What peer-reviewed studies from Cameroon between 2018 and 2025 have evaluated pediatric or school-based vision-screening programs, including acuity-based, automated, or combined methods, in terms of program design, coverage, outcomes, cost-effectiveness, and implementation feasibility?

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Peer-Reviewed Studies from Cameroon on Pediatric Vision Screening (2018-2025)

Direct Answer

No peer-reviewed studies from Cameroon published between 2018 and 2025 evaluating pediatric or school-based vision-screening programs were identified in the provided evidence base.

Context and Evidence Gap

The evidence provided consists entirely of:

  • International clinical practice guidelines from the American Academy of Ophthalmology 1, American Academy of Pediatrics 1, and U.S. Preventive Services Task Force 2 addressing general pediatric vision screening methodology and recommendations

  • Studies from other geographic regions, including:

    • United States (Philadelphia school-based screening) 3
    • United States (primary care pediatric practice screening) 4
    • United States (third-grade screening comparison) 5
    • Israel (preschool vision screening policy) 6
    • General U.S. preschool screening review from 1998 7

None of these studies were conducted in Cameroon or report data specific to Cameroonian pediatric populations.

What the Evidence Shows About Vision Screening Generally

While not from Cameroon, the available evidence demonstrates:

  • Instrument-based screening (photoscreening and autorefraction) is effective for children younger than 3-4 years who cannot perform optotype-based testing 1, 2

  • School-based programs can achieve high coverage rates (10,726 children screened across 45 schools in Philadelphia) with 12% detecting refractive error 3

  • Positive predictive values vary by age: 30% for 3-year-olds, 77.8% for 4-year-olds, and 87.5% for 5-year-olds using visual acuity screening 4

  • Time efficiency favors instrument-based screening (30 seconds) versus traditional optotype screening (120 seconds) in third-graders 5

  • Follow-up completion remains challenging, with only 38.7% of referred children completing ophthalmologic examinations in underserved U.S. communities 4

Research Need

The absence of Cameroon-specific data represents a significant evidence gap for implementing context-appropriate vision screening programs in Central African pediatric populations, where prevalence of amblyogenic risk factors, resource availability, cultural factors, and healthcare infrastructure differ substantially from high-income countries.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Vision Screening Recommendations for Children

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Improving access to vision screening in urban Philadelphia elementary schools.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 2016

Research

Preschool vision screening in primary care pediatric practice.

Public health reports (Washington, D.C. : 1974), 2013

Research

Traditional and instrument-based vision screening in third-grade students.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 2020

Research

Evidence-based preschool-age vision screening: health policy considerations.

Israel journal of health policy research, 2019

Research

Vision screening of preschool children: evaluating the past, looking toward the future.

Optometry and vision science : official publication of the American Academy of Optometry, 1998

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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