GoCheck Kids—iPhone version
Whereas photoscreeners like the plusoptiX S16 require practices to purchase an expensive device, GoCheck Kids (Gobiquity Inc.; Aliso Viejo, California) provides a subscription plan that utilizes a smartphone application to perform photoscreening quickly and easily. In early 2018, GoCheck Kids will release its new application that runs on a supplied iPhone 7 Plus. Using the iPhone facilitates launching the application quickly, and the large size of the phone makes it easy to perform the test. In my experience, children are very cooperative for GoCheck Kids photoscreening as they are used to having their pictures taken with their parents’ smartphones. The application works in conjunction with a web-based patient portal that retains screenings for retrieval, comparison, and review. Best of all, the subscription is less than $100 per month for unlimited screens! In my experience, reimbursement for photoscreening under code 99177 is being reimbursed in the amount of $20 to $25 dollars per screen by most insurances.
Pediatric Vision Scanner (PVS)
Completing our trifecta of new vision screening devices is the Pediatric Vision Scanner (Rebion; Boston, Massachusetts) developed over a 20-year period by Dr. David Hunter, chief of Ophthalmology at Boston Children’s Hospital, Massachusetts, and cleared for marketing by the US Food and Drug Administration (FDA) in 2016. The device uses polarized laser light to test eye orientation at the retinal level to detect amblyopia in children with sensitivities and specificities much higher than those associated with photoscreeners. With existing photoscreeners, 1 in 8 children refer for ophthalmologic evaluation, and of those referred only 1 in 8 children have amblyopia or another condition requiring intervention. In contrast, with the PVS, 1 in 3 children referred will require intervention. The device is targeted for release in the second quarter of 2018. Pricing is not available as of this writing.