Page 81 - DISINVESTMENT AND IMPLEMENTATION OF VISION SCREENING TESTS BASED ON THEIR EFFECTIVENESS

Semistructured observation of population-based eye screening in The Netherlands
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Table 1. Performance of all eye screening tests and by which professional performed the exam.
Professional performed the test
YHC physician
YHC physician
YHC physician
YHC physician
YHC physician
YHC physician
YHC physician
YHC physician and nurses
Age range
1-4m 82 9(11%) 73(89%)
1-24 m 239 29(12%) 210 (88%) 2 (1%)
1-24m 239 206(86%) 33(14%)
6-24m 157 55(35%) 102(65%) 15(15%)
6-24m 157 59(38%) 98(62%) 14(14%)
6-24m 157 51(32%) 106(68%)
6-24m 157 100(67%) 57 (23%)
36-45m 90 5(6%) 85 (94%) 3 (3%)
Total = N
Not examined
Examined
Insufficient cooperation*
Performed correctly
208 (99%)
14(42%) 19(58%)
49(48%) 38(37%)
35(36%) 49(50%)
7(7%) 99(93%)
52 (91%) 5 (9%)
75(89%) 7(8%)
Performed incorrectly**
Fundus red reflex
Hirschberg test
Pupillary reflex
Cover test
Alternating cover test
Motility
Monocular pursuit
Visual acuity
* Insufficient cooperation =due to lack of cooperation of the child, child was crying, unwilling to look.
**Performed incorrectly = not performed according to the guidelines: Pupillary reflex: tested in a lit room. Cover-uncover test and alternating- cover test: incomplete covering of the eye and/or too quick switching from the covered to the uncovered eye Motility: not tested in all eight gazes directions. Monocular pursuit movement: a fixation object was used without pen light. VA: YHC physician did not measure beyond the 0.5 decimal line.