“…Wyoming is the least populated state in the United States, with approximately 582,000 people living in a geographic area of 97,093 square miles. Wyoming's sparsely populated cities and towns struggle to support an optimal level of primary and specialist health care (Gantenbein, Robinson, Wolverton, & Earls, 2011). Limited availability of primary care for children presents a barrier to the provision of screening services for potentially correctable conditions such as amblyopia (Kemper & Clark, 2006).…”