Clinical Report: Assessment of Online Visual Acuity Self-Testing in Pediatrics

Overview

This report evaluates the implementation of DigiVis DVA for remote consultations in pediatric ophthalmology over a 43-month period.

Background

The Covid-19 pandemic has significantly impacted ophthalmology services, leading to increased clinic backlogs and delays in diagnosis. With a projected 40% rise in demand for eye services over the next two decades, innovative solutions like remote consultations and self-testing for visual acuity are essential.

Data Highlights

No numerical data was provided in the source material.

Key Findings

• DigiVis DVA was introduced for remote consultations during the Covid pandemic in 2021.
• The app enables automated digital self-testing of best corrected distance visual acuity (BCVA).
• Children aged 4 to 16 were included in the study based on specific eligibility criteria.
• Parents received guidance and materials to facilitate home testing.
• The app has been integrated into clinical pathways within the NHS trust.

Clinical Implications

The use of DigiVis DVA may enhance access to visual acuity testing for pediatric patients, particularly in rural areas. This approach could alleviate some of the burdens on in-person clinic visits while ensuring that children at risk for amblyopia receive necessary monitoring.

Conclusion

The implementation of DigiVis DVA in pediatric ophthalmology demonstrates a promising approach to remote visual acuity assessment. Continued evaluation and validation of such tools are essential for their integration into standard practice.

Related Resources & Content

1. Optometric Management, 2023 -- Examining the Pros and Cons of Online Vision Testing
2. Ophthalmology Management, 2020 -- Telemedicine in the era of COVID-19
3. Pediatric Eye Evaluations Preferred Practice Pattern - PubMed, 2023
4. Optometric Management — LEADING OFF: Examining the Pros and Cons of Online Vision Testing
5. Glaucoma Physician — Telehealth for Glaucoma
6. Pediatric Eye Evaluations Preferred Practice Pattern - PubMed
7. Recommendation: Vision in Children Ages 6 Months to 5 Years: Screening | United States Preventive Services Taskforce
8. Pediatric Vision Screening - EyeWiki
9. Evidence-Based Clinical Practice Guideline
10. https://www.rcophth.ac.uk/wp-content/uploads/2020/06/Telemedicine-For-Paediatric-Services-Rapid-Advice.pdf
11. At-home visual acuity in children using a custom iPhone application compared with standardized in-office visual acuity testing - PubMed
12. Clinical validation of a cross-platform digital visual acuity measurement system - Juan C Costa, Daniel M Amorim, Paulo R Lins, 2025
13. Novel web application for self-assessment of distance visual acuity to support remote consultation: a real-world validation study in children | BMJ Open Ophthalmology
14. OP-06 Video-consulting with DigiVis testing: a real-world evaluation | BMJ Open Ophthalmology
15. Pediatric teleophthalmology screening: a scoping review of global evidence and implications for Canada - PubMed
16. Children’s visual acuity tests without professional supervision: a prospective repeated measures study | Eye
17. 130153 Orthoptic-led paediatric eye emergency service: a service evaluation | BMJ Open Ophthalmology