Eye Vision Screening：眼睛和视力筛查.ppt

* * * * * * * Slide 9: Photo reprinted with permission from Interspecialty Education Committee. Managing the Red Eye. Eye Care Skills on CD-ROM. San Francisco, Calif: American Academy of Ophthalmology; 2001. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Vision Screening Look for abnormal visual behavior Inattentiveness Nystagmus Squinting Eye closure Abnormal head position Parental concern Abnormal Head Position for High Hyperopia Preschool Vision Testing Objective Vision Screening Significant value in assessing younger children (ages 6 mo – 3 ? years) Photoscreeners MTI Photoscreener Autorefractors Welch Allyn SureSight Nikon Retinomax Plusoptix S 09 What is a Photoscreener? An instrument that takes a photo of the eyes red reflex to estimate refractive error (prescription of the eye), ocular alignment and other conditions degrading or blocking line of sight (cataract) Crossed Eye Straight Eye Red Reflex is brighter in the crossed eye Photoscreeners Can Detect Strabismus Autorefractors An instrument that determines the prescription of an eye (refractive error) High or asymmetric refractive errors may cause strabismus and/or amblyopia Other conditions that block the visual axis (cataracts) may also be detected Are held close to the eyes and the panel indicates the refractive error of each eye WelchAllyn SureSight Autorefractors – are held close to the eyes and the panel indicates refractive error of each eye Nikon Retinomax Acuity Testing Vision Charts are still the “Gold Standard” As opposed to photo or autorefractors Letters must be presented in a line Single letters can be inaccurate - over estimate vision Test one eye at a time with other eye patched or carefully occluded Kids cheat! Subjective Visual Acuity Chart Testing Types of acuity tests recommended Lea symbols HOTV Snellen letters SCHOOL VISION TESTING Lea Symbols HOTVAges 3 4 Subjective Vis