Refractive screening for primary and secondary school students, how to do?

In order to standardize the myopia refractive error screening of children and adolescents, promote the prevention and control of myopia and other refractive errors in the population, and improve the eye health of children and adolescents in China, the National Health Commission commissioned the Shanghai Eye Disease Prevention and Control Center, the Institute of Child and Adolescent Health at Peking University, the First People's Hospital affiliated with the Shanghai Jiaotong University and other relevant units, and consulted the views and suggestions of relevant units and experts in various fields On the basis of several consultations with relevant units and experts in various fields, the study formulated the "Refractive Error Screening Norms for Primary and Secondary School Students".

First, the scope of application

This standard applies to primary and secondary school students refractive error screening hospitals, CDCs, community health centers, township health centers, maternal and child health centers and primary and secondary school health care institutions.

Second, the preparation of ideas

Normalization of refractive error screening is an important entry point for the prevention and control of myopia, including refractive error. On the basis of the traditional screening method of naked-eye visual acuity, adhering to the principles of science and practice, unifying refractive error screening methods, screening indicators and thresholds used, as well as scientific and standardized feedback of the results, the development of standards for large-scale refractive error screening of children and adolescents, and applying them to the practice of refractive error screening in China's children and adolescents. For the determination of myopia screening results, reference was made to the Guidelines on Appropriate Technology for Prevention and Control of Myopia in Children and Adolescents issued by the General Office of the National Health and Wellness Commission. It is also emphasized that during the screening process, screeners should actively identify other eye diseases common to primary and secondary school students and make timely referrals.

Third, the main content

This standard specifies the basic requirements of refractive error screening of primary and secondary school students, screening methods, referral recommendations and requirements after screening.

The basic requirements for refractive error screening include five parts, namely, screening organization, screening personnel, screening place, screening instruments and equipment, screening time and frequency.

The screening methods for refractive error screening include five parts, namely, naked eye distance vision examination, lensed distance vision examination, refractive testing, identification of major eye diseases, and recording of screening results.

Refractive error screening results do not have diagnostic significance and require further examination at a medical institution with a valid medical practice license to confirm the diagnosis. This standard gives recommendations for referral after screening with naked eye distance vision, lensed distance vision, and optometry in a non-ciliary muscle paralysis state.