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首页> 外文期刊>Transactions of the American Ophthalmological Society. >VISION FIRST, A PROGRAM TO DETECT AND TREAT EYE DISEASES IN YOUNG CHILDREN: THE FIRST FOUR YEARS
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VISION FIRST, A PROGRAM TO DETECT AND TREAT EYE DISEASES IN YOUNG CHILDREN: THE FIRST FOUR YEARS

机译：视觉第一，检测和治疗小儿眼疾的计划：四年

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Purpose: The Vision First program began in the fall of 2002 as a community outreach initiative by the Cleveland Clinic Cole Eye Institute in partnership with the Cleveland Metropolitan School District. It was designed to provide free eye examinations to all prekindergarten, kindergarten, and first grade students enrolled in Cleveland City public schools in order to diagnose refractive errors, amblyopia, and strabismus, so that treatment is instituted and the best possible visual outcome attained. Methods: Examinations are performed in 2 lanes of a specially outfitted recreational vehicle. All children undergo monocular visual acuity testing at distance and near, stereopsis testing, cover testing at distance and near, testing of versions, and external ocular inspection. If a child fails any part of this examination according to the guidelines set by the American Academy of Pediatrics, cycloplegic drops are instilled and an optometrist refracts the child on location and performs indirect ophthalmoscopy. Glasses are prescribed and follow-up with a pediatric ophthamologist is arranged. Results: During the first 4 years of the program, 22,988 examinations were performed. Seven percent of children had errors of refraction that necessitated optical correction, about 2.1% had strabismus, and 1.7% had amblyopia. The cost per student per year was around $23 excluding glasses. Conclusions: About 10% of 5- and 6-year-old schoolchildren have eye problems that require either glasses or treatment for strabismus or amblyopia. The Vision First model brings eye care professionals to the schools and provides effective comprehensive screening of all children, as well as detailed examination and referral of those with significant eye problems.
机译：目的：“愿景第一”计划于2002年秋季开始，是克利夫兰诊所Cole Eye Institute与克利夫兰都市学校区合作发起的社区外展计划。它旨在为所有在克利夫兰市公立学校就读的幼儿园，幼儿园和一年级学生提供免费的眼科检查，以诊断屈光不正，弱视和斜视，从而可以进行治疗并获得最佳的视觉效果。方法：在专门配备的休闲车的2条车道上进行检查。所有儿童都要接受远距离和近距离单眼视力测试，立体视测试，远距离和近距离掩护测试，版本测试以及外部眼部检查。如果儿童未按照美国儿科学会的规定进行任何检查，则滴注睫状肌麻痹滴剂，并由验光师使儿童屈光并进行间接检眼镜。开了眼镜，并安排了儿科眼科医生。结果：在该计划的前4年中，进行了22,988次检查。 7％的儿童患有屈光不正，需要进行光学矫正，大约2.1％的儿童患有斜视，而1.7％的儿童弱视。每个学生每年的费用约为23美元（不包括眼镜）。结论：大约10％的5和6岁小学生的眼睛有问题，需要眼镜或斜视或弱视治疗。 Vision First模式将眼保健专业人员带到学校，并为所有儿童提供有效的全面筛查，并对有严重眼部疾病的孩子进行详细检查和转诊。

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