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Protocol - Eye Patching

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Description:

A series of interviewer-administered questions to assess history of amblyopia and associated treatments including eye patching.

Protocol:

1. Was (name of child) born with any health problems (either physical or mental)?

[ ] 1 yes (specify______________)

[ ] 2 no

[ ] 8 refused

[ ] 9 don't know

2. During the past 12 months (if child less than 12 months, the child's age in months) has (name of child) appeared to have any difficulty seeing?

[ ] 1 yes

[ ] 2 no

[ ] 8 refused

[ ] 9 don't know

3. Has (name of child) ever been diagnosed with an eye problem?

[ ] 1 yes

[ ] 2 no (skip to Q4)

[ ] 8 refused

[ ] 9 don't know

3a. When was (name of child) first diagnosed as having an eye problem?

Month_______

Year_________

4. Has a doctor ever told you that (name of child) needs to wear glasses or contact lenses?

[ ] 1 yes

[ ] 2 no (skip to Q5)

[ ] 8 refused

[ ] 9 don't know

4a. When did (name of child) first begin wearing glasses or contact lenses?

Month________

Year__________

5. Has a doctor ever told you that (name of child) had amblyopia, that is, poor vision that cannot be corrected with glasses or contact lenses?

[ ] 1 yes

[ ] 2 no (skip to Q6)

[ ] 8 refused

[ ] 9 don't know

5a. When was (name of child) first diagnosed as having amblyopia?

Month______

Year________

6. Does (name of child) have strabismus that is crossed or wall eyes, where one or both eyes turn in or turn out or up or down.

[ ] 1 yes

[ ] 2 no (skip to Q7)

[ ] 8 refused

[ ] 9 don't know

6a. When was (name of child) first diagnosed as having strabismus?

Month_________

Year___________

7. Did (he/she) ever have an operation to straighten (his/her) eyes?

[ ] 1 yes

[ ] 2 no (skip to Q8)

[ ] 8 refused

[ ] 9 don't know

7a. When did (name of child) first (?) have this type of operation?

Month_________

Year__________

8. Did (he/she) ever have to wear an eye patch to improve his/her vision?

[ ] 1 yes

[ ] 2 no (skip to Q9)

[ ] 8 refused

[ ] 9 don't know

8a. When did (name of child) first start wearing an eye patch?

Month_______

Year_________

9. In general, is your child's overall health:

[ ] 1 excellent

[ ] 2 very good

[ ] 3 good

[ ] 4 fair

[ ] 5 poor

[ ] 8 refused

[ ] 9 don't know

10. At the present time, is your child's eyesight using both eyes:

[ ] 1 excellent

[ ] 2 very good

[ ] 3 good

[ ] 4 fair

[ ] 5 poor

[ ] 8 refused

[ ] 9 don't know

Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e. tested by an expert) at the completion of personal interviews.

Equipment Needs

Either a pencil and paper or computer-assisted instrument may be used. If a computer-assisted instrument is used, computer software may be necessary to develop the instrument. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Life Stage:

Infant, Toddler, Child

Participants:

Multi-Ethnic Pediatric Eye Disease Study (MEPEDS): administered to parents of children aged 6-72 months old

Baltimore Pediatric Eye Disease Study (BPEDS): administered to parents of children aged 6-60 months old

Specific Instructions:

None

Selection Rationale

The selected protocols are the current ocular survey standards for assessing visual impairment and related issues such as strabismus in the pediatric population in the U.S.

Language

Cantonese Chinese, English, Mandarin Chinese, Spanish

Standards
StandardNameIDSource
Common Data Elements (CDE) Person Eyepatch History Text 3007573 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Eye patching proto 62689-5 LOINC
Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source
University of Southern California, The Multi-Ethnic Pediatric Eye Disease Study (MEPEDS), 2002-2008.

Johns Hopkins University, Baltimore Pediatric Eye Disease Study (BPEDS), 2003-2007.

Baltimore Pediatric Eye Disease Study (BPEDS) Screening Interview Question numbers: 11 (question 1), 12 (question 2), 13 (question 3), 13a (question 3a), 14 (question 4), 14a (question 4a), 15 (question 5), 15a (question 5a), 16 (question 6), 16a (question 6a), 17 (question 7), 17a (question 7a), 18 (question 8), 18a (question 8a), 19 (question 9), and 20 (question 10)
General References

Varma R, Deneen J, Cotter S, Paz SH, Azen SP, Tarczy-Hornoch K, Zhao P; Multi-Ethnic Pediatric Eye Disease Study Group. (2006). The multi-ethnic pediatric eye disease study: design and methods. Ophthalmic Epidemiol, 13(4):253-62.

Multi-ethnic Pediatric Eye Disease Study Group. (2008). Prevalence of amblyopia and strabismus in African American and Hispanic children ages 6 to 72 months the multi-ethnic pediatric eye disease study. Ophthalmology, 115(7):1229-1236.

Friedman DS, Repka MX, Katz J, Giordano L, Ibironke J, Hawse P, Tielsch JM. (2009). Prevalence of amblyopia and strabismus in white and African American children aged 6 through 71 months the Baltimore Pediatric Eye Disease Study. Ophthalmology, 116(11):2128-34.

Protocol ID:

110601

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX110601_Amblyopia PX110601050100 Has a doctor ever told you that (name of child) had amblyopia, that is, poor vision that cannot be corrected with glasses or contact lenses? 4 N/A
PX110601_Amblyopia_Month PX110601050201 When was (name of child) first diagnosed as having amblyopia? 4 N/A
PX110601_Amblyopia_Year PX110601050202 When was (name of child) first diagnosed as having amblyopia? 4 N/A
PX110601_Child_Eyesight_Both_Eyes PX110601100000 At the present time, is your child's eyesight using both eyes: 4 N/A
PX110601_Child_Health_Problem_Born PX110601010100 Was (name of child) born with any health problems (either physical or mental)? 4 N/A
PX110601_Child_Health_Problem_Born_Specify PX110601010200 Specify the health problem. 4 N/A
PX110601_Child_Overall_Health PX110601090000 In general, is your child's overall health: 4 N/A
PX110601_Difficulty_Seeing PX110601020000 During the past 12 months (if child less than 12 months, the child's age in months) has (name of child) appeared to have any difficulty seeing? 4 N/A
PX110601_Eye_Patch PX110601080100 Did (he/she) ever have to wear an eye patch to improve his/her vision? 4 N/A
PX110601_Eye_Patch_Month PX110601080201 When did (name of child) first start wearing an eye patch? 4 N/A
PX110601_Eye_Patch_Year PX110601080202 When did (name of child) first start wearing an eye patch? 4 N/A
PX110601_Eye_Problem PX110601030100 Has (name of child) ever been diagnosed with an eye problem? 4 N/A
PX110601_Eye_Problem_Month PX110601030201 When was (name of child) first diagnosed as having an eye problem? 4 N/A
PX110601_Eye_Problem_Year PX110601030202 When was (name of child) first diagnosed as having an eye problem? 4 N/A
PX110601_Need_Glasses_Contact_Lenses PX110601040100 Has a doctor ever told you that (name of child) needs to wear glasses or contact lenses? 4 N/A
PX110601_Need_Glasses_Contact_Lenses_Month PX110601040201 When did (name of child) first begin wearing glasses or contact lenses? 4 N/A
PX110601_Need_Glasses_Contact_Lenses_Year PX110601040202 When did (name of child) first begin wearing glasses or contact lenses? 4 N/A
PX110601_Operation_Straighten_Eyes PX110601070100 Did (he/she) ever have an operation to straighten (his/her) eyes? 4 N/A
PX110601_Operation_Straighten_Eyes_Month PX110601070201 When did (name of child) first (?) have this type of operation? 4 N/A
PX110601_Operation_Straighten_Eyes_Year PX110601070202 When did (name of child) first (?) have this type of operation? 4 N/A
PX110601_Strabismus PX110601060100 Does (name of child) have strabismus that is crossed or wall eyes, where one or both eyes turn in or turn out or up or down? 4 N/A
PX110601_Strabismus_Month PX110601060201 When was (name of child) first diagnosed as having strabismus? 4 N/A
PX110601_Strabismus_Year PX110601060202 When was (name of child) first diagnosed as having strabismus? 4 N/A
Research Domain Information
Measure Name:

Eye Patching

Release Date:

February 26, 2010

Definition

Questions to assess history of eye patching, which is used to treat amblyopia ("lazy eye").

Purpose

A variety of eye diseases in children may have life-long implications associated with visual function and ocular health. Strabismus can cause blindness due to amblyopia if not detected in early childhood. Determining those who have a personal history of the disease identifies higher risk individuals.

Keywords

Ocular, Eye patching, Amblyopia, Baltimore Pediatric Eye Disease Study, BPEDS, Multi-Ethnic Pediatric Eye Disease Study, MEPEDS, Strabismus, Infant, Children