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Visual acuity (<jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content>) screening is performed by nurses at primary healthcare centres (<jats:styled-content style=\"fixed-case\">PHC<\/jats:styled-content>s) in 4\u2010year\u2010old children and at school in 6\u2010 or 7\u2010year\u2010old children. Children with <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> &lt;0.65 (&gt;0.19 log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>) at either eye are referred. If <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> is 0.65 in one or both eyes, a retest is performed by nurses at <jats:styled-content style=\"fixed-case\">PHC<\/jats:styled-content>s and schools, the children are then referred if <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> is &lt;0.8 (&gt;0.10 log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included all children aged \u22655 and &lt;8\u00a0years referred between October 2014 and June 2015 from <jats:styled-content style=\"fixed-case\">PHC<\/jats:styled-content>s and schools to the four eye clinics in <jats:styled-content style=\"fixed-case\">VGR<\/jats:styled-content>, with <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> \u22650.65 in one or both eyes. At the eye clinic, children underwent assessment of <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content>, refraction in cycloplegia, eye motility, cover test, stereo test and a slit lamp examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 259\/295 children (139 female) participating, median age was 5.7\u00a0years (5.0\u20137.8\u00a0years) at referral. Glasses were prescribed due to subnormal <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> with refractive errors in 20% of the children, 22% displayed heterophoria, none had heterotropia and one younger child had amblyopia. Accurate retesting gave fewer false\u2010positive referrals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results showed that a vision screening referral cut\u2010off limit of <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> &lt;0.65 would leave undetected refractive errors. Residual amblyopia was uncommon. Accurate referral criteria, retesting and training of those performing the screening as well as re\u2010evaluation of the screening programme are all important.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13900","type":"journal-article","created":{"date-parts":[[2018,10,3]],"date-time":"2018-10-03T04:04:28Z","timestamp":1538539468000},"page":"158-164","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Evaluation of vision screening in five\u2010 to eight\u2010year\u2010old children living in Region V\u00e4stra G\u00f6taland, Sweden \u2013 a prospective multicentre study"],"prefix":"10.1111","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6246-4906","authenticated-orcid":false,"given":"Emelie","family":"Gyllencreutz","sequence":"first","affiliation":[{"name":"Department of Clinical Neuroscience Institute of Neuroscience and Physiology The Sahlgrenska Academy at University of Gothenburg Gothenburg Sweden"},{"name":"Department of Ophthalmology Skaraborg Hospital Sk\u00f6vde Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Chouliara","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Uddevalla Hospital Uddevalla Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afsaneh","family":"Alibakhshi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Southern \u00c4lvsborg Hospital Bor\u00e5s Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias","family":"Tj\u00f6rnvik","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Sahlgrenska University Hospital M\u00f6lndal Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Aring","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience Institute of Neuroscience and Physiology The Sahlgrenska Academy at University of Gothenburg Gothenburg Sweden"},{"name":"Department of Ophthalmology Sahlgrenska University Hospital M\u00f6lndal Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marita","family":"Andersson Gr\u00f6Z","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience Institute of Neuroscience and Physiology The Sahlgrenska Academy at University of Gothenburg Gothenburg Sweden"},{"name":"Department of Ophthalmology Sahlgrenska University Hospital M\u00f6lndal Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e3283641c56"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0000000000000429"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-017-3694-x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0420.2005.00615.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0420.2006.00865.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0420.2002.800609.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"crossref","first-page":"114","DOI":"10.3928\/0191-3913-19800301-13","article-title":"A modified letter matching chart for testing young children's visual acuity","volume":"17","author":"Hedin A","year":"1980","journal-title":"J Pediatr Ophthlmol Strabismus"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12639"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0420.2005.00367.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1998.tb00926.x"},{"key":"e_1_2_5_12_1","first-page":"Nc01","article-title":"Test re\u2010test reliability and validity of different visual acuity and stereoacuity charts used in preschool children","volume":"9","author":"Moganeswari D","year":"2015","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0420.2004.00307.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(99)00455-9"},{"key":"e_1_2_5_15_1","first-page":"1704","article-title":"Amblyopia: a multidisciplinary approach. 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