Vision screening of school children in greenland 2017-2022: coverage and low vision prevalence

Vision screening during childhood is vital for the early detection and treatment of visual impairment that may significantly impact a child’s development and quality of life. This nationwide cross-sectional study used data from Greenland’s national electronic medical records, including 2,493 six-yea...

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Main Authors: Nick Duelund, Ivan Nisted, Ivalu Frederiksen, Marit Eika Jørgensen, Steffen Heegaard, Hanne Jensen
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:International Journal of Circumpolar Health
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Online Access:https://www.tandfonline.com/doi/10.1080/22423982.2024.2403221
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author Nick Duelund
Ivan Nisted
Ivalu Frederiksen
Marit Eika Jørgensen
Steffen Heegaard
Hanne Jensen
author_facet Nick Duelund
Ivan Nisted
Ivalu Frederiksen
Marit Eika Jørgensen
Steffen Heegaard
Hanne Jensen
author_sort Nick Duelund
collection DOAJ
description Vision screening during childhood is vital for the early detection and treatment of visual impairment that may significantly impact a child’s development and quality of life. This nationwide cross-sectional study used data from Greenland’s national electronic medical records, including 2,493 six-year-old children from July 2017 to July 2023, to evaluate the coverage rate of vision screening and the prevalence of low vision in Greenlandic schoolchildren. The participation rate in vision screening increased from 43% in 2017 to 61% in 2022, while referral rates to ophthalmologists decreased from 14% to 5%, despite a consistent prevalence of low vision. The mean prevalence of impaired vision (0.3 logMAR / ≤0.50 Snellen decimal) in the better-seeing eye at the vision screening throughout the study period was 3%. At the same time, it was 8% for the worse-seeing eyes, indicating a continuous need for ophthalmological evaluation of the Greenlandic children. This study highlights healthcare delivery challenges in Greenland’s sparsely populated areas and emphasises the need for new national guidelines to optimise referral processes. Utilising other healthcare professionals, such as optometrists, for vision screenings and ensuring follow-ups are critical for improving the visual health outcomes of Greenlandic children.
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spelling doaj-art-a5b4c26564da4d58acce278b6bccf8632024-11-29T19:53:24ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822024-12-0183110.1080/22423982.2024.2403221Vision screening of school children in greenland 2017-2022: coverage and low vision prevalenceNick Duelund0Ivan Nisted1Ivalu Frederiksen2Marit Eika Jørgensen3Steffen Heegaard4Hanne Jensen5Queen Ingrids Primary Healthcare Center, Nuuk, GreenlandDanish College of Optometry and Vision Science, Dania Academy, Randers, DenmarkSisimiut Regional Hospital, Sisimiut, GreenlandGreeland Center for Health Research, Institute of Health and Nature, Ilisimatusarfik University of Greenland, Nuuk, GreenlandDepartment of Ophthalmology, Rigshospitalet, DenmarkDepartment of Ophthalmology, Rigshospitalet, DenmarkVision screening during childhood is vital for the early detection and treatment of visual impairment that may significantly impact a child’s development and quality of life. This nationwide cross-sectional study used data from Greenland’s national electronic medical records, including 2,493 six-year-old children from July 2017 to July 2023, to evaluate the coverage rate of vision screening and the prevalence of low vision in Greenlandic schoolchildren. The participation rate in vision screening increased from 43% in 2017 to 61% in 2022, while referral rates to ophthalmologists decreased from 14% to 5%, despite a consistent prevalence of low vision. The mean prevalence of impaired vision (0.3 logMAR / ≤0.50 Snellen decimal) in the better-seeing eye at the vision screening throughout the study period was 3%. At the same time, it was 8% for the worse-seeing eyes, indicating a continuous need for ophthalmological evaluation of the Greenlandic children. This study highlights healthcare delivery challenges in Greenland’s sparsely populated areas and emphasises the need for new national guidelines to optimise referral processes. Utilising other healthcare professionals, such as optometrists, for vision screenings and ensuring follow-ups are critical for improving the visual health outcomes of Greenlandic children.https://www.tandfonline.com/doi/10.1080/22423982.2024.2403221ArcticGreenlandschool childrenvision screeningvisual acuity
spellingShingle Nick Duelund
Ivan Nisted
Ivalu Frederiksen
Marit Eika Jørgensen
Steffen Heegaard
Hanne Jensen
Vision screening of school children in greenland 2017-2022: coverage and low vision prevalence
International Journal of Circumpolar Health
Arctic
Greenland
school children
vision screening
visual acuity
title Vision screening of school children in greenland 2017-2022: coverage and low vision prevalence
title_full Vision screening of school children in greenland 2017-2022: coverage and low vision prevalence
title_fullStr Vision screening of school children in greenland 2017-2022: coverage and low vision prevalence
title_full_unstemmed Vision screening of school children in greenland 2017-2022: coverage and low vision prevalence
title_short Vision screening of school children in greenland 2017-2022: coverage and low vision prevalence
title_sort vision screening of school children in greenland 2017 2022 coverage and low vision prevalence
topic Arctic
Greenland
school children
vision screening
visual acuity
url https://www.tandfonline.com/doi/10.1080/22423982.2024.2403221
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