Original Investigation

HOTV Vision Test Compared With Tumbling E for Pediatric Vision Screening

JAMA Ophthalmology 10.1001/jamaophthalmol.2026.3425

August 27, 2026 at 11:00 AM EDT

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These findings support the use of the HOTV test for children younger than 8 years. Its use could reduce unnecessary referrals, especially in the context of growing global emphasis on pediatric vision screening and early detection of myopia.

Corresponding Authors: Xiangui He, PhD, No. 1440 Hongqiao Rd, Shanghai, China (xianhezi@163.com); Kathryn A. Rose, PhD, Discipline of Orthoptics, Graduate School of Health, University of Technology Sydney, PO Box 123, Broadway, NSW 2007, Australia (Kathryn.Rose@uts.edu.au).

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