Reference normal values and design of a vision screening for 4 to 5 years old preschoolers

摘要

A vision screening program for preschool children of 4-5 years old was designed and analyzed. Information of the prevalence of ocular conditions among preschool children was obtained. The vision health of a group of 127 children was evaluated by a comprehensive examination in their own school. If a child failed one or more screening tests, he was referred to the ophthalmologist. Of the children screened in this study, 61% passed distance visual acuity and retinoscopy tests, 17% were referred to the ophthalmologist and 22% will be annually monitoring. Values of monocular/binocular acuity worse than 0.5/0.6 are too poor for 4 years old children, whereas these limits increase up to 0.6/0.8 for 5 years old children. In conclusion, the prevalence of undetected vision problems in preschool children has been clearly demonstrated. Vision screening programs in schools are highly recommended. Nevertheless, coordination among professionals conducting screening, school personnel and parents are needed to reach high levels of success. The results of this study validate an easy and fast battery of tests. The vision screening has been highly reliable because reference normal values have been defined by analyzing statistically the results of these tests.