October 6, 2008 12:01 AM PDT

Diagnostic device looks to correct kids' eyes young

by Leslie Katz
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A new portable device lets doctors conduct a quick, non-invasive pediatric eye exam--and hopefully detect vision problems early.

The PediaVision Assessment Solution (PAS), scheduled to be demonstrated at the American Academy of Pediatrics meeting in Boston this week, uses an infrared camera to take digital images of the eye in children as young as six months. The screener consists of a small, handheld unit; a printer; and a laptop with preinstalled software.

Basically, the PAS projects an infrared light through the pupil onto the retina from a distance of 3 feet (good for shy kids who don't like people up in their faces). Depending on the refractive problem, the reflected light forms a specific brightness pattern within the pupil. The administering doctor then gets a digital printout of the results in about five seconds.

PVS in action (Credit: PediaVision)

Florida-based PediaVision--which was founded by a team of optometrists and ophthalmologists--says the device can be used by non-vision specialists to detect conditions including near-sightedness, far-sightedness, blurred vision, and irregularly shaped corneas or lenses.

The company's CEO, David Melnik, says the PAS aims to provide the pediatricians and family practitioners who are the gatekeepers of children's health with a simple and accurate way to catch vision problems early, when they are most curable.

"Parents look to their pediatrician for early health assessments and trust their physician to thoroughly evaluate and identify any problems from birth," said Melnik, adding that pediatricians now have an easy-to-use tool for early vision assessment.

The idea here is that young children with vision problems often don't know they see the world differently than others. That, along with the fact that vision problems generally don't cause physical pain, means that many kids' vision issues often go undetected.

We'll be curious to see what docs have to say about the device once they give it a try.

Leslie Katz, senior editor of CNET's Crave, covers gadgets, games, and most other digital distractions. As a co-host of the CNET News Daily Podcast, she sometimes tries to channel Terry Gross. E-mail Leslie.
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by jonathanrowson October 6, 2008 7:33 AM PDT
As a family physician, I think this device could save countless children from poor vision, and all of the preventable educational issues they may face. Many children who are born with vision difficulties don't have them identified until they are in late grade school or even middle school. By that time they may have lost so much in terms of potential educational opportunities, that their entire life may be affected by this. I know this isn't a topic that will generate much posts, but I hope to hear more about this!
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by mortyjeff October 7, 2008 10:57 AM PDT
Early vision care is a growing topic as state mandates for screenings and eye exams are in place for the majority of the states, but programs remain in infancy due to funding. Early vision screening for pre-verbal children and beyond at the gatekeeper of childrens care, their pediatrician, brings consistency to screening and helps in referring children with vision issues for proper care.
by scaysh October 6, 2008 7:51 AM PDT
Sounds great, but who will pay for it? Insurance companies as it is don't reimburse for vision screening. That puts the burden on pediatricians and other primary physicians to lay out the cash and provide a service without getting paid for it. I suspect most pediatricians will stick with eye charts, and refer kids too young for eye charts to ophthalmologists when there is concern, rather than incurring the cost.
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by vsarnold February 21, 2009 7:16 PM PST
Insurance pays for vision screening now! 99174.

Dr. Arnold
by Dr_Zinj October 6, 2008 8:43 AM PDT
Time is money, especially for a doctor. 1 minute to take the scan and get a readout versus 5 minutes to read the chart and try for a diagnosis.
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by mortyjeff October 7, 2008 11:14 AM PDT
Due to the objective results from the screening, any staff member within a pediatric office can administer the screening.
by HaloPi October 6, 2008 12:38 PM PDT
Speaking as a kid who didn't know he needed glasses until middle school, I have to agree that this is a great idea if it gets implemented. Plus, I'm sure the device could be adapted to work on adults as well if it doesn't already.
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by mortyjeff October 7, 2008 11:06 AM PDT
Implementation of PediaVision has already begun in pediatrics, public screening programs and schools for children 6 months of age to 18 years to ensure children are vision ready for life and learning. The screener is easily adaptable to adults with age-based criteria providing instant pass/refer results.
by HaloPi October 6, 2008 12:39 PM PDT
Speaking as a kid who didn't know he needed glasses until middle school, I have to agree that this is a great idea if it gets implemented. Plus, I'm sure the device could be adapted to work on adults as well if it doesn't already.
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by elainecalen October 8, 2008 8:55 AM PDT
We have had the PediaVision eye testing system in our office for one year now. Our Doctors are extremely pleased with the results. Insurance companies are reimbursing us for these tests anywhere from $26 to $35. We explain to the parents the importance of having this test done and how this is part of our Physical Exam now. If the insurance company does not pay for the test, we have the parent sign a waiver and they will pay to have this test done in most cases. Our experience with the people at PediaVision has been a
positive one and parents like the idea of the certificate with test results...
Elaine
Office Manager
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by drnisha October 8, 2008 12:30 PM PDT
yeah really this Device is very useful .. have done analysis ! i discussed with Doctor abt this on www.healthcaremagic.com .. where i had a FREE Live chat with Doctors on that site. and felt well about this new Diagnostic device.

Thanks
Dr. Nisha
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by vsarnold February 21, 2009 7:13 PM PST
I am an eye physician. I have used this device, this will change the "standard of care" for children. Pediatricians are responsible for checking your child's vision, but do not have the right tool's until now! Every pediatrician should have this PediaVision device to ensure they do not miss eye problems with your child! If the pediatrician missed Amblyopia (lazy eye) prior to age 5, then your child will have a lifelong visual disability that could have been cured 95% of the time! Every parent should ask their pediatrician why they do not have this device to check their child's eye's!

Thanks,
Dr. Arnold
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