Follow-up of children required close examination on health check for three-year-old-children

• Published in: JAPANESE ORTHOPTIC JOURNAL Vol. 27; pp. 175 - 181
• Main Authors: Goto, Yuko, Imai, Yoko, Fukuyama, Chiyomi, Miyashita, Sumiko, Futenma, Ayumi, Odaka, Michiko, Miyazawa, Masayo, Kato, Eiko, Taga, Eri, Kato, Hatsue
• Format: Journal Article
• Language: English
• Published: JAPANESE ASSOCIATION OF CERTIFIED ORTHOPTISTS 1999
• Subjects: Accuracy of Screening; Follow-up Study; Health Check Program for Three-year-old Children
• ISSN: 0387-5172; 1883-9215
• DOI: 10.4263/jorthoptic.27.175

We analyzed results of visual screening program for three-year-old children and close examination in Higashimatuyama City, and discussed problems of visual screening. Orthoptists joined that program, and we considered that effective screening was performed. Among 72 children, who were required close examinations, 58 children (80%) visited medical facilities actually. On close ophthalmic examinations, five (9%) were amblyopia, four (7%) were strabismus, three (5%) were poor vision or impossible of visual acuity test and one (2%) was nystagmus. They were about one percent among total examinees. Among 26 children required close examinations, whom we could conduct a follow-up study, 17 (65%) were found to be normal on second visual acuity test. We considered that 2/3 were pseudo-positive was problem of visual screening. And if child has considerably strong refractive error, but whose visual acuity without correction is good, such child may not be detected. Therefore, we considered that an introduction of objective refractomerty equipment should make screening more precisely.