Evidence map›Paper›PMID 25562476›Full record

GuidelineOptometry and vision science : official publication of the American Academy of Optometry2015

Vision screening for children 36 to <72 months: recommended practices.

Susan A Cotter, Lynn A Cyert, Joseph M Miller, Graham E Quinn, National Expert Panel to the National Center for Children’s Vision and Eye Health

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Optometry and vision science : official publication of the American Academy of Optometry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Atencion primaria · 2018
    Guideline
  2. Vision and eye health in children 36 to <72 months: proposed data system.Optometry and vision science : official publication of the American Academy of Optometry · 2015
    Guideline
  3. Age at diagnosis of strabismus or amblyopia and neurodevelopmental outcomes in children.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Exploring Parental Views of Remote Vision Testing in Children.The British and Irish orthoptic journal · 2026
    Article
  9. Article
  10. Recommended practices for vision screening in pre-school-age children: A 2025 update.Optometry and vision science : official publication of the American Academy of Optometry · 2025
    Review
  11. IMI-2025 Digest.Investigative ophthalmology & visual science · 2025
    Article
  12. Article
  13. Access to Myopia Care in the United States-A Narrative Review.Investigative ophthalmology & visual science · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Susan A Cotter*OD, MS, FAAO †PhD, OD, FAAO ‡MD, MPH §MD, MSCE Southern California College of Optometry at Marshall B. Ketchum University, Fullerton, California (SAC); Northeastern State University Oklahoma College of Optometry, Tahlequah, Oklahoma (LAC); University of Arizona College of Medicine, Tucson, Arizona (JMM); and Department of Ophthalmology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (GEQ).
Lynn A Cyert
Joseph M Miller
Graham E Quinn
National Expert Panel to the National Center for Children’s Vision and Eye Health
Fundação Armando Alvares Penteado · BRMarshall B. Ketchum University · US

Funding

PHS HHS H7MMC15141PHS HHS H7MMC24738
6 · The paper itself

Abstract

purposeThis article provides recommendations for screening children aged 36 to younger than 72 months for eye and visual system disorders. The recommendations were developed by the National Expert Panel to the National Center for Children's Vision and Eye Health, sponsored by Prevent Blindness, and funded by the Maternal and Child Health Bureau of the Health Resources and Services Administration, United States Department of Health and Human Services. The recommendations describe both best and acceptable practice standards. Targeted vision disorders for screening are primarily amblyopia, strabismus, significant refractive error, and associated risk factors. The recommended screening tests are intended for use by lay screeners, nurses, and other personnel who screen children in educational, community, public health, or primary health care settings. Characteristics of children who should be examined by an optometrist or ophthalmologist rather than undergo vision screening are also described.

resultsThere are two current best practice vision screening methods for children aged 36 to younger than 72 months: (1) monocular visual acuity testing using single HOTV letters or LEA Symbols surrounded by crowding bars at a 5-ft (1.5 m) test distance, with the child responding by either matching or naming, or (2) instrument-based testing using the Retinomax autorefractor or the SureSight Vision Screener with the Vision in Preschoolers Study data software installed (version 2.24 or 2.25 set to minus cylinder form). Using the Plusoptix Photoscreener is acceptable practice, as is adding stereoacuity testing using the PASS (Preschool Assessment of Stereopsis with a Smile) stereotest as a supplemental procedure to visual acuity testing or autorefraction.

conclusionsThe National Expert Panel recommends that children aged 36 to younger than 72 months be screened annually (best practice) or at least once (accepted minimum standard) using one of the best practice approaches. Technological updates will be maintained at http://nationalcenter.preventblindness.org.

Indexed as

ChildChild, PreschoolDepth PerceptionFemaleHumansMaleOptometryRefractive ErrorsSensitivity and SpecificityVision DisordersVision ScreeningVisual Acuity

Identifiers

PMID25562476
PMCPMC4274336
OpenAlexW1984557298

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.