ISSN : 1229-6457(Print)
ISSN : 2466-040X(Online)
ISSN : 2466-040X(Online)
The Korean Journal of Vision Science Vol.27 No.3 pp.233-240
DOI : https://doi.org/10.17337/JMBI.2025.27.3.233
DOI : https://doi.org/10.17337/JMBI.2025.27.3.233
Limitations of Preschool Vision Screening Items in Korea and Comparison with International Guidelines
Abstract
Purpose : This study aimed to identify structural limitations of preschool vision screening in Korea and to propose improvements by comparing them with international guidelines.
Methods : Domestic sources (Ministry of Health and Welfare regulations, National Health Insurance Service manuals, the Medical Service Act, the Medical Technologists Act) and national survey reports were reviewed. International guidelines and reports from USPSTF, AAPOS/AAO PPP, UK NSC, StEPS (Australia), WHO, and comparative studies were analyzed.
Results : Internationally, standardized items—Hirschberg, cover/uncover, Bruckner, stereopsis, and monocular acuity—are included, with instrument-based screening for children <36 months. In contrast, Korea relies mainly on interviews and observation, lacking standardized protocols and unified referral criteria, limiting early detection of amblyopia and strabismus. Optometrists are institutionally excluded, constraining use of professional expertise.
Conclusion : Internationally, standardized items—Hirschberg, cover/uncover, Bruckner, stereopsis, and monocular acuity—are included, with instrument-based screening for children <36 months. In contrast, Korea relies mainly on interviews and observation, lacking standardized protocols and unified referral criteria, limiting early detection of amblyopia and strabismus. Optometrists are institutionally excluded, constraining use of professional expertise.
Methods : Domestic sources (Ministry of Health and Welfare regulations, National Health Insurance Service manuals, the Medical Service Act, the Medical Technologists Act) and national survey reports were reviewed. International guidelines and reports from USPSTF, AAPOS/AAO PPP, UK NSC, StEPS (Australia), WHO, and comparative studies were analyzed.
Results : Internationally, standardized items—Hirschberg, cover/uncover, Bruckner, stereopsis, and monocular acuity—are included, with instrument-based screening for children <36 months. In contrast, Korea relies mainly on interviews and observation, lacking standardized protocols and unified referral criteria, limiting early detection of amblyopia and strabismus. Optometrists are institutionally excluded, constraining use of professional expertise.
Conclusion : Internationally, standardized items—Hirschberg, cover/uncover, Bruckner, stereopsis, and monocular acuity—are included, with instrument-based screening for children <36 months. In contrast, Korea relies mainly on interviews and observation, lacking standardized protocols and unified referral criteria, limiting early detection of amblyopia and strabismus. Optometrists are institutionally excluded, constraining use of professional expertise.