Kosteneffektivität der orthoptischen Reihenuntersuchung im Kindergarten zur Früherkennung visueller Entwicklungsstörungen1

König, Hans‐Helmut; Barry, Jean-Cyriaque; Leidl, Reiner; Zrenner, E.

doi:10.1055/s-2000-10859

Cited by 5 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Accordingly, the assessment of school children for trachoma, anatomic defects, refractive error, and amblyopia at 5–6 years of age and 12–13 years of age, and 15–16 years of age for refractive error has been adopted by many member countries 2. Since the yield of vision screening is low and intervention for detected pathologies is often too late, countries that have already adopted screening at school entry should opt for amblyopia screening at an earlier age 3. The risk of refractive error among children with special needs has been noted to be higher than that of otherwise healthy children of the same age group 4.…”

Section: Introductionmentioning

confidence: 99%

Refractive error and visual functions in children with special needs compared with the first grade school students in Oman

Vora

Khandekar

Natrajan

et al. 2010

Middle East Afr J Ophthalmol

View full text Add to dashboard Cite

Background:We evaluated the refractive status and visual function of children with special needs (other handicap) in 2010 and compared them with healthy 1st grade school students in Oman.Materials and Methods:This was a cohort study. Optometrists recorded vision using a logarithm of minimum angle of resolution (LogMAR) chart. Preferential looking method was used for testing 31 children. Cycloplegic refraction was performed on all children. Contrast sensitivity was tested using 2.5%, 10%, and 100% contrast charts. Ocular movement, alignment, and anterior segment were also assessed. A pediatrician reviewed the health records of all the children at the time of their enrollment in this study to determine if the child had been diagnosed with a systemic condition or syndromes. The visual functions were assessed by study investigators. We estimated the rates and the risk of different visual function defects in children with special needs.Result:The prevalence of refractive error in 70 children (4.7 ± 0.8 years) with special needs (group 1) and 175 normal healthy first grade students (group 2) were 58.5% and 2.9%, respectively. The risk of refractive error was significantly higher in children with special needs [relative risk, 48.1 (95% confidence interval, 17.54–131.8)]. Hyperopia (>1.00 D), myopia (≥ 1.00D) and astigmatism (≥ ±1.00 D) were found in 18.6%, 24.3%, and 27.1%, respectively, in group 1. Six children in this group had defective near vision. Sixteen (80%) children with Down syndrome had refractive error. Seven (50%) children with developmental disorder showed decreased contrast sensitivity.Conclusion:Prevalence of uncorrected refractive error was much higher in children with special needs. Prevalence of strabismus, nystagmus, and reduced contrast sensitivity was also higher in children with special needs. Early vision screening, visual function assessment, correction of refractive error, and frequent follow-up are recommended.

show abstract

Section: Introductionmentioning

confidence: 99%

Refractive error and visual functions in children with special needs compared with the first grade school students in Oman

Vora

Khandekar

Natrajan

et al. 2010

Middle East Afr J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Proactive screening campaigns in institutions like blind schools, special education schools and preschool screening in kindergarten have been tried and are found cost effective 26. Such children should be reviewed at the earliest.…”

Section: Public Health Approachmentioning

confidence: 99%

Visual disabilities in children including childhood blindness

Khandekar

2008

Middle East Afr J Ophthalmol

View full text Add to dashboard Cite

We should address visual disabilities in children instead of only the childhood blindness. Diseases related to nutritional, communicable diseases should be addressed through strategies for achieving ‘Millennium Development Goals’. Facilities in African countries and countries with populations like India and China must be strengthened to address curable/preventable visual disabilities in children. Even though all efforts are done to strengthen, we will have 0.93 million blind children by 2020. Role of family physicians and paediatricians in trans-disciplinary approach to address visual disabilities in children is very crucial. If rational distribution of skilled human resource is not planned visual disabilities will not reduce effectively. Rehabilitation of visually disabled children should be integral part of addressing childhood blindness. All stakeholders including parents of children with visual disabilities should work together to achieve the goals.

show abstract

Kindliche Sehstörungen Screeningprogramme im internationalen Vergleich

Neugebauer¹,

Reier²,

Fricke³

et al. 2002

Ophthalmologe

View full text Add to dashboard Cite

Worldwide in a number of countries, screening programs aimed at detecting visual disorders in children are established. Repeatedly, proposals are brought forward to optimize already existing programs. Countries without such a program are interested in learning about current models as a guide for planning their own program. This study was performed to take stock of the screening programs for visual dysfunction in children in existence in the years 1999-2000 worldwide. The aspects considered were the child's age at examination, examiner's qualification, type of examinations performed, cost-bearing entity, and cost-efficacy analysis. The health ministries of 190 sovereign countries were asked via a questionnaire for information about possibly existing screening programs. The results of the survey were analyzed quantitatively regarding geographic, political, and socioeconomic aspects, yielding data for the exchange of experience in optimizing existing programs and developing new programs.

show abstract

Kosteneffektivität der orthoptischen Reihenuntersuchung im Kindergarten zur Früherkennung visueller Entwicklungsstörungen1

Abstract: The decision-analytic model showed stable results which may serve as a basis for discussion on the implementation of orthoptic screening and for planning a field study.

Cited by 5 publications

References 13 publications

Refractive error and visual functions in children with special needs compared with the first grade school students in Oman

Refractive error and visual functions in children with special needs compared with the first grade school students in Oman

Visual disabilities in children including childhood blindness

Kindliche Sehstörungen Screeningprogramme im internationalen Vergleich

Contact Info

Product

Resources

About