June 2020
Volume 61, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2020
UCLA Preschool Vision Program - Longitudinal Assessment of Visual Health in Preschoolers.
Author Affiliations & Notes
  • Winnie Liu
    Department of Molecular, Cellular, and Developmental Biology, University of California, Los Angeles, Los Angeles, California, United States
    Department of Ophthalmology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, United States
  • Fei Yu
    Department of Ophthalmology, University of California, Los Angeles (UCLA) - Stein Eye Institute, Los Angeles, California, United States
    Fielding School of Public Health, University of California Los Angeles, Los Angeles, California, United States
  • Kara Mondino
    Department of Ophthalmology, University of California, Los Angeles (UCLA) - Stein Eye Institute, Los Angeles, California, United States
  • Laura Syniuta
    Department of Ophthalmology, University of California, Los Angeles (UCLA) - Stein Eye Institute, Los Angeles, California, United States
  • Bartly J Mondino
    Department of Ophthalmology, University of California, Los Angeles (UCLA) - Stein Eye Institute, Los Angeles, California, United States
  • Simon Fung
    Department of Ophthalmology, University of California, Los Angeles (UCLA) - Stein Eye Institute, Los Angeles, California, United States
  • Anne Coleman
    Department of Ophthalmology, University of California, Los Angeles (UCLA) - Stein Eye Institute, Los Angeles, California, United States
    Fielding School of Public Health, University of California Los Angeles, Los Angeles, California, United States
  • Footnotes
    Commercial Relationships   Winnie Liu, None; Fei Yu, None; Kara Mondino, None; Laura Syniuta, None; Bartly Mondino, None; Simon Fung, None; Anne Coleman, None
  • Footnotes
    Support  Research to Prevent Blindness Unrestricted Fund to the UCLA Stein Eye Institute - Department of Ophthalmology
Investigative Ophthalmology & Visual Science June 2020, Vol.61, 4600. doi:
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      Winnie Liu, Fei Yu, Kara Mondino, Laura Syniuta, Bartly J Mondino, Simon Fung, Anne Coleman; UCLA Preschool Vision Program - Longitudinal Assessment of Visual Health in Preschoolers.. Invest. Ophthalmol. Vis. Sci. 2020;61(7):4600.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : The University of California Los Angeles (UCLA) Preschool Vision Program (UPVP) is a community outreach program that provides free vision screenings and prescription eyeglasses to underserved preschool children across Los Angeles County. This study aims to investigate longitudinal visual changes among children who had significant refractive error and were given eyeglasses by UPVP.

Methods : Preschool children were assessed and followed up by UPVP between 2015 and 2017. Except for amblyopia, children with significant ophthalmic pathologies were excluded. Data including best-corrected distance visual acuity (BCVA), cycloplegic refraction, and eyeglasses prescription provided for the right eye were analyzed. Paired statistical analysis was performed using Wilcoxon signed rank test.

Results : During the study period, 103 preschoolers had complete follow-up exams. Mean±standard deviation (range) BCVA at initial exam was 0.22±0.13 (0.00 – 0.54) logMAR. Mean spherical and astigmatic errors respectively were -0.55±2.12 diopters(D) (-7.50 – +5.00D) and 2.32±1.08D (0.00 – +5.50D), with refractive spherical equivalent (RSE) being 0.62±2.09D (-6.38 - +5.75D). Mean RSE of the eyeglasses prescription given at initial exam was -0.04±1.57D.

At follow-up examination after 11.3±2.6 months, 66% of returning patients were wearing glasses prescribed from the initial exam. Follow-up mean BCVA was 0.17±0.12 (0.00 – 0.48, p<0.001) logMAR. Mean RSE was significantly lower at 0.34±2.39D (-9.50 - +6.00D, p=0.034), while mean spherical and astigmatic error were -0.82±2.51D (-11.50 - +5.00, p=0.05) and 2.33±1.20D (0.00 – +5.50D, p=0.44). A new prescription of eyeglasses was given to most children (n=99) at follow-up examination, with mean RSE of -0.16±1.77D.

Conclusions : Children receiving eyeglasses from UPVP often have high degrees of ametropia, including progressive high myopia. Early detection of refractive error and intervention with corrective eyeglasses can improve vision of children in underserved communities.

This is a 2020 ARVO Annual Meeting abstract.

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