Hands On: Strategies To Improve The Access Of Children To Visual Evaluation | 105466
Journal of Clinical & Experimental Ophthalmology
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Statement of the Problem: It is important to access the visual acuity of children before the age of six or seven, when
the connections of the central neural pathways related to vision enter into another stage of development. If one finds
a decrease in vision before this age, it is easier to conduct the necessary corrections. After these, the strategies for
improving the acuity become less effective. But most of the scales that are used to access such ability, like Snellen,
Landolt, etc., are of difficult understanding for them because they are in the early years of education. So, it might be
useful to have a scale easier of comprehension for children.
Methodology & Theoretical Orientation: The hands from Evaldo (Mãos de Evaldo) were designed by a Brazilian
university professor, Evaldo de Mendonça Campos (1915-2003), who draw a hand with only four fingers which size
and form are related to the visual scales available. The examiner is going to turn the picture to different positions and
is going to ask the child to reproduce the hand of the picture with its own hand.
Findings: Children in preschool age can understand and perform the test in a manner easier than it would do with
Conclusion & Significance: This test is easy to perform, cheap to acquire, maybe easier and cheaper than the others,
and should be used for screening of children at the critical visual period.
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Hélio Pancotti Barreiros has completed his first Postgraduate studies in Ophthalmology in 1998 at Serra dos Órgãos University, and the second in 2009 at Fluminense Federal University. After passing a selecting exam in 2007, he has entered the public service in Teresópolis, RJ, where he has had the task of providing ocular care for the poor. After exam once again, he has been a medicine teacher at Serra dos Órgãos University for five years, but later on he has left this position to dedicate more attention to the care of the unfortunate.
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