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Vision Testing In Schools


by turfgrrl


July 4th, 2008 · 4 Comments

With all the tests that we inflict on the student population these days, you’d think that there’d be some sort of national movement to do some basic physical testing that might be actually useful knowledge to students, teachers and parents. Simple vision and hearing tests would perhaps go a long way to determining if there are physical problems making it difficult for students to adapt to the modern learning environment.

I guess the larger issue is how we as a society don’t quite get that basic preventative health care is a commodity that should be affordable and accessible to all. But back to vision and education, from The Center for Health and Healthcare in Schools:

Some eye care and public health professionals have argued that every child should receive a comprehensive examination by an optometrist or ophthalmologist before school entrance. Other eye care and medical professionals maintain that vision screening is a cost-effective method for identifying those who would benefit from eye exams. These competing recommendations for how best to identify children with vision problems are prompting new research on the costs and benefits of various strategies, including an examination of the impact of untreated vision problems on school performance.

State legislatures, local school districts and federal government agencies have all begun to re-assess the effectiveness of approaches they use to assure that vision problems do not become barriers to healthy child development and academic performance. The goal of this paper is to provide a framework for policy makers, educators, health professionals, and parents to assess the adequacy of the current strategies to find and treat children with vision problems and to suggest future directions.

Key Findings

  • Vision problems are common among children. Vision problems affect nearly 13.5 million children. Rates for vision problems increase as children age. Nearly eight percent of young children ages 0 - 5 experience eye problems while a quarter of adolescents 12 - 17 are reported to have eye problems.
  • A variety of legislative and regulatory measures have been adopted to address vision problems. Thirty-nine states and the District of Columbia either recommend or require vision screening prior to school entry and periodically thereafter. Only one state, Kentucky, mandates comprehensive eye exams prior to school admission.
  • Office-based vision screening is the primary means of detecting vision problems among young children. For the majority of children under the age of three, vision screenings, when done, are performed during well-child visits by physicians and their staff. However, one study reported that only 66% of children ages three to five years old in a group of 102 pediatric practices covering 23 states, received vision screenings. No data on office-based vision screenings for older children is available. Health care providers may be missing opportunities to identify vision problems in children during routine visits. It is estimated that only 5-14% of children receive eye exams performed by optometrists or ophthalmologists before school entry.

Read the whole thing.

h/t watchdog

Tags: Education · Health Care

4 Responses so far “Vision Testing In Schools”



  • 1 Retired from DRG I // Jul 4, 2008 at 12:06 pm

    This comes under the category of prepare for success!
    Readiness?
    Some populations in Connecticut schools have a cultural bias against eye wear-
    and they telegraph that to their children-
    Kids - at least in DRG I schools -will do almost anything not to wear their glasses. I suspect more children need to see the eye doctor- but do not go.
    Imagine 6 year olds and younger who hide their glasses, lose them and otherwise out and out refuse to wear them-
    Another big problem comes when starting the next grade-
    Every fall the new teacher does not know the student had glasses last year-
    students lie about the current situation. They say- oh, I don’t need them anymore-
    How does a parent know if their child is wearing the glasses in class as prescribed?
    There are disconnects in the teacher to family information as well as the doctor to wearer. I have an eye doctor telling my child to sit in the front- there is no front, even if she as a young child could control that. The room has a rug area and centers, posters for use on all walls. Students must see close and far accurately.

    I have children tell me- I only have to wear them when reading-
    young children think that means have a book in front of me-
    forget a math paper or looking at the board.
    Or, I can’t wear them to recess or PE.
    Hmmm- I’d wanna see a ball coming? Connecticut has a legal shatter proof glass requirement for children. Oh, and they don’t wear them to art or music- why?

    I think we lose sight of the purpose for glasses- Pun intended. Enabling students to opt out of the prescription is medial neglect at best.
    Is this another way that low income students find blocks to educational success? I suspect so.

  • 2 newbie // Jul 4, 2008 at 12:19 pm

    I read the link sent by Watchdog. It’s a great thought. When we were growing up, computers weren’t around to impact our vision. Kids today are on computers at 3 years old. Typical vision screening at a physical only checks distance vision (last I knew). Remember that - look at the big E at the end of the hall. Now they have cute pictures for little tiny kids who don’t know their letters. But think of the implications this could have on reading if they started to check early for other vision problems. But where does the funding come from and how do you enforce it? It could get complicated.
    Retired DRG is right about the income bias - has anyone ever had to buy glasses? They are expensive! But I don’t think that should prevent the state from going for it - I have always thought glasses were a medical necessity and should be paid for by insurance, whether private or HUSKY. That’s why this will get complicated. It will require more than educational involvement -insurances will have to be on board. Good luck with that one!

  • 3 Retired from DRG I // Jul 6, 2008 at 9:25 pm

    And more for families to see that the teacher knows the student wears glasses and the the student knows family expects him/her to wear them.
    Without that connect they’ll stay in the book bag.

    newbie is correct that The E chart or picture chart is a small piece of the eye screening for school work. The school nurse can say that the E chart shows that there may be a problem. Family must get the child to the doctor, pay for the office visit and buy glasses. I have seen hundreds of dollars in charges for the visit and classes for one child.
    So if those hurdles are met, and then the student loses or hides the glasses there has been a huge effort and no result.
    If Connecticut students are to make gains that close the achievement gap students in low income areas need to have access to glasses and the will to wear them. You can’t read what you can’t see.

  • 4 CTYankee // Jul 27, 2008 at 12:33 pm

    Vision is an intrinsic qualification of every person, everywhere, all the time. Denying poor vision accomplishes *nothing*. Cultural sensitivities be damned!

    Here’s a thought… Test every kid in every class with the old-fashioned “E” chart every year. If the child tests out worse than 20/40 send them home! Medical suspension.

    I’m sure that many companies would jump at the opportunity to provide free ‘rescue’ _glasses_ for suspended kids to ‘keep ‘em in _classes_’

    The fact is that until education is seen as a privileged again, we’re wasting time & money on people that don’t care! Stop wasting taxpayer $$$ on people that won’t help themselves!

    Start holding people accountable for their actions & inactions. Give them a low cost or no cost solution to be able to comply, then hold their feet to the fire!

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