Scottish Pre-School Vision Screening – First 3 Years of National Data

Introduction: Pre-school orthoptic vision screening (POVS) was implemented by the Scottish government and is a standardised assessment to promote early detection of visual problems in children. The target conditions are amblyopia, refractive errors and strabismus. We present the preliminary findings...

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Main Authors: Lee Pentland, Sirjhun Patel
Format: Article
Language:English
Published: White Rose University Press 2020-04-01
Series:British and Irish Orthoptic Journal
Subjects:
Online Access:https://www.bioj-online.com/articles/138
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author Lee Pentland
Sirjhun Patel
author_facet Lee Pentland
Sirjhun Patel
author_sort Lee Pentland
collection DOAJ
description Introduction: Pre-school orthoptic vision screening (POVS) was implemented by the Scottish government and is a standardised assessment to promote early detection of visual problems in children. The target conditions are amblyopia, refractive errors and strabismus. We present the preliminary findings for the first three years of the screening program. Methods: The data from POVS was collected retrospectively. The data includes screening years 2013 to 2016 inclusive. Data was collected from each health board in Scotland. We report the coverage, referral rate, true positives and positive predictive values. Results: A total of 167,962 children were due to have vision screening over the 3 screening years included in this paper. This figure does not include the children that opted out of the eye test (mean opt-out rate 1.8%) and children that already attend the hospital eye service (mean already attend rate 3.1%). The POVS program had a mean coverage of 85.5%, ranging from 63.7% to 94.8% between health boards. Over the 3 year screening period, the mean referral rate was found to be 17.9%. The mean true positive rate was 88.9%, and the mean positive predictive value was 86.9%. Conclusion: The Scottish data set on pre-school orthoptic vision screening has shown excellent mean coverage. A consistently high true positive rate over the three screening years demonstrates it is a sensitive screening program, which is essential for the detection of visual problems in children.
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spelling doaj.art-06eae85270a64718a9ccd60c455eb0702022-12-22T00:59:51ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902020-04-0116110.22599/bioj.138139Scottish Pre-School Vision Screening – First 3 Years of National DataLee Pentland0Sirjhun Patel1Ninewells Hospital, NHS TaysideNinewells Hospital, NHS TaysideIntroduction: Pre-school orthoptic vision screening (POVS) was implemented by the Scottish government and is a standardised assessment to promote early detection of visual problems in children. The target conditions are amblyopia, refractive errors and strabismus. We present the preliminary findings for the first three years of the screening program. Methods: The data from POVS was collected retrospectively. The data includes screening years 2013 to 2016 inclusive. Data was collected from each health board in Scotland. We report the coverage, referral rate, true positives and positive predictive values. Results: A total of 167,962 children were due to have vision screening over the 3 screening years included in this paper. This figure does not include the children that opted out of the eye test (mean opt-out rate 1.8%) and children that already attend the hospital eye service (mean already attend rate 3.1%). The POVS program had a mean coverage of 85.5%, ranging from 63.7% to 94.8% between health boards. Over the 3 year screening period, the mean referral rate was found to be 17.9%. The mean true positive rate was 88.9%, and the mean positive predictive value was 86.9%. Conclusion: The Scottish data set on pre-school orthoptic vision screening has shown excellent mean coverage. A consistently high true positive rate over the three screening years demonstrates it is a sensitive screening program, which is essential for the detection of visual problems in children.https://www.bioj-online.com/articles/138vision screeningpre-schoolamblyopiapovssee4schoolorthoptist
spellingShingle Lee Pentland
Sirjhun Patel
Scottish Pre-School Vision Screening – First 3 Years of National Data
British and Irish Orthoptic Journal
vision screening
pre-school
amblyopia
povs
see4school
orthoptist
title Scottish Pre-School Vision Screening – First 3 Years of National Data
title_full Scottish Pre-School Vision Screening – First 3 Years of National Data
title_fullStr Scottish Pre-School Vision Screening – First 3 Years of National Data
title_full_unstemmed Scottish Pre-School Vision Screening – First 3 Years of National Data
title_short Scottish Pre-School Vision Screening – First 3 Years of National Data
title_sort scottish pre school vision screening first 3 years of national data
topic vision screening
pre-school
amblyopia
povs
see4school
orthoptist
url https://www.bioj-online.com/articles/138
work_keys_str_mv AT leepentland scottishpreschoolvisionscreeningfirst3yearsofnationaldata
AT sirjhunpatel scottishpreschoolvisionscreeningfirst3yearsofnationaldata