmologica, 98 (1). pp. 80-88. ISSN 175-3768 doi: 10.1111/aos.14144

Abstract/Summary

Purpose Photoscreening assesses risk factors for amblyopia, as an alternative to measurement of visual acuity (VA) to detect amblyopia, on the premise that its early correction could prevent development of amblyopia. We studied implementations of Plusoptix photoscreening in existing population-based screening in Flanders and Iran. Methods In Flanders, VA is measured at age 3, 4 and 6, photoscreening was added to existing screening at age 1 and 2.5 years in 2013. In Iran, VA is measured at ages 3-6 years, photoscreening was added at ages 3-6 years between 2011-2016. Plusoptix use was analyzed in the literature for detection of risk factors for amblyopia and amblyopia itself, for ages 0-3 and for 4-6. A questionnaire, containing seven domains: existing vision screening, addition of photoscreening, implementation in screening program, training, attendance, diagnosis and treatment, and costs was distributed. In Iran, screening procedures were observed on site. Results Implementation of Plusoptix photoscreening was mainly analyzed from questionnaires and interviews, its effectiveness from literature data. In Flanders, of 56,759 children photoscreened at age one (81% of children born in 2013), 9.2% had been referred,13% of these were treated, mostly with glasses, resulting in an increase of 4-year old children wearing glasses from 4.7% to 6.4%. In Iran, 90% of children aged 3-6 years participated in vision screening in 2016, but only those who failed the vision test were subjected to photoscreening. Conclusions In Flanders, the use of Plusoptix photoscreening at ages 1 and 2.5 resulted in an increase of children wearing glasses, but it remains unknown how many cases of amblyopia have been prevented. Studies are needed to determine the relation between size and sort of refractive error and strabismus, and the increased chance to develop amblyopia.

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Item Type Article
URI https://reading-clone.eprints-hosting.org/id/eprint/83493
Identification Number/DOI 10.1111/aos.14144
Refereed Yes
Divisions Life Sciences > School of Psychology and Clinical Language Sciences > Department of Psychology
Life Sciences > School of Psychology and Clinical Language Sciences > Development
Life Sciences > School of Psychology and Clinical Language Sciences > Perception and Action
Uncontrolled Keywords Plusoptix photoscreener, pediatric vision screening, amblyopia, strabismus
Publisher Wiley
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