Abstract
We performed retrospective studies about the vision screening programs for children in Kyoto City. These studies included 80 children aged one year and six months and 204 children aged three years and three months. We examined these cases in terms of chief complaints, diagnoses and prognoses.
27% of the children aged one year and six months and 36% of the children aged three years and three months, whose chief complaint was misalignment of eyes, were diagnosed as strabismus. But there were many cases of apparent strabismus. Among the children aged three years and three months who complained of visual disturbances, there were many cases of mild refractive error. 17% of these had ametoropic amblyopia and went into pleoptics.
We think some of these children fell into critical amblyopia, because they stopped the treatment by themselves. We suggest that strict visual acuity tests, additional ophthalmic tests (such as a refractive examination), tests for children who are some months older, and regular examinations for visual disturbances are necessary to improve the vision screening programs.
