As part of a proper Schoolvision assessment, there are 8 tests necessary to complete the child’s eye examination. With thanks to Geraint Griffiths, the founder of the schoolvision technique, in the current series of blog posts we have been describing each test separately through series of questions and answers.
Here is a list of the eight tests:
- Brock string
- Dynamic fixation
- Accommodation facility
- Measuring Muscle Balance
- Trial Frame Challenges
- Follow – up
Here below are the questions and answers on the Follow-up routine.
Q: My current follow-up routine is 1 month after collection, 3 months after that, possibly another 3 month review and then 6-monthly on-going. How long should I keep assessing patients for? When is it timely to let them go back to a routine eye exam? I have a vague recollection (possibly incorrect) that you had suggested follow-up would be required for approx. 18-24 months - is an unstable binocular visual system of an 8-yr old likely to need support for several years? Or do you generally find that these children require less binocular vision support in subsequent eye exams?
A: I agree with your management. It’s a great pleasure when the binocular vision difficulties resolve usually with continued wearing spectacles and the children start doing well at school.
My view after about 10 years is that this group of children is somewhat at risk of visual difficulties and all the attendant side-effects. Maybe that applies to all of us and the children with learning difficulties are the lucky ones in that they’re used to the care, which our profession can give them. I certainly think this is a considerable advantage to them.
I don’t think we can have preset follow up times. These have to be determined at the time of the examination and are dependent on what you find. The eyes are changing constantly throughout life, this is particularly true during the growing years. The decision to review should be secondary parental pressure (“I want my son cured”) and cost.
In the long term I would recommend eye examinations begin to approach the normal intervals, which I think we as an Association should determine according to our best clinical judgment.