Comparison of astigmatism in three-year-old children with epiblepharon who underwent closer examination in a vision screening program

KABURA Ryota

IWASAKI Rumi

FUKUDA Rikako

MATSUMOTO Kanon

FURUSHIMA Kyoka

TAKESHITA Tetsuji

Hiroshima Journal of Medical Sciences

[PISSN] 0018-2052

[EISSN] 2433-7668

[NCID] AA00664312

This study aimed to compare 3-year-old children with suspected astigmatism and refractive errors in a vision screening program (VSP) and those diagnosed with epiblepharon on closer examination (CE). In a population of 1,250 children in a VSP conducted between April 2014 and March 2021, 168 children received a CE rating, and 89 patients subsequently underwent CE. The handheld refractors used in VSP were SureSight® and Spot®VisionScreener (Welch Allyn). In CE, a 5 m Landolt C ring angular vision test and auto-ref/keratometer TONOREFTM II (NIDEK) was used for measurement in non-cycloplegia. Epiblepharon was diagnosed by an ophthalmologist using slit-lamp microscopy. The patients were divided into epiblepharon and non-epiblepharon groups for CE. VSP detected a cylindrical power of 1.65 ± 2.25 D and 0.86 ± 0.74 D, respectively, in the epiblepharon and without epiblepharon groups. CE detected an uncorrected visual acuity of 0.42 ± 0.46 and 0.16 ± 0.29 (logMAR), a corrected visual acuity of 0.22 ± 0.31 and 0.09 ± 0.24, a subjective cylindrical power of 0.65 ± 1.15 D and 0.23 ± 0.56 D, and corneal astigmatism of 1.97 ± 0.93 D and 1.45 ± 0.82 D in the epiblepharon and without epiblepharon groups, respectively; significant differences were observed for all parameters (p < 0.05). Among 3-year-old children with suspected amblyopia or refractive error not reaching the reference level, those with epiblepharon had more astigmatism than those without it. If a case of high astigmatism is found in the refractive test, an epiblepharon may be present.

Vision screening program

Epiblepharon

Astigmatism

eng

Hiroshima University Medical Press

Copyright (c) 2023 Hiroshima University Medical Press

[DOI] https://doi.org/10.24811/hjms.72.1-2_5 isIdenticalTo