熊本県御船町の幼稚園・保育園における眼科健診の報告

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  • Report of Ophthalmological Screening in the Health Check Program of Kindergarten and Nursery School in Mifune-Machi in Kumamoto Prefecture.

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We have been taking part in Ophthalmological screening which is a part of the health check program in kindergarten in Mifune-machi, Kumamoto Prefecture since 1994. This screening system has also been carried out in the nursery school since 1996. We reported here results of Ophthalmological screening from 1994 to 1997.<br>1213 children were examined in this report and the age were ranging from zero to five. An Ophthalmologist and an orthoptist visited and examined children in each institution.<br>The results showed that 68 children (5.6%) were required precise eye examination and 35 children (2.9%) were referred to the eye hospital for further treatment.<br>49 of 68 (72.1%) were referred to Nomua eye clinic where the author is working.<br>37 (75.5%) of 49 were required regular follow-up or ophthalmological treatment.<br>9 of 37 were intermittent exotropias, 10 were exophorias, 1 was accommodative esotropia, 1 was superior oblique palsy, 8 were refractive errors and 4 were amblyopias.<br>However, 22 of these 37 subsequently dropped out of their treatment program in our clinic.<br>34 of these 37 had the health check program for 3-year-olds, and 30 of 34 were tested by nurses including public health nurses. However, 29 of 30 cases were not indicated abnormalities with their eyes.<br>The eye screening by Ophthalmologists and Orthoptists in pre-school children were useful. It was highly effective to find the cases of intermittent exotropias, accommodative esotropias and amblyoia and other disease. We found more than half of children who were needed further treatment dropped out and it was a considerable problem.

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