AIM: To report refractive error findings and other eye abnormalities in preschool children population in Greater Area Jakarta using the Plusoptix pediatric autorefractor A09.

METHODS: Cross sectional study of preschool age children with mean age 4.46(range 2-6 years old)of 3 preschools in 3 municipalities in Greater Area Jakarta(South Tangerang, Bekasi and West Jakarta)were screened for refractive errors and other eye abnormalities.

RESULTS: Totally 166 children, consisting of 51.2%(n=85)male and 48.8%(n=81)female were screened. Using the Arthur modification criteria for vision screening referral, 15.67%(n=26)were given recommendations for further comprehensive ophthalmology examination. From those given recommendations, 2 had high hyperopia, 14 had significant astigmatism, 6 had combined hyperopia/astigmatism, 1 had anisometropia, 1 unable to measure, 2 had other ocular conditions(congenital ptosis and severe ecchymosis and subconjunctival bleeding due to chronic cough).

CONCLUSION: The finding of amblyopia risk factors in using Plusoptix A09 was 15.67% in this study.This percentage should warrant healthcare providers in Indonesia, where the importance of preschool vision screening is not widely acknowledged, especially for the risk of irreversible amblyopia.