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August 1986

Screening 3-Year-Olds for Visual Problems

Arch Ophthalmol. 1986;104(8):1113. doi:10.1001/archopht.1986.01050200019007

To the Editor.  —Dr Reinecke's' editorial in the January issue of the Archives raises questions about ophthalmologic screening that are important not only in the United States and Cuba but in the whole world. The author seems to prefer governmentally controlled screening at the age of 3 years by the use of the Random Dot E stereogram.I would like to herein describe another way of preventive visual care, one that is based more on private initiative and constant follow-up with the help of pediatricians and general practitioners. As Dr Reinecke points out, it would be better if we could screen children at the age of 1 or 2 years. There is a reliable screening method at this age—the Lang stereotest. As shown in different reports,2-4 this test can well be administered to children younger than 3 years, because it does not require glasses. It is in wide use

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