Cochrane · systematic review · CD005023
Vision screening for correctable visual acuity deficits in school‐age children and adolescents
Evans, JR, Morjaria, P, Powell, C · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
Eyes and VisionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
9
No studies
12
Included studies
NR
No studies 12 · 57.1%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 14.3%Moderate 4 · 19%High 2 · 9.5%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Free spectacles versus no free spectacles (prescription only)
Population: school‐age children and adolescents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Uncorrected visual acuity deficit due to refractive error Free spectacles vs no free spectacles (prescription only) | no estimate extracted | NR | No studies |
Uncorrected visual acuity deficit due to refractive error Free spectacles vs no free spectacles (prescription only) | no estimate extracted | NR | No studies |
Visual acuity deficit due causes other than refractive error Free spectacles vs no free spectacles (prescription only) | no estimate extracted | NR | No studies |
Spectacle wearing Free spectacles vs no free spectacles (prescription only) | RR 1.6 [1.34, 1.9] | 2 studies · 1092 participants | High |
Quality of life Free spectacles vs no free spectacles (prescription only) | no estimate extracted | 1 study · 2289 participants | Low Downgraded: imprecision, indirectness |
Cost Free spectacles vs no free spectacles (prescription only) | no estimate extracted | 2008 participants | Low Downgraded: indirectness |
Adverse effects Free spectacles vs no free spectacles (prescription only) | no estimate extracted | 0 participants | Moderate Downgraded: indirectness |
Educational intervention versus no educational intervention
Population: school‐age children and adolescents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Uncorrected visual acuity deficit due to refractive error Educational intervention vs no educational intervention | no estimate extracted | NR | No studies |
Uncorrected visual acuity deficit due to refractive error Educational intervention vs no educational intervention | no estimate extracted | NR | No studies |
Visual acuity deficit due causes other than refractive error Educational intervention vs no educational intervention | no estimate extracted | NR | No studies |
Spectacle wearing Educational intervention vs no educational intervention | RR 1.11 [0.95, 1.31] | 1 study · 3177 participants | Moderate Downgraded: imprecision |
Quality of life Educational intervention vs no educational intervention | no estimate extracted | NR | No studies |
Cost Educational intervention vs no educational intervention | no estimate extracted | NR | No studies |
Adverse effects Educational intervention vs no educational intervention | no estimate extracted | NR | No studies |
Ready‐made versus custom‐made spectacles
Population: school‐age children and adolescents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Uncorrected visual acuity deficit due to refractive error Ready‐made vs custom‐made spectacles | no estimate extracted | 1 study · 414 participants | Moderate Downgraded: indirectness |
Uncorrected visual acuity deficit due to refractive error Ready‐made vs custom‐made spectacles | no estimate extracted | NR | No studies |
Visual acuity deficit due to causes other than refractive error Ready‐made vs custom‐made spectacles | no estimate extracted | NR | No studies |
Spectacle wearing Ready‐made vs custom‐made spectacles | RR 0.98 [0.91, 1.05] | 3 studies · 1203 participants | High |
Quality of life Measured using the NEI‐RQL‐42. Higher scores are better quality of life. Ready‐made vs custom‐made spectacles | no estimate extracted | 1 study · 188 participants | Moderate Downgraded: indirectness |
Cost Ready‐made vs custom‐made spectacles | no estimate extracted | NR | No studies |
Adverse effects Ready‐made vs custom‐made spectacles | no estimate extracted | NR | Low Downgraded: imprecision, indirectness |