Negative predictive value of a population-based preschool vision screening program.

Abstract:

BACKGROUND:The Enhanced Vision Screening Program is a population-based vision screening program that has, at present, examined 59,782 children. Its main goal is to detect amblyopia, strabismus, and high refractive errors. An average of 11,910 4 1/2- to 5 1/2-year-old children are screened yearly. The current study determines the negative predictive value of the screening program: For a subject having passed the vision screening test, what is the probability of not having amblyopia, strabismus, or high refractive errors? METHODS:Of the 11,734 subjects who passed the vision screening, 200 were randomly chosen to undergo a strictly defined gold standard examination by an orthoptist and an ophthalmologist. RESULTS:Of the 200 randomly chosen subjects, 157 underwent the gold standard evaluation. The negative predictive value of the Enhanced Vision Screening Program was 97.6% for any potentially vision-threatening ocular condition. It was 98.7% if we considered only the visually significant ocular problems that the test was designed to detect. CONCLUSION:Because the negative predictive value of the Enhanced Vision Screening Program is not 100%, some children with amblyopia, strabismus, or refractive errors are missed. Occasionally, a rare, potentially vision-threatening condition may go undetected. Parents should be made aware of this when they receive the results of the vision screening.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

De Becker I,MacPherson HJ,LaRoche GR,Braunstein J,Cottle R,McIntyre LL,Kozousek V

doi

10.1016/s0161-6420(92)31865-2

subject

Has Abstract

pub_date

1992-06-01 00:00:00

pages

998-1003

issue

6

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(92)31865-2

journal_volume

99

pub_type

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