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Paediatric Ophthalmology

Diagnostic Pathway following Child Vision Screening

Public Health England recently convened an advisory group (with input from a wide group of stakeholders that included RCOphth, the National Screening Committee, the College of Optometrists, BIOS and Vision UK). The aim was to help commissioners and providers turn the UK National Screening Committee recommendations for vision screening in children aged 4 to 5 years into good practice.

Download the PHE resources to support the commissioning and delivery of child vision screening. Includes a service specification, competencies, leaflets and template letters.

The Paediatric sub-committee of the RCOphth was tasked with the production of a Diagnostic Pathway following Child Vision Screening Oct 2017.  Please note the diagnostic tests are competency driven i.e. can be performed by any qualified professional who has the required training and competencies (Orthoptist, Optometrist, Ophthalmologist).



The UK National Screening Committee policy on Vision defects screening in children – December 2013

The Royal College of Ophthalmologists supports the recommendation of the National Screening Committee that screening for visual impairment in children, between the ages of 4 and 5 years, should be offered by an orthoptic-led service. http://www.screening.nhs.uk/vision-child

The College strongly advocates early screening for the detection of visual problems and eye disorders in children at the appropriate age. Early detection of amblyopia, for this age group, is critical to avoid permanent visual impairment and improve the provision and outcomes for children with eye conditions such as refractive error and strabismus. Ophthalmic professionals should support local implementation of the existing national recommendations. All screening programmes should be part of a regular audit cycle.

The UK National Screening Committee regularly reviews policy on screening for different conditions in the light of new research evidence becoming available.

Squint Surgery Care Pathway Example

An Squint Surgery Care Pathway Example has been added to the website for local adaptation. The form is in Word format so it can be tailored for local use.

Guidelines for Screening for Uveitis in Juvenile Idiopathic Arthritis (JIA)

Aim of the screening programme: To reduce the incidence of visual impairment among children and young people with juvenile idiopathic arthritis (JIA) by early detection through screening allowing for early intervention.