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Advertisement reported in 1% to 5% of the patients were SUBSCRIBE: Print / Digital / eNewsletter

blurred vision, conjunctival hyperemia, eye
irritation, headache, increased lacrimation, eye
discharge, eye discomfort, eye pruritus and
sinusitis.
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Full Prescribing Information

To avoid the potential for eye injury or

to help reduce visual impairment

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Photoscreening could detect vision-

threatening conditions in early
childhood

Resource Topics Partner Content

Therapeutic Glaucoma
IOLs

Advertisement

By Joannah Vaughan, MBA, Talitha Dale and Daniel Karr, MD

Sep 4, 2018
Blogs, Clinical Diagnosis, Pediatrics

Editor’s Note: Welcome to “Let's Chat,” a blog series featuring contributions from members of the CURRENT ISSUE
ophthalmic community. These blogs are an opportunity for ophthalmic bloggers to engage with
readers with about a topic that is top of mind, whether it is practice management, experiences with
patients, the industry, medicine in general, or healthcare reform. The views expressed in these blogs
are those of their respective contributors and do not represent the views of Ophthalmology Times or
UBM Medica.
is
can be done in any age
Advertisement Regular vision screening assessments in early childhood have been shown
-

to reduce the risk of persistent amblyopia at 7 years of age by more than

-
half.1,2 visual impairment I abnormality
To better the clarify the role of vision screening in primary-care offices, in
2016, the American Academy-2of Pediatrics (AAP) updated its guidance for
ocular examinations and visual assessments on children. Key to the update
is discussion and direction regarding instrument-based screening.

The report notes the availability and extensive validation of device-based

screening in field studies and in the office.3-8 The AAP states that screening Vol 43 No 13
instruments detect amblyopia, high refractive error, and strabismus, the .

a
- - -

most common conditions that produce visual impairment in children.1,2,9 DIGITAL EDITION
- what

I
Although they can be used at any age, screening devices have better
can the
device
success when the child is older than 18 months of age, according to the
AAP.4,10 Instrument-based screening can be repeated annually, through age detect
5, or until “visual acuity can be assessed reliably with optotypes.”

The AAP concludes: “Using these techniques in children younger than 6

-8g
years can enhance detection of conditions that may lead to amblyopia a lot Of odu .
for
and/or strabismus compared with traditional methods of assessment.”1 people if the disease
be
On the heels of the AAP direction, the U.S. Preventive Services Task Force can diagnosed at an
released a statement supporting device-based screening technologies for early age .

preschool vision screenings with a level B evidence rating.11 The Affordable

Care Act requires that health plans fully cover preventive services that have
an A or B rating (CPT code 99177 for an immediate result in office, CPT 99174 for remote
interpretation).

Oregon Elks experience → requires a vision exam using this photo screening
The Oregon Elks Children’s Eye Clinic. began using photoscreening exclusively in 2013 for its advancement

Preschool Vision Screening Program which focuses on detecting amblyopia. The Oregon state
legislature mandates that all children entering school show proof of a vision screening, and the Elks
program provides free photoscreening using the plusoptiX S.12

Through the program, data on 7,551 children were collected in 2017-18; 12.3% were referred for a
complete eye examination. Of the children referred, 108 cases of amblyopia were diagnosed. In
2017 in the Elks program, 87.8% of the children who were referred received treatment.

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