Refractive Error Findings in Students Who Failed School-based Vision Screening

Guo, Xinxing; Nguyen, Angeline; Vongsachang, Hursuong; Kretz, Alyssa Marie; Mukherjee, Moneesha Rani; Neitzel, Amanda; Shakarchi, Ahmed F.; Friedman, David S.; Repka, Michael X.; Collins, Megan E.

doi:10.1080/09286586.2021.1954664

Cited by 12 publications

(26 citation statements)

References 31 publications

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“…Between 2017 and March 2020 (3 school years), CSBVP optometrists examined almost 130,000 students and diagnosed nearly 74,000 students with refractive error requiring eyeglasses. Similar to other vision programs, the vast majority of students seen had undetected refractive error requiring eyeglasses 15 . A small proportion of students had non‐refractive ocular findings, necessitating referral into the community for further evaluation and treatment.…”

Section: Discussionmentioning

confidence: 83%

“…Similar to other vision programs, the vast majority of students seen had undetected refractive error requiring eyeglasses. 15 A small proportion of students had non-refractive ocular findings, necessitating referral into the community for further evaluation and treatment.…”

Section: Discussionmentioning

confidence: 99%

“…School health experts recognize the inter‐relatedness of health and education. Recently, there has been an increased interest in school‐based vision care, with data demonstrating the success of school‐based vision programs like the CSBVP 15 . In addition, there is an evolving body of evidence about the impact of school‐based vision care on academic outcomes 8,19 .…”

Section: Implications For School Health Policy Practice and Equitymentioning

confidence: 99%

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School‐Based Delivery of Vision Care in Chicago Public Schools

Storey

Stafford-Hudson

Harrow

et al. 2022

Journal of School Health

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BACKGROUND: In 2012, Chicago Public Schools and the Chicago Department of Public Health partnered together to create the Chicago School-Based Vision Program (CSBVP). This ongoing, city-wide program provides school-based vision services (eye examinations, eyeglasses provision, and eye care referrals) to students with limited access. METHODS: Descriptive analysis of the program operations from 2012 to 2020, including number of students served and exam findings during 2017-2020, as well as lessons learned and recommendations for reproducing the successes of the CSBVP in other contexts. RESULTS: During its first 8 years, the CSBVP provided eye examinations to over 350,000 students. During the years 2017-2020, this included 126,238 eye exams and provision of eyeglasses to 73,751 students. CONCLUSIONS:The CSBVP is built upon strong community and school relationships. The program offers vision services, equitably, to all students across the district. The lessons learned through the implementation of the CSBVP may provide guidance for future district-wide vision programs.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Implications For School Health Policy Practice and Equitymentioning

confidence: 99%

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School‐Based Delivery of Vision Care in Chicago Public Schools

Storey

Stafford-Hudson

Harrow

et al. 2022

Journal of School Health

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“…20 Risk factors for CSRE included higher grade levels, females, and students of Hispanic ethnicity. 20…”

Section: Refractive Error Profilementioning

confidence: 99%

“…20 Among a predominantly black and Hispanic study population (mean age 9.2 years) of the students who failed screening and underwent an eye exam, 56% had myopia [À0.50 diopter (D) spherical equivalent (SE) or greater], 27% had hyperopia (þ0.50D SE or greater), 58% had astigmatism (1.00D cylindrical power or greater), and 31% had anisometropia (at least 1.00D spherical or cylindrical power differences between the 2 eyes). 20 We also sought to explore which students had V4Bdefined clinically significant refractive error (CSRE), consensus criteria for refractive findings, at a minimum, that would warrant an eyeglasses prescription. In the mobile clinic setting, students were additionally prescribed glasses at the provider's discretion based on vision complaints or subjective acuity improvement with manifest refraction.…”

Section: Refractive Error Profilementioning

confidence: 99%

Lessons Learned From School-Based Delivery of Vision Care in Baltimore, Maryland

Collins

Guo

Repka

et al. 2022

Asia-Pacific Journal of Ophthalmology

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In an effort to address health care disparities in pediatric eye care, school-based vision programs have been established. These programs, while not universally available, have been established at individual schools or across school districts in at least 20 states in the United States (US). They play a critical role for students who are not accessing eye care, especially in disadvantaged communities. In the US, school-based vision programs often provide vision screenings, eye exams, and eyeglasses directly in the school setting. The rationale for involving schools in vision care delivery is the recognition of the inter-relatedness between health and education, including how poor vision can impact learning. Vision for Baltimore is a citywide school-based vision program that provides vision care for all Baltimore City Public Schools elementary and middle school students (age range 4 to 16 years). The goal of this paper is to summarize lessons learned from our work on clinical outcomes from screenings and eye exams, the academic impact of Vision for Baltimore, and qualitative work about consent challenges and stakeholder engagement. While school-based vision programs may vary in operations, we hope the lessons learned through our work may help demonstrate the transformative impact on vision and learning, as well