Vision screening outcomes in children less than 3 years of age compared with children 3 years and older. J AAPOS 2020 Oct;24(5):293.e1-293.e4
Date
10/13/2020Pubmed ID
33045377DOI
10.1016/j.jaapos.2020.05.016Scopus ID
2-s2.0-85095594363 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
PURPOSE: To compare the rates of amblyopia and treatment outcomes in children 0-2 years to those of children aged 3-5 years referred from a well-established community-based photoscreening program.
METHODS: The medical records of children who failed vision photoscreening through Iowa KidSight and were subsequently seen at the University of Iowa for a complete eye examination over a 13-year period were retrospectively reviewed. Outcome measures were the number of children obtaining normal vision, the age at which normal vision was attained, and the elapsed time from screening examination to first documentation of normal vision.
RESULTS: Of 319 subjects, 67 (21%) were 0-2 years of age and 252 (79%) were at least 3 years of age at screening. Amblyopia was found in 19% of the younger group and 30% of the older group (P = 0.12). Follow-up time was similar between groups. At final follow-up, 8% of children in the younger group did not attain normal vision, compared with 40% in the older group (OR = 8.92; 95% CI, 1.65-92.95; P = 0.009). Normal vision was attained on average at 35 months of age in the younger group and 69 months in the older group (P < 0.0001).
CONCLUSIONS: In our study cohort, children <3 years of age were found to have an equivalent rate of amblyopia compared with children ≥3 of age. Those screened between ages 0-2 years of age attained normal vision at a significantly younger age and were more likely to attain normal vision.
Author List
Stiff H, Dimenstein N, Larson SAAuthor
Heather Stiff MD Assistant Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AmblyopiaChild
Child, Preschool
Cohort Studies
Humans
Infant
Infant, Newborn
Referral and Consultation
Retrospective Studies
Vision Screening
