Reducing visual deficits caused by refractive errors in school and preschool children: results of a pilot school program in the Andean region of Apurimac, Peru

Background: Refractive error is defined as the inability of the eye to bring parallel rays of light into focus on the retina, resulting in nearsightedness (myopia), farsightedness (Hyperopia) or astigmatism. Uncorrected refractive error in children is associated with increased morbidity and reduced educational opportunities. Vision screening (VS) is a method for identifying children with visual impairment or eye conditions likely to lead to visual impairment. Objective: To analyze the utility of vision screening conducted by teachers and to contribute to a better estimation of the prevalence of childhood refractive errors in Apurimac, Peru. Design: A pilot vision screening program in preschool (Group I) and elementary school children (Group II) was conducted with the participation of 26 trained teachers. Children whose visual acuity was<6/9 [20/30] (Group I) and≤6/9 (Group II) in one or both eyes, measured with the Snellen Tumbling E chart at 6 m, were referred for a comprehensive eye exam. Specificity and positive predictive value to detect refractive error were calculated against clinical examination. Program assessment with participants was conducted to evaluate outcomes and procedures. Results: A total sample of 364 children aged 3–11 were screened; 45 children were examined at Centro Oftalmológico Monseñor Enrique Pelach (COMEP) Eye Hospital. Prevalence of refractive error was 6.2% (Group I) and 6.9% (Group II); specificity of teacher vision screening was 95.8% and 93.0%, while positive predictive value was 59.1% and 47.8% for each group, respectively. Aspects highlighted to improve the program included extending training, increasing parental involvement, and helping referred children to attend the hospital. Conclusion: Prevalence of refractive error in children is significant in the region. Vision screening performed by trained teachers is a valid intervention for early detection of refractive error, including screening of preschool children. Program sustainability and improvements in education and quality of life resulting from childhood vision screening require further research.

The action cam phenomenon: a new trend in audiovisual production

When the GoPro camera was first put on the market in 2004, it brought about a new generation of ultracompact cameras designed to be attached to the user’s body, and which came to be known as action cams. Their principal characteristics were their tiny size, their high-quality images and a wide-angle, fixed-focal-length lens. This combination has made it much simpler to get spectacular subjective shots with considerable depth of field. The users of this technology now form a whole generation of citizen-filmmakers who produce thousands of videos every day in a novel realistic style dominated by first-person narrative. Their work is principally shared via video platforms like YouTube and Vimeo, which provide instant feedback in the form of millions of views. In this paper we analize the common features of the action cam recording style and we state these videos will bring about a redefinition of the realist visual style. Furthermore, we propose to relate the success of the action cam phenomenon with the cognitive concept of embodiment and argue that the viewer’s mirror neurons copy the real sensations and enable the viewer to experience, virtually and in safety, the same emotions felt by the person actually taking part in the action.