Tertiary Care for Visual Developmental Disorders in Pre-school Children
Condition: Visual Developmental Disorders
MeSH terms: Developmental Disabilities
Study type: Interventional

Summary: 
      Visual development disorders are major public health problems among children especially in
      China. How to find an effective and economic way to manage the larger number of children in
      China remains exploring. The national basic public health services of China offer visual
      acuity screening for preschool children for free every year. The aim of this study is to
      demonstrate the feasibility, cost-effective and the influence factors of compliance of
      tertiary care for visual developmental disorders in pre-school children after screening, and
      whether this disease management model is more effective and superior than the current medical
      care in china.
    

Detailed description: 
      Visual development disorders including amblyopia , strabismus ,refractive error are an
      important public health problem among children, and the visual impairment caused by visual
      development disorders is lifelong and can be profound. Timely discovering and treatment of
      visual development disorders are significant for the recovering of visual function in
      children. The national basic public health services of China offer the basic visual acuity
      screening every year for free. In this study, the investigators try to explore the
      cost-effective and compliance of the national basic public health services based tertiary
      care model for the management of visual development disorders among preschool children. This
      Tertiary care based on disease management model among preschool children was conducted at
      Yudu county, Jiangxi province, in China. Preschool vision screening relied on the national
      basic public health services of China (refractive errors examined by the Retinomax
      autorefractor). Children who failed the screening were randomized into two groups, the
      intervention group: their parents will be informed and transferred to an ophthalmologist and
      optometrist at Ophthalmic Referral Center, receiving basic eye examination and therapy
      (visual corrected by glasses and periodic review); The control group: their parents will be
      informed and suggest them to take their children to the hospital for further examination by
      themselves.
    

Intervention name(s): Tertiary care; Usual Care
Intervention type(s): Other; Other
Intervention description(s): Inform the parents that there are abnormalities after eye disease screening of their children, and the program of tertiary care for visual developmental disorders
The children will be receiving the appropriate therapy in tertiary care and follow-up according to the clinical guidelines
Six months after receiving the screening report, all the parents will be interviewed by telephone, or visiting if necessary.; Inform the parents that there are abnormalities after eye disease screening of their children
Inform the parents that they should take their children to the hospital for further consultation
Six months after the receiving the screening report, all the parents will be interviewed by telephone, or visiting if necessary.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: myopia; Tertiary Care; Pre-school Children