Challenges and Constraints of Traditional Oculovisual Screening Techniques in Pediatric Populations: Insights from a Systematic Review - Report - MDSpire
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Challenges and Constraints of Traditional Oculovisual Screening Techniques in Pediatric Populations: Insights from a Systematic Review

  • By

  • Baqiatu’l Sabiqi ’Assfi Rahmat

  • Md Mustafa Md-Muziman-Syah

  • Noraishah Mohamed Nor

  • Thashini Sanmugam

  • January 19, 2026

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Challenges and Constraints of Traditional Oculovisual Screening Techniques

Overview

This systematic review highlights significant limitations in traditional oculovisual screening methods for children, emphasizing the need for improved practices. The findings indicate that current screening techniques often overlook common vision problems, potentially impacting early detection and intervention.

Background

Visual impairment in children is a critical global health issue, affecting millions and hindering their quality of life and educational success. The prevalence of refractive errors, particularly myopia, underscores the importance of effective vision screening to prevent long-term consequences such as amblyopia and blindness. Current screening methods are resource-intensive and may not adequately address the diverse visual needs of the pediatric population.

Data Highlights

No numerical data available in the article.

Key Findings

  • Approximately 19 million children globally are visually impaired, with refractive errors being the primary cause.
  • Myopia prevalence is projected to rise from 35.8% in 2023 to 39.8% by 2050.
  • Conventional screening methods focus mainly on visual acuity and refractive errors, neglecting other common vision problems.
  • 6% to 28% of children have vergence anomalies, and up to 36% have accommodation anomalies.
  • Current screening practices are often limited by resource availability and reliance on clinical signs.

Clinical Implications

Healthcare professionals should be aware of the limitations of traditional vision screening methods and consider integrating more comprehensive approaches that include early symptom reporting from caregivers. Enhanced training and resource allocation may improve the effectiveness of vision screening programs in pediatric populations.

Conclusion

The review underscores the urgent need to reassess and enhance conventional vision screening methods to better identify and address the diverse visual needs of children. Improved practices are essential for preventing long-term visual impairment and supporting children's developmental outcomes.

Related Resources & Content

  1. Optometric Management, 2025 -- Facilitating the Pediatric Exam
  2. Retinal Physician, 2008 -- Do Cost Concerns Limit Screening for Retinopathy of Prematurity?
  3. Optometric Management, 2001 -- Are There Too Many O.D.s?
  4. American Academy of Ophthalmology, 2025 -- Instrument-Based Screening for the Detection of Amblyopia and Amblyopia Risk Factors
  5. British Journal of Ophthalmology, 2025 -- Current status of school vision screening
  6. Contact Lens Spectrum — Global Perceptions and Vision Care Realities
  7. AAP Periodicity Schedule
  8. Instrument-Based Screening for the Detection of Amblyopia and Amblyopia Risk Factors: A Report by the American Academy of Ophthalmology - PubMed
  9. Current status of school vision screening—rationale, models, impact and challenges: a review | British Journal of Ophthalmology

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