Children Eye Research Articles

The Impact of Cues on Joint Attention in Children with Autism Spectrum Disorder: An Eye-Tracking Study in Virtual Games.

Joint attention (JA), a core deficit in children with autism spectrum disorder (ASD), is crucial for social interaction, emotional understanding, and cognitive development. This study aims to compare and analyze the eye-tracking data of ASD and typically developing children (TDC) during virtual games, exploring how different cue types affect JA performance in ASD children. A total of 31 TDC and 40 ASD children participated in the study. Using eye-tracking devices, we recorded the children's eye movements as they played virtual games, selecting the correct target based on cues provided by virtual characters. Our findings revealed that different cue types significantly impacted the game scores of ASD children but had no significant effect on TDC, highlighting a notable disparity between the two groups. ASD children showed a lower fixation frequency, irregular fixation paths, and increased attention to non-target objects compared to TDC. Interestingly, among the three cue types, ASD children exhibited a preference for the third type, leading to longer fixation on the region of interest and higher game scores. These results underscore the importance of cue selection in enhancing JA in ASD children. This study provides novel insights into the JA deficits in ASD children and offers a scientific basis for the development of targeted and individualized intervention programs.

Artificial Intelligence for Early Detection of Pediatric Eye Diseases Using Mobile Photos

Identifying pediatric eye diseases at an early stage is a worldwide issue. Traditional screening procedures depend on hospitals and ophthalmologists, which are expensive and time-consuming. Using artificial intelligence (AI) to assess children's eye conditions from mobile photographs could facilitate convenient and early identification of eye disorders in a home setting. To develop an AI model to identify myopia, strabismus, and ptosis using mobile photographs. This cross-sectional study was conducted at the Department of Ophthalmology of Shanghai Ninth People's Hospital from October 1, 2022, to September 30, 2023, and included children who were diagnosed with myopia, strabismus, or ptosis. A deep learning-based model was developed to identify myopia, strabismus, and ptosis. The performance of the model was assessed using sensitivity, specificity, accuracy, the area under the curve (AUC), positive predictive values (PPV), negative predictive values (NPV), positive likelihood ratios (P-LR), negative likelihood ratios (N-LR), and the F1-score. GradCAM++ was utilized to visually and analytically assess the impact of each region on the model. A sex subgroup analysis and an age subgroup analysis were performed to validate the model's generalizability. A total of 1419 images obtained from 476 patients (225 female [47.27%]; 299 [62.82%] aged between 6 and 12 years) were used to build the model. Among them, 946 monocular images were used to identify myopia and ptosis, and 473 binocular images were used to identify strabismus. The model demonstrated good sensitivity in detecting myopia (0.84 [95% CI, 0.82-0.87]), strabismus (0.73 [95% CI, 0.70-0.77]), and ptosis (0.85 [95% CI, 0.82-0.87]). The model showed comparable performance in identifying eye disorders in both female and male children during sex subgroup analysis. There were differences in identifying eye disorders among different age subgroups. In this cross-sectional study, the AI model demonstrated strong performance in accurately identifying myopia, strabismus, and ptosis using only smartphone images. These results suggest that such a model could facilitate the early detection of pediatric eye diseases in a convenient manner at home.

Characteristics of astigmatism in school-age children aged 5 to 13 years in northeast Sichuan: a cross-sectional school-based study.

Astigmatism is closely associated with myopia progression, vision loss, eye fatigue and amblyopia, which seriously endangers children's eye health. This study aims to investigate the prevalence and characteristic distribution of astigmatism in children in Langzhong City, providing valuable insights for allocating resources and develop prevention and control strategies. A cross-sectional study and random sampling survey were conducted. Between January and November 2021, 21,415 students aged 5 to 13 years from 14 primary schools in Langzhong City underwent non-cycloplegic refractive testing using autorefraction. The data on myopia were analyzed using SPSS (Statistical Package for the Social Sciences) version 23.0. The inclusion criterion was set at an absolute astigmatism value of ≥0.50D. Among the 21,415 children studied, 61.70% were found to have astigmatism. The prevalence of astigmatism varied significantly across different grades (χ2=501.414, P<0.001). The predominant types of astigmatism were mild astigmatism (0.50-1.00D) and with-the-rule astigmatism. Mixed astigmatism was primarily observed in children in grades 1 and 2, while compound myopic astigmatism was more common in children in grades 3 to 6. These differences were statistically significant. As the degree of astigmatism increased, the proportions of against-the-rule astigmatism, oblique astigmatism, compound myopic astigmatism, and simple hyperopic astigmatism decreased, whereas the proportions of with-the-rule astigmatism, mixed astigmatism, and compound hyperopic astigmatism increased. The prevalence of astigmatism among school-age children aged 5 to 13 years in northeast Sichuan is notably high, with compound myopic astigmatism and with-the-rule astigmatism being the most common types. Regular refractive examinations are crucial for the early detection and management of astigmatism.

