We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Enhancing the Value of Preschool Vision Screenings

Eric L. Ross, BA1,2; Joshua D. Stein, MD, MS1,2,3
[+] Author Affiliations
1University of Michigan Medical School, Department of Ophthalmology and Visual Sciences, Ann Arbor
2University of Michigan School of Public Health, Department of Health Management and Policy, Ann Arbor
3Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
JAMA Ophthalmol. 2016;134(6):664-665. doi:10.1001/jamaophthalmol.2016.0822.
Text Size: A A A
Published online


In this issue of JAMA Ophthalmology, Lowry and de Alba Campomanes1 present findings of a study comparing the cost-effectiveness of 2 approaches to follow-up examinations of children who fail preschool vision screenings: the use of a mobile eye examination unit (mobile follow-up) staffed by eye care professionals that travels directly to the schools to perform examinations vs referral of children to community eye care professionals, which is the standard of care in many school systems.1 They found the follow-up rate for children who failed the vision screenings was relatively similar using the mobile follow-up (55%) compared with referring children to community eye care professionals (59%). Moreover, mobile follow-up use had a higher cost per case of visual impairment detected ($776) relative to the standard practice of referral to community eye care professionals ($664). The authors1 aptly conclude that use of mobile follow-up to evaluate children after a failed vision screening as currently implemented is not as cost-effective as referral to community eye care professionals.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles