Gabrielle H. Delos Reyes | Jan Erik B. Detran | Maria Immanuelle C. Devela | Khia Cates N. Devoma | Miguel Enrico D. Dial | Jurish Candice E. Diaz | Rafael Jose A. Dimaculangan | Alejandro S. Dizon Jr. | Dean Marco R. Dizon | Patricia Mae F. Domingo | Banette Lysa F. Estacio | Remigio Jay-ar Z. Butacan | Fay Charmaine S. Cruz
Introduction In the Philippines, essential eye care services are not easily accessible especially for those in lower income groups, putting public elementary school students at risk for underdiagnosis of problems in visual acuity. The objective of this investigation was to determine prevalence of undetected refractive errors among public elementary students using the Welch Allyn Spot™ Vision Screener. Methods A cross-sectional design was used in this investigation to estimate the prevalence of uncorrected refractive errors in the first grade students in San Perfecto Elementary School using Welch Allyn Spot™ Vision Screener (Photoscreener). Eligible students who gave informed consent and assent answered a questionnaire and underwent an eye examination. The prevalence of undetected errors of refraction were computed for the sample population and for selected demographic variables. Results Approximately one out of four students (24.53%) had errors of refraction, with the most common type being astigmatism (22.64%), followed by myopia (3.77%) and hyperopia (2.83%). Conclusion This study revealed a high prevalence of undetected refractive errors among school-age children, higher than current published data (5%) in the Philippines.
1. World Health Organization. What is a refraction error? Available from: http://www.who.int/features/qa/45/en.[Accessed Sept 19, 2015].
2. World Health Organization. Global Initiative for the Elimination of Avoidable Blindness: Action Plan 2006-2011. Available from: http://www.who.int/blindness/Vision2020_report.pdf. [Accessed Sept 19, 2015].
3. World Health Organization. Assessment of the Prevalence of Visual Impairment Attributable to Refractive Error or Other Causes in School Children. Available from: http://www.who.int/blindness/causes/RESCProtocol.pdf. [Accessed Sept 19, 2015].
4. Cubillan LDP, Santiago APD, Mehta TD, Lim JML. 2014 Updated Recommendations for Preschool Vision
Screening: Guidelines for Filipino Children Entering the Philippine Public School System. Phil J Ophthal 2014; 39: 57-61.
5. Zakrzewski H, Berzins H, Bulloch AGM, Stell WK, Fernandez NO. Prevalence of myopia in school children in rural and urban regions of the island of Cebu, Philippines. Invest Ophthalmol Vis Sci 2015; 56: 2934.
6. Peterseim MMW. The effectiveness of spot vision screener in detecting amblyopia risk factors. J AAPOS 2014; 18(6): 539-42. Availa ble from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4507562/
[Accessed Sept 19, 2015].
7. Mehari ZA, Yimer AW. Prevalence of refractive errors among school children in Central Ethiopia. Clin Exp Optom 2013; 96: 65-9.
8. Pavithra MB, Maheshwaran R, Rani Sujatha MA. A study on the prevalence of refractive errors among school children of 7-15 years age group in the field practice areas of a medical college in Bangalore. Int J Med Sci Public Health 2013; 2(3): 641-5.
9. Reyes KB, Uy HS. Refractive errors in Filipino eyes in a single-center study population. Phil J Ophthalmol 2010; 35(2); Available from: http://paojournal.com/vol35no2/refractive.php. [Accessed Sept 19, 2015].
10. Saad A, El-Bayoumy BM. Environmental risk factors for refractive error among Egyptian schoolchildren. Eastern Mediterranean Health J 2007; 13(4): 819-28.
11. Espenilla AA, Lim EAU, Lim BT, Galindez GC. The prevalence of refractive error and visual impairment among Filipino children aged 4-13 years at a private school. J Phil Med Assoc 2008; 87(1): Available from: h t t p : / / w w w. h e r d i n . p h / i n d e x . p h p / c o m p o n e n t /herdin?view=research&cid =39042. [Accessed Sept 19,2015].
12. Moghaddam S, Ranjbar AK, Pourmazar R, Gohary I. Awareness and attitude towar d refractive er ro r correction methods: A population based study in Mashad. Patient Saf Qual Improv 2013; 1(1): 23-9.
13. Lewis V. The consequences of visual impairment for children's symbolic and functional play. Br J Develop Psychol 2000; 18(3): 449-64.
14. Varma R, Wang MY, Ying-Lai M, Donofrio J, Azen SP. The prevalence and risk indicators of uncorrected refractive error and unmet refractive need in Latinos: The Los Angeles Latino Eye Study. Invest Ophthalmol Vis Sci 2008. 49(12): 5,264-73. doi: 10.1167/iovs.08-1814. 2008;.
15. Rettig M. The play of young children with visual impairments: Characteristics and interventions. J Visual Impairment and Blindness 1994; 88(5): 410-20