Is it time to review the screening guidelines for younger diabetic children?

To the Editor: Routine school vision screening has been discontinued in many regions.1

Correspondence: cdunlop@hunterlink.net.au

1. Concern for poor vision. Newcastle Morning Herald 1999; 13 Nov: 20.
2. Attebo K, Mitchell P, Cumming R, et al. Prevalence and causes of amblyopia in an adult population. Ophthalmology 1998; 105: 154-159.
3. Scheiman MM, Hertle RW, Beck RW, et al. Randomized trial of treatment of amblyopia in children aged 7 to 17 years. Arch Ophthalmol 2005; 123: 437-447.
4. Chua B, Mitchell P. Consequences of amblyopia on education, occupation, and long-term vision loss. Br J Ophthalmol 2004; 88: 1119-1121.
5. Australasian Paediatric Endocrine Group for the Department of Health and Ageing. Clinical practice guidelines: type 1 diabetes in children and adolescents. Canberra: National Health and Medical Research Council, March 2005. Available at: http://www.nhmrc.gov.au/publications/synopses/cp102syn.htm (accessed Mar 2006).
6. International Society for Pediatric and Adolescent Diabetes. Consensus guidelines for the management of insulin-dependent diabetes in childhood and adolescence. ISPAD, 2000. Available at: http://www.ispad.org/ (accessed Mar 2006).
7. Maguire A, Chan A, Cusumano J, et al. The case for biennial retinopathy screening in children and adolescents. Diabetes Care 2005; 28: 509-513.

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