The goal of childhood vision screening is to identify children who have subnormal vision or are at risk for poor visual development, at an early enough age to allow for effective treatment. Many children have unrecognized risk factors for eye disease, and ocular abnormalities can sometimes indicate systemic disease.
Periodic childhood vision screening remains an essential component of health maintenance. A commitment on the part of physicians, schools, and communities is needed to detect children with ocular pathology and decreased vision.
Because of the importance of vision screening, several national organizations have developed vision screening policy recommendations. This module reviews the most widely employed recommendations and models.
Upon completion of this module, you will be able to:
- Identify children who should be referred directly for a comprehensive eye examination.
- Discuss age-specific recommendations for eye and vision screening.
- List the advantages and disadvantages of common instrument-based screeners.
- Utilize the HOTV and Lea symbol optotypes recommended for preschool screening.
- List the barriers to performance of vision screening in the primary care and community settings.
- Summarize the CPT codes pertinent to vision screening.
- Utilize and share vision screening policy recommendations and models for community vision screening.
Authors: Mae Millicent W. Peterseim, MD
Consultants: Sean P. Donahue, MD, PhD; Amy K. Hutchinson, MD
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The American Academy of Ophthalmology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Academy of Ophthalmology designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.