Aim To establish the prevalence of refractive errors in preschool and school children between 4 and 15 years of age, living in Tuzla, Bosnia and Herzegovina. Methods Children from all elementary schools in the city of Tuzla and as well from eight day-care centres were screened for refractive errors in the period 2015-2019. Any child, who failed to pass the screening examination, was referred to an ophthalmologist for complete ophthalmological evaluation. The obtained data were analysed using non-parametric statistics. Results The highest number of children who were tested after the screening process was during 2015. A total of 7415 children (3790 males and 3625 females), in the age range of 4-15 were screened. In the total sample of children who were completely evaluated (n=145; 290 eyes) the most common refractive error was astigmatism, in 152 (52.4%) eyes. In the preschool children (n=18; 36 eyes), the most common refractive error was astigmatism, in 19 (52.8%) eyes, followed by hyperopia, in 9 (25%) eyes. In the school children (n=127) (254 eyes), the most common refractive error was astigmatism, in 133 (52.4%) eyes, followed by myopia, in 92 (36.2%) eyes. The overall prevalence of refractive errors was 1.95% (145 with refractive error out of 7415 screened). Conclusion Prevalence of refractive errors is high enough to justify a school eye screening programme.
Harrington S, Stack J, Saunders K, O´dwyer V. Refractive error and visual impairment in Ireland school children. Br J Ophthalmol. 2019;1112–8.
2.
Goss D, Grosvenor T. Optometric Clinical Practice Guideline Care of Patient with Myopia. Reference Guide for Clinicians. 2006;3–10.
3.
Wa L, Schaeffel F, Myopia. Dtsch Arztebl Int. 2017;575–80.
4.
Williams K, Hammond C. High myopia and its risks. Community Eye Health. 2019;5–6.
5.
Verhoeven V, Wong K, Buitendijk G, Hofman A, Vingerling J, Klaver C. Visual consequences of refractive errors in the general population. Ophthalmology. 2015;101–9.
6.
Bruce A, Fairley L, Chambers B, Wright J, Sheldon T. Impact of visual acuity on developing literacy at age 4-5years: a cohort-nested cross-sectional study. BMJ Open. 2016;10434.
7.
Grosvenor T. How much do we know about astigmatism? Clin Exp Optom. 2007;3–4.
8.
Sayed K. Analysis of components of total astigmatism in infants and young children. Int Ophthalmol. 2017;125–9.
9.
Yap T, Luu C, Suttle C, Chia A, Boon M. Effect of stimulus orientation on visual function in children with refractive amblyopia. Invest Ophthalmol Vis Sci. 2020;1–9.
10.
Harvey E. Development and treatment of astigmatism-related amblyopia. Optom Vis Sc. 2009;634–9.
11.
Murray S, Codina C. The role of binocularity in anisometropic amblyopia. J Binocul Vis Ocul Motil. 2019;141–52.
12.
Kostovska V, Stankovic-Babić G, Smiljkovic-Radovanović K, Cekić S, Vujanović M, Bivolarević I. Analysis of refractive errors in children aged up to 15 years. Acta Medica Medianae. 2013;33–40.
13.
Deng L, Gwiazda J. Anisometropia in children from infancy to 15 years. Invest Ophthalmol Vis Sc. 2012;3782–8.
14.
Vodencarevic A, Jusufovic V, Halilbasic M, Alimanovic E, Terzić S, Čabrić E, et al. Amblyopia in children: analysis among preschool and school children in the city of Tuzla. Mater Sociomed. 2017;164–7.
15.
Popovic-Beganovic A, Zvorničanin J, Vrbljanac V, Zvorničanin E. The prevalence of refractive errors and visual impairment among school children in Brčko District, Bosnia and Herzegovina. Semin Ophthalmol. 2018;1–11.
16.
Pidro A, Alajbegović-Halimić J, Jovanović N, Pidro A. Evaluation of refractive errors in retinopathy of prematurity screening. Med Glas (Zenica). 2019;204–8.
17.
Busic M, Bjelos M, Petrovecki M, Elabjer K, Bosnar B, Ramic D, et al. Zagreb Amblyopia Preschool Screening Study: near and distance visual acuity testing increase the diagnostic accuracy of screening for amblyopia. Croat Med J. 2016;29–41.
18.
Al-Tamimi E, Shakeel A, Yassin S, Ali S, Khan U. A clinic-based study of refractive errors, strabismus and amblyopia in pediatric age-group. J Family Community Med. 2015;158–62.
19.
Muma M, Kimani K, Kariuki-Wanyoike M, Ilako D, Njuguna M. Prevalence of refractive errors among primary school pupils in Kilungu Division of Makueni District. Kenya Med J Zambia. 2009;165–70.
20.
Hashemi H, Rezvan F, Yekta A, Hashemi M, Norouzirad R, Khabazkhoob M. The prevalence of astigmatism and its determinants in a rural population of Iran: the “Nooravaran Salamat” mobile eye clinic experience. Middle East Afr J of Ophthalmol. 2014;175–81.
21.
Maul E, Barroso S, Munoz S, Sperduto R. Ellwein LB. Refractive error study in children: Results from La Florida, Chile. Am J Ophthalmol. 2000;445–54.
22.
Shrestha G, Sujakhu D, Joshi P. Refractive error among school children in Jhapa. Nepal J Optom. 2011;49–55.
23.
Pokharel G, Negrel A, Munoz S, Ellwein L. Refractive error study in children: results from Mechi Zone, Nepal. Am J Ophthalmol. 2000;436–44.
24.
Bolinovska S. Hipermetropija kod dece predškolskog i školskog uzrasta. Med Pregl. 2007;115–21.
25.
Majauskiene O, Aukstikalniene R, Ceponiene R, Majauskaite I. The evaluation of visual disorders in preschool children. Medicina (Kaunas). 2005;240–5.
26.
Vitale S, Sperduto R. Ferris FL 3rd. Increased prevalence of myopia in the United States between 1971-1972 and 1994-2004. Arch Ophthalmol. 2009;1632–9.
27.
Wu P, Huang H, Hj Y, Fang P, Chen C. Epidemiology of myopia. J Ophthalmol. 2016;386–93.
28.
Yam J, Tang S, Kam K, Chen L, Law Y, Yip A, et al. High prevalence of myopia in children and their parents in Hong Kong Chinese population: the Hong Kong Children Eye Study Acta Ophthalmol. 2020;
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