Navigation Links
Is photoscreening the best way to catch 'lazy eye'?

SAN FRANCISCO, CA Amblyopia, known as "lazy eye," is a major cause of vision problems in children and a common cause of blindness in people aged 20 to 70 in developed countries. In amblyopia the person's stronger eye is favored and his/her weaker eye gradually loses visual power as a result. When the condition is detected and treated before age 7, more than 75 percent of children achieve 20/30 vision or better, the Amblyopia Treatment Study reports. But parents and teachers can easily miss this problemespecially in very young children. Pediatric ophthalmologists (Eye M.D.s), pediatricians, family doctors and educators are looking for the best, most cost-effective ways to detect amblyopia as early as possible October's Ophthalmology journal reports on Iowa's KidSight program, the largest, longest study of the use of photoscreening to detect amblyopia in children aged 6 months to 6 years.

More than 147,000 children were screened between 2000 and 2009 in this collaboration of the KidSight program, medical director William E. Scott, MD, of the University of Iowa, Department of Ophthalmology and Visual Sciences, and the Iowa Lions Clubs. Photoscreening technology was used because earlier studies indicated problems with using eye charts to screen children younger than age 3 and children with disabilities. This study used the Medical Technology, Inc. (MTI) PhotoScreener, which records the pattern of light reflected through each of the child's pupils as the child's eyes are photographed. Other studies of normal and high-risk children found the MTI effective for screening for amblyopic risk factors, which include: unequal visual acuity between the two eyes (anisometropia), high nearsightedness, high farsightedness, astigmatism, and strabismus (eye turned inward or outward).

Trained Lions Club volunteers conducted the free screenings at state-registered childcare centers, Head Start Programs, and state-sponsored clinics, as well as libraries, churches and children's fairs. Photoscreened images were then assessed by a trained reader (the same person throughout the study) at the University of Iowa, and children with abnormal results were referred to ophthalmologists or optometrists for thorough eye exams. A part-time coordinator worked with parents to ensure that referred children kept their follow-up appointments.

About 4 percent of children screened needed follow-up for possible amblyopia, which corresponds to the expected rate of the disorder in the general population. More than 95 percent of the nearly 148,000 children in the study received a reliable screening result, and follow-up was successful for more than 80 percent of those referred for further testing.

"This program has had a lasting, beneficial impact on the children of Iowa, and seems to be cost-effective as well," Dr. Scott said. "Here's what made it successful: a ready supply of volunteers who were easily trained to screen large numbers of children at low cost; an appropriate, sensitive, reliable screening method (photoscreening) that required little training; quality control methods; referral relationships with eye care professionals; and effective follow-up with referred families."

Amblyopia is usually treated with special eyeglasses, patching of the stronger eye, medications, or a combination of approaches.


Contact: Mary Wade
American Academy of Ophthalmology

Related medicine news :

1. Mother's Day Special: Catchword's 10 Rules for Branding Your Baby
2. Catching multiple sclerosis before it strikes
3. Virtual Colonoscopy Catches Cancers Outside the Colon
4. NYU researchers identify new neurological deficit behind lazy eye
5. Perception: Skinny people arent lazy but overweight people are
6. LazyTown Sportacus and Michelle Obama moves Washington DC
Post Your Comments:
(Date:6/26/2016)... ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal trainer is helping ... fitness app. The fitness app plans to fix the two major problems leading the fitness ... size fits all type program , They don’t eliminate all the reasons people ...
(Date:6/25/2016)... ... 25, 2016 , ... Austin residents seeking Mohs surgery services, can now turn ... to Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization ... selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction ...
(Date:6/25/2016)... , ... June 25, 2016 , ... First Choice ... States, named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm ... Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary of ... award to iHire in recognition of their exemplary accomplishments in worksite health promotion. , ... Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was ...
(Date:6/24/2016)... ... ... Those who have experienced traumatic events may suffer from a complex set ... drug or alcohol abuse, as a coping mechanism. To avoid this pain and suffering, ... traumatic event. , Trauma sufferers tend to feel a range of emotions, from depression, ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... CHAPEL HILL, N.C. , June 24, 2016 ... in healthcare decisions and regulators/payers have placed more ... this new environment, patient support programs in the ... support for patients, medications. Consequently, pharmaceutical companies are ... to ensure they are providing products and services ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... and Markets has announced the addition of the ... their offering. ... products and provides an updated review, including its applications ... covering the total market, which includes three main industries: ...
(Date:6/24/2016)... ANDOVER, Mass. and SAN CLEMENTE, Calif. ... California -based mobile pulmonary function testing company, is now ... portable PFT devices developed by ndd Medical Technologies , Inc. ... PFT testing done in hospital-based labs.  Thanks to ndd,s EasyOne PRO ... CA , can get any needed testing done in the ...
Breaking Medicine Technology: