How do primary and middle school students do refractive screening?

In order to standardize the screening of myopia ametropia in children and adolescents, promote the prevention and treatment of myopia and other ametropia, and improve the eye health level of children and adolescents in China, the National Health and Wellness Committee entrusted the Shanghai Eye Disease Prevention and Control Center, the Peking University Institute of Children and Adolescents' Health, the First People's Hospital affiliated to Shanghai Jiaotong University and other relevant units to study and formulate the "Screening Standards for ametropia for Primary and Secondary School Students" on the basis of soliciting opinions and suggestions from relevant units and experts from all walks of life.

I. Scope of application

This standard is applicable to hospitals, centers for disease control and prevention, community health service centers, township hospitals, maternal and child health centers and primary and secondary medical and health institutions that carry out ametropia screening for primary and secondary school students.

Second, the preparation ideas

Standardized ametropia screening is an important starting point for preventing and controlling ametropia including myopia. On the basis of the traditional screening method of naked-eye hyperopia, adhere to the scientific and practical principles, unify the operation methods, screening indicators and thresholds used in ametropia screening, and conduct scientific and standardized results feedback, formulate the standards suitable for large-scale ametropia screening of children and adolescents, and apply them to the ametropia screening practice of children and adolescents in China. The judgment of myopia screening results refers to the "Guide to Appropriate Technologies for Prevention and Control of Myopia for Children and Adolescents" issued by the General Office of the National Health and Wellness Committee. At the same time, it is emphasized that in the screening process, screening personnel should actively identify other common eye diseases of primary and secondary school students and refer them in time.

Third, the main content

This standard stipulates the basic requirements, screening methods, referral suggestions and post-screening requirements of ametropia screening for primary and secondary school students.

The basic requirements of ametropia screening include five parts, namely, screening institutions, screening personnel, screening places, screening equipment, screening time and frequency.

The screening method of ametropia screening includes five parts, namely, naked eye hyperopia, wearing glasses hyperopia, refractive examination, identification of major eye diseases and recording of screening results.

The screening results of ametropia are not of diagnostic significance, and the diagnosis can only be made after further examination in a medical institution with a valid medical institution license. This standard gives suggestions for referral after screening for naked hyperopia, hyperopia with glasses and optometry without mydriasis.