{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T15:52:16Z","timestamp":1781797936294,"version":"3.54.5"},"posted":{"date-parts":[[2026,6,16]]},"group-title":"Pediatrics","reference-count":33,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Intermountain Foundation at Primary Children\u2019s Early Career Development Award"},{"name":"National Institutes of Health Core Grant","award":["EY014800"],"award-info":[{"award-number":["EY014800"]}]},{"name":"Unrestricted Grant from Research to Prevent Blindness"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,6,16]]},"abstract":"<jats:title>\n                  <jats:bold>A<\/jats:bold>\n                  bstract\n                <\/jats:title>\n                <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Early childhood vision screening is critical for detecting amblyopia and other vision-threatening conditions. Despite screening recommendations during well-child visits, rates remain low. Red reflex assessment is recommended to identify serious ocular pathology, yet its use in primary care is not well described. We examined rates and drivers of vision screening in pediatric primary care.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a retrospective review of electronic health records for children 3\u20135 years attending well-child visits in 2022 in one of three representative primary care clinics within a university health system. Outcomes were documented red reflex and functional vision tests. We evaluated associations with patient demographics and clinic site using multivariable logistic regression<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 1,003 visits, 21.1% (n=212) had a documented red reflex assessment, and 60.8% (n=610) a functional vision test. Younger children (ages 3 and 4 vs. 5 years) had higher odds of red reflex assessment [adjusted odds ratio (aOR) 9.00 and 8.64], and lower odds of a functional vision (aOR 0.47 and 0.59) test. Females had higher odds of red reflex assessment (aOR 1.53). Other\/Multiracial children had lower odds of red reflex assessment than Non-Hispanic White children (aOR 0.48). Screening rates varied significantly by clinic site<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Visual function and red reflex assessment are inconsistently performed in pediatric primary care, with particularly low rates of red reflex documentation. Screening rates varied between clinics and were affected by age. These findings highlight missed opportunities for early detection of vision-threatening conditions and identify targets for improving adherence to pediatric vision screening recommendations.<\/jats:p>\n                <\/jats:sec>","DOI":"10.64898\/2026.06.08.26355190","type":"posted-content","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:25:59Z","timestamp":1781655959000},"source":"Crossref","is-referenced-by-count":0,"title":["Adherence to Red Reflex and Vision Screening Recommendations: A Deep Dive into Primary Care Implementation Gaps"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0341-0799","authenticated-orcid":false,"given":"Afua O.","family":"Asare","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Utah, Salt Lake City, Utah"},{"name":"Department of Population Health Sciences, University of Utah, Salt Lake City, Utah"},{"name":"Department of Pediatrics, Division of General Pediatrics, Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5050-0322","authenticated-orcid":false,"given":"Giovani","family":"Robles","sequence":"additional","affiliation":[{"name":"Spencer Fox Eccles School of Medicine, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9574-4479","authenticated-orcid":false,"given":"E. 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