Levels of Awareness Regarding Pediatric Eye Diseases Among Saudi Parents From the Hail and Al-Qassim Regions, Saudi Arabia.

The importance of children's eye health cannot be overstated as it has significant implications for personal life, education, career, health, financial status, and overall satisfaction. This study aims to assess the awareness of parents regarding pediatric eye diseases to identify potential gaps in knowledge. By understanding parental awareness, we can develop targeted educational initiatives to promote early detection, timely intervention, and overall improved eye health in children. This research seeks to contribute valuable insights for enhancing preventive measures and fostering healthier eyesight in younger generations. Adescriptivecross-sectional study was conducted inthe Hail and Al-Qassim regions,ofSaudi Arabia.Parents with children aged less than 15 years were included. Targeted parentswere selected consecutively using an online questionnaire for data collection. Data included parents' data, children's eye diseases, and parents' knowledge, practice, and attitude toward pediatric eye diseases. Results:A total of 618 eligible parents were included, 429 (69.4%) from Al-Qassim and 189 (30.6%) from Hail. Parents' ages ranged from 20 to 59 years with a mean age of 35.4 ± 11.5 years. A total of 510 (82.5%) respondents were females.A total of 442 (71.5%) of the study parents had poor knowledge about their pediatric eye problems, 154 (24.9%) had a good knowledge level, and only 22 (3.6%) had excellent knowledge. As for their practice, 458 (74.1%) of the parents arranged fortheir children to undergo aneye or visual test; 254 (55.5%) did so when the child wassix to ten years of age. The current study showed poor awareness levels about pediatric eye diseases among parents, mainly regarding cataracts and glaucoma.On the other hand, parents demonstrated a high level of engagement in visually assessing their children. The primary hindrance to conducting assessments was the absence of symptoms and signs or active complaints, leading to a lack of proactive seeking of visual evaluations.

Analysis of research hotspots and trends in pediatric ophthalmopathy based on 10 years of WoSCC literature.

Ophthalmopathy occurring in childhood can easily lead to irreversible visual impairment, and therefore a great deal of clinical and fundamental researches have been conducted in pediatric ophthalmopathy. However, a few studies have been performed to analyze such large amounts of research using bibliometric methods. This study intended to apply bibliometric methods to analyze the research hotspots and trends in pediatric ophthalmopathy, providing a basis for clinical practice and scientific research to improve children's eye health. Publications related to pediatric ophthalmopathy were searched and identified in the Web of Science Core Collection (WoSCC) database. Bibliometric and visualized analysis was performed using the WoSCC analysis system and CiteSpace.6.2.6 software, and high-impact publications were analyzed. This study included a total of 7,177 publications from 162 countries and regions. Of these, 2,269 from the United States and 1,298 from China. The centrality and H-index were highest in the United States at 0.27 and 66, respectively. The University of London and Harvard University had the highest H-index at 37. Freedman,Sharon F published 55 publications, with the highest H-index at 19. The emerging burst keyword in 2020-2023 was "eye tracking," and the burst keywords in 2021-2023 were "choroidal thickness," "pediatric ophthalmology," "impact" and "childhood glaucoma." Retinopathy of prematurity, myopia, retinoblastoma and uveitis in juvenile idiopathic arthritis were the main topics in the high-impact publications, with clinical studies in the majority, especially in retinopathy of prematurity. Eye health in children is a research hotspot, with the United States publishing the largest number of papers and having the greatest influence in research on pediatric ophthalmopathy, and China coming in second. The University of London and Stanford University had the greatest influence. Freedman, Sharon F was the most influential author. Furthermore, "choroidal thickness," "pediatric ophthalmology," "impact," "childhood glaucoma" and "eye tracking"are the latest hotspots in the field of pediatric ophthalmopathy. These hotspots represent hot diseases, hot technologies and holistic concepts, which are exactly the research trends in the field of pediatric ophthalmopathy, providing guidance and grounds for clinical practice and scientific research on children's eye health.

Knowledge, Practice and Attitude of Mothers for Ophthalmic Problems in Children in Rural Areas- A Cross-Sectional Study

Early years are crucial for eye development. Parents are responsible for children's eye care decisions. Objective: To assess the level of awareness and understanding of the practices among mothers regarding eye disorders and visual impairments in their children in rural areas. Methods: A cross-sectional study assessed the knowledge, practice, and attitude of rural mothers regarding eye problems in children. Results: 385 mothers participated in study. 47.3% were aged 41-50. 29.9% had completed graduation, while 16.1% were illiterate. Knowledge was scored from 2.00 to 14.00, with &gt;7 being very knowledgeable, &gt; 4 but ≤ 7 being somewhat knowledgeable, and ≤ 4 being not knowledgeable. Practice was scored from 0 to 5, with ≥ 3 indicating good practice, &gt;1 to ≤ 3 indicating somewhat practicing, and ≤ 1 indicating poor practicing. Mothers had good knowledge of ophthalmic problems (99.4%). Attitude was scored from 0 to 10, with scores ≥ 6 indicating good attitude. Lack of time and convenience was the main reason for not seeking eye care (70.1%). Parents' knowledge of ophthalmic problems significantly correlated with their attitude and practice (r = 0.546, p &lt; 0.01 and r = 0.602, p &lt; 0.01, respectively). Additionally, parents' attitude was significantly correlated with their practice (r = 0.390, p &lt; 0.01). Conclusions: Mothers' knowledge, practice, and attitude play a key role in detecting and diagnosing the early signs of ophthalmic problems like refractive errors, strabismus, allergic conjunctivitis, and amblyopia.

Ophthalmic examination in children – comprehensive literature review

The proper functioning of the patient in the environment is made possible by the interaction of individual systems or single organs. The visual system is undoubtedly one of the most important; it is the one that enables us to find our way and acquire a range of skills to survive in the environment. Unfortunately, if neglected at a young age, complications may remain for the rest of life. A number of tests have now been introduced to check the development and efficiency of a child's eyesight; their cyclical repetition and appropriate identification of changes or lack of them enable an appropriate diagnosis to be made and treatment to be applied, thanks to which we can eliminate or reduce the defect and, more importantly, prevent the development of a new one.&#x0D; Contrary to appearances, vision screening in children does not take place in a single medical visit, it is an ongoing process, and the activities included in the screening should be carried out at each follow-up visit. This allows the practitioner to detect risk factors and eye abnormalities early on, which increases the chance of a positive outcome for the patient. It also enables the specialist to identify children who require more frequent eye checks, or patients who should be referred to a specialist qualified in children's eye examination.&#x0D; During the screening examination, the doctor begins by talking to the child and parent about conditions that run in the family. The aim is to detect and identify risk factors that need to be carefully analysed. These factors include, but are not limited to, premature birth, Down's syndrome, cerebral palsy, a family history of strabismus, visual impairment, retinoblastoma, childhood glaucoma, childhood cataract or eye disease and genetic systemic diseases.

Knowledge, Attitude, and Practice of Parents Regarding Children's Eye Care in Al-Qunfudah Governorate, Saudi Arabia.

Visual impairment and blindness have a long-term impact on children. Common causes include refractive error, amblyopia, and cataracts, all of which are preventable. This study aims to evaluate the knowledge, attitude, and practice of parents regarding children's eye care in Al-Qunfudah governorate, Saudi Arabia. A cross-sectional study was carried out on a convenience sample of 403 parents residing in the governorate of Al-Qunfudah. Data were gathered using a validated, self-administered online questionnaire that required participants' consent and ensured data confidentiality. IBM SPSS Statistics for Windows, Version 26.0 (Released 2019; IBM Corp., Armonk, New York, United States) was used to do the statistical analysis of the data. This study included 403 participants; 41.2% of them were 36-45 years old, 75.9% were female, and 88.8% were married. Most of the participants had had their children undergo eye examinations (65%). A positive attitude about child eye care among the participants was observed in 48.9% of them, while the level of knowledge about eye care and its regular examinations was poor in 60% of the study sample. A significant positive correlation was detected between participants' attitudes and knowledge scores about the eye care of their children (r = 0.238, p-value = <0.001). Older adults (P = 0.004), those with employment (P = 0.004), and those with a history of children suffering from eye problems (P = 0.018) are associated with a positive attitude, while better knowledge is associated with the parent's age (P = 0.007) and higher education level (P = 0.047). The knowledge and attitude of the parents regarding their children's eyecare were suboptimal, and the main reason for conducting eye examinations on their children was the presence of active eye disease and a symptomatic child. Positive attitudes were more prevalent among those aged 36-45 years, employed, and with a higher number of children with eye problems. Those in the age group of 36-45 who had a bachelor's degree were associated with greater knowledge. There is an urgent need to educate parents about routine and recommended eye screening. Family physicians should conduct opportunistic eye screenings for children who attend primary healthcare facilities and provide parents with educational materials about common eye disorders and children's eye care.

Functional Vision of Pseudophakic Children Attending a Pediatric Ophthalmology Clinic in Southwest Nigeria.

To determine the functional vision of pseudophakic children attending a child eye health tertiary facility in southwest Nigeria. A hospital-based descriptive study of pseudophakic children attending the Pediatric Ophthalmology outpatient clinic of a tertiary facility in southwest Nigeria was conducted between June and November 2021. Details of demography and clinical examination findings were obtained using a semi-structured questionnaire. Information about functional vision was obtained using the Pediatric Eye Questionnaire (PedEyeQ). Data obtained from the PedEyeQ were entered into a Rasch-calibrated PedEyeQ Excel response data sheet. Data analysis was done using Statistical Package for Social Sciences (SPSS) software version 22 (SPSS, Inc). A total of 196 pseudophakic children were recruited. Their ages ranged from 2 to 16 years with a mean of 9.8 ± 3.4 years and there was a male-to-female ratio of 2.2:1. The median functional vision score of pseudophakic children across all age groups was 90.0. The functional vision scores were associated with the laterality of cataract, type of cataract, presence of comorbidities, visual acuity (distance and near) in the better eye, and number of surgeries. The functional vision scores of pseudophakic children were low. Significant predictors of low functional vision scores include surgery for congenital cataract, low average family income, longer duration of time between surgery and recruitment into the study, and poorer best corrected visual acuity in the better eye. The routine assessment of functional vision should be considered an important aspect of pseudophakic children's eye care with a view toward optimizing psychological and social well-being. [J Pediatr Ophthalmol Strabismus. 2024;61(2):138-146.].

Penerapan Prompts dan Reinforcement untuk Meningkatkan Frekuensi Kontak Mata pada Anak dengan Autisme

Children with autism spectrum disorder (ASD) have deficits in the ability to interact and communicate socially. The deficit in communication skills is also seen in the lack of eye contact displayed by ASD children. Eye contact plays a vital role in child development, such as responding to interactions, following instructions, and acquiring vocabulary and educational understanding. This intervention aims to increase the frequency of eye contact in a 4-year-old boy (N = 1) with mild ASD and language impairment. Researchers used prompts and reinforcement techniques, considered adequate for improving social skills in children with neurodevelopmental disorders. Researchers use designs A (Baseline) and B (Intervention). The results showed an increase in the frequency of eye contact with the subject from 0-2 times to 10 times in one session consisting of 10 times calling the child's name. Furthermore, this intervention also found an increase in children's eye contact when carried out by parents at home.

Development and validation of parental knowledge, attitude and practice in eye problem among children questionnaire (PEPC-KAPQ).

Most eye problems among children can be detected and treated at an early age to reduce the prevalence of visual impairment. Understanding the knowledge, attitude, and practice (KAP) among parents about common children's eye problems is fundamental to encourage parents to seek early eye care services for their children. This study aims to develop a Parental Knowledge, Attitude, and Practice in Eye Problem among Children Questionnaire (PEPC-KAPQ) and evaluate its psychometric properties. This study involved developing a questionnaire and was conducted in Kuala Lumpur, Malaysia from July 2021 until June 2022. The questionnaire was developed based on a literature review and expert consultation. The first phase includes a systematic literature review to generate the items for the questionnaire. A group of five panels was then invited to perform content validity for the questionnaire. Face validity was conducted among ten parents to get feedback for the questionnaire. Construct validity and reliability of the questionnaire were measured by which the questionnaire was administered to a total of 134 parents and 64 parents for reliability test. The final PEPC-KAPQ consists of four main sections: demographic, knowledge, attitude, and practice with 52 items. The content validity index was 0.85 for all domains of KAP. Modified kappa showed excellent value for most items for all domains. The Kaiser-Meyer-Olkin sampling adequacy showed acceptable scores of 0.84, and Bartlett's Test of Sphericity was significant (x2 = 3172.09, p<0.0001). Kuder-Richardson-2 of the domain knowledge was 0.95. Cronbach's α coefficient of domain attitude and practice were 0.92 and 0.88, respectively and the intraclass correlation of domain attitude and practice were 0.93 and 0.94 respectively. Bland and Altman's plots show that majority of the data fell within the limits of agreement. The findings of this validation and reliability study show that the developed questionnaire has a satisfactory psychometric property for measuring the KAP of parents regarding eye problems among children.

YOGA eye exercises and Refractive Errors

The article delves into the prevalent issue of refractive errors, a common visual problem affecting a substantial portion of the global population, and particularly emphasizes its growing occurrence among school-going children. The surge in digital device usage due to the COVID-19 pandemic has amplified concerns, as extended screen time contributes in worsening the existing problem of poor vision. The article underscores the multifaceted impact of unaddressed refractive errors on children, including hindered academic performance, impaired social interactions, and a sedentary lifestyle. Socioeconomic and demographic factors play a role in the prevalence of refractive errors, with limited access to eye care services disproportionately affecting lower-income families. The importance of early diagnosis and intervention is highlighted to prevent unwanted consequences. A significant portion of the article explores the potential role of yoga in mitigating refractive errors. Yoga's holistic approach, incorporating eye exercises, mindfulness, stress reduction, and outdoor practice, offers promise in promoting eye health. While acknowledging that yoga may not correct refractive errors, the article emphasizes its potential to reduce eye strain caused by screen time and near-work activities, ultimately fostering healthier habits and overall well-being in children. The article concludes by emphasizing the need for complementary practices alongside standard eye care to ensure children's visual health and academic success while suggesting that embracing yoga could be a step toward safeguarding children's eye health and quality of life.

Sensitivity to Semantic Relationships in U.S. Monolingual English-Speaking Typical Talkers and Late Talkers.

Late talkers (LTs) are a group of children who exhibit delays in language development without a known cause. Although a hallmark of LTs is a reduced expressive vocabulary, little is known about LTs' processing of semantic relations among words in their emerging vocabularies. This study uses an eye-tracking task to compare 2-year-old LTs' and typical talkers' (TTs') sensitivity to semantic relationships among early acquired words. U.S. monolingual English-speaking LTs (n = 21) and TTs (n = 24) completed a looking-while-listening task in which they viewed two images on a screen (e.g., a shirt and a pizza), while they heard words that referred to one of the images (e.g., Look! Shirt!; target-present condition) or a semantically related item (e.g., Look! Hat!; target-absent condition). Children's eye movements (i.e., looks to the target) were monitored to assess their sensitivity to these semantic relationships. Both LTs and TTs looked longer at the semantically related image than the unrelated image on target-absent trials, demonstrating sensitivity to the taxonomic relationships used in the experiment. There was no significant group difference between LTs and TTs. Both groups also looked more to the target in the target-present condition than in the target-absent condition. These results reveal that, despite possessing smaller expressive vocabularies, LTs have encoded semantic relationships in their receptive vocabularies and activate these during real-time language comprehension. This study furthers our understanding of LTs' emerging linguistic systems and language processing skills. https://doi.org/10.23641/asha.23303987.

Parents' Awareness and Attitude Toward Pediatrics Eye Diseases in Makkah, Saudi Arabia: A Cross-Sectional Study.

The necessity of early detection and parents' knowledge of pediatric eye conditions and eye care is crucial, not only because of the severe complications it can carry, like blindness, but also due to the availability of preventive measures and the importance of vision in a child's growth and social life. Therefore, this study aimed to evaluate the level of awareness of and attitudes toward children's eye diseases of parents in Makkah City, Saudi Arabia. This descriptive, cross-sectional questionnaire-based study was conducted in Makkah, Saudi Arabia, from September to December 2022. A self-administered questionnaire was randomly distributed to fathers and mothers of children younger than 18 through social media platforms. A total of 470 parents who met the study's inclusion criteria completed the study questionnaire. The results showed that 72.8% of the parents had poor awareness of pediatric eye diseases, 24.5% had good awareness, and 2.8% had excellent awareness. With regard to the symptoms that might prompt parents to take their children to an eye specialist, eye redness had the highest percentage (24.5%). It was also shown that 68.5% would allow their children to undergo eye surgery, if necessary, while most of those who refused to do so (11.3%) cited fear of the surgical outcome as the cause of their refusal. Our study findings show inadequate parental knowledge about common pediatric eye diseases and eye care practices for children. Therefore, awareness andeducation programs targeting both parents are recommended to raise the parents' level of awareness of pediatric eye diseases and to improve their attitudes toward the same.

The importance of the positional probability of word final (but not word initial) characters for word segmentation and identification in children and adults' natural Chinese reading.

Word spacing is important in guiding eye movements during spaced alphabetic reading. Chinese is unspaced and it remains unclear as to how Chinese readers segment and identify words in reading. We conducted two parallel experiments to investigate whether the positional probabilities of the initial and the final characters of a multicharacter word affected word segmentation and identification in Chinese reading. Two-character words were selected as targets. In Experiment 1, the initial character's positional probability was manipulated as being either high or low, and the final character was kept identical across the two conditions. In Experiment 2, an analogous manipulation was made for the final character of the target word. We recorded adults' and children's eye movements when they read sentences containing these words. In Experiment 1, reading times on targets did not differ in the two conditions for both children and adults, providing no evidence that a word initial character's positional probability contributes to word segmentation. In Experiment 2, adults had shorter reading times and made fewer refixations on targets that comprised final characters with high relative to low positional probabilities; a similar effect was observed in children, but this effect had a slower time course. The results demonstrate that the positional probability of the final (but not the initial) character of a word influences segmentation commitments in reading. It suggests that Chinese readers identify where a currently fixated word ends, and via this commitment, by default, they identify where the subsequent word begins. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Robot facilitated rehabilitation of children with autism spectrum disorder: A 10 year scoping review

AbstractBackgroundA severe shortage of skilled clinicians and infrastructure limits the delivery of early intervention programmes for autism spectrum disorder (ASD) children that are labour and duration intensive and most advantageous in the first 3 years.AimAssess the role of robot mediated intervention (RMI) role in the rehabilitation of ASD individuals by responding to five research questions in the area of (1) Technology maturity; (2) Skill improvement areas; (3) Research design including participant's demographics, datasets, intervention details, and evaluation tools; (4) Data gathering, analysis, and technology contribution, and (5) Role of Robots in intervention and its effectiveness.MethodsScoping review included RMI studies for ASD individuals published in PUBMED, SCOPUS, and IEEE‐Xplore databases between January 1, 2011, and December 31, 2020. The publications were evaluated utilizing the PRISMA scoping review criteria (PRISMA‐ScR) checklist and the Critical Appraisal Skills Program (CASP).ResultsThe 59 selected publications demonstrated that RMI improved skills for ASD individuals in 12 areas. During RMI, extensive joint attention stimuli were given to ASD individuals, and the therapy promoted ASD children's eye contact, imitation, socio‐communication, and academic skills. However, various ethical, privacy, and safety concerns were reported in the review.ConclusionRMI can improve access, quality, and affordability in ASD intervention. The acceptance and use of technology can be fast‐tracked by (1) incorporating statistically valid study designs; (2) carrying out field trials including diverse participant groups; (3) standardizing datasets with quality parameters; (4) recruiting statistically appropriate participant groups from ASD, Neuro Typical (NT) and diverse developmental disorder population; and (5) and addressing ethical, privacy, safety, trust, and other stakeholder concerns.

Pemeriksaan Visus pada Anak Sekolah Dasar Sebagai Upaya Menjaga Mata Pasca Pandemi Covid-19

Eyes are one of the five senses that are useful for getting various kinds of information. While at school, this function plays an important role considering that the teaching and learning process is accepted through the five senses. This is in contrast to the current situation where the pandemic prevents children from attending school face to face. The intensity of learning through gadget media makes parents worried because children will tend to spend more and longer time with these devices so that it can have an impact on children's eye health. Early detection and periodic examination of children's eyes can reduce these problems considering the eye is one of the vital functions of the body. Through visual inspection using the Snellen Chart card, it can detect the function of visual acuity in children. This Community Service Program uses an outreach method at the beginning of the activity by educating students about the importance of maintaining eye health, followed by taking turns checking vision. The target in this program is 102 students accompanied by assistance from teachers and school health workers. Based on the results of the examination, some students (59%) had normal vision and they were very enthusiastic when the education was given. Thus, periodic visual inspection in the school environment is very important to facilitate the learning process in children.

2.2: Invited Paper: The Effect of Tablet's Color Temperature on Ocular Health in Children

This study aims to evaluate the impact of the tablet's screen color temperature on children's eye health. A low color temperature (2800K) tablet and a high color temperature (8500K) tablet were used for 24 children to watch cartoon video. Before and after keeping watching video for 30 minutes, the children were evaluated in some ocular parameters, such as near-work induced transient myopia (NITM), accommodative lag, near point of convergence, accommodative amplitude et al., and an asthenopia questionnaire. Repeated analysis of variance was used to compare differences between two color temperature settings, before and after watching video, as well as to analyze the interaction. The mean NITM of children increased after using the high color temperature tablet, while the NITM change little after using the low color temperature tablet. After using the tablet for half an hour, the tear film break-up time was significantly shorter, but there was no significant difference between two color temperature settings. There was no difference in the total score of the visual fatigue questionnaire between the color temperatures settings after watching video. The item of burning sensation tended to score higher after watching the high color temperature tablet. The unusually high color temperature setting in tablet induced greater NITM and higher possibilities of ocular burning sensation in children even they only watched tablet screen for 30 minutes. Color temperature is a sensitive parameter for children's ocular health.

PENERAPAN METODE MENEBALKAN GARIS PUTUS-PUTUS DALAM MENINGKATKAN KOORDINASI MATA DAN TANGAN ANAK USIA 4-5 TAHUN DI TK AISYIYAH BUSTANUL ATHFAL II PERUMNAS

Giving stimulation in early childhood is very important for optimizing children's development, including fine motor skills. It is important to optimize fine motor development stimulation because it will affect the child's readiness to maximize the movements of the wrist and fingers. This also affects the coordination of the child's eye and hand functions so that he can process the information he receives at the same time. This study aims to determine the improvement of the child's eye and hand coordination after applying the method of thickening the dotted line to children aged 4 to 5 years in community service research through service learning at TK Aisyiyah Bustanul Atfhal II Perumnas Makassar City with a total of 4 participants. children. In its application, it uses a dotted line patterned drawing paper instrument, an observation sheet, and an evaluation sheet for the implementation of the intervention. The data obtained were analyzed using descriptive statistics. The results of this research show that the application of thickening the dotted line is effective in improving children's hand and eye coordination in carrying out activities simultaneously. This study implies that the development of hand-eye coordination in stimulated children has different speeds.

Penggunaan New Media di Kalangan Orang Tua Golongan Millenial sebagai Media Pola Asuh Anak Masa Kini di Era Digital

: THE USE OF NEW MEDIA IN MILLENIAL PARENTS AS THE MEDIA FOR PARENTING . There has been a shift when parents get more access to information about parenting science from new media. Access to information in the world of parenting, which used to be only in the offline sphere, is now in the online realm. This qualitative method aims to obtain information about how parents educate their children in today's digital era. Data were collected through observation or interviews with several parents belonging to the millennial group. The results of this study can be seen that there has been a shift in sources of information on the values of parenting carried out by a number of parents of today's millennial groups who used to often get information about the values of parenting from their parents, in-laws, and several other elders. Currently, young parents of the millennial group actually get information about parenting values from the media. Parents also apply effective parenting if parents know what to do to educate children in the digital era which include: parents need to know and understand children's eye health, parents need to accompany children as digital generations and use digital media according to age and age. child development stage. Keywords: Social media, Parenting, New media, Children in the digital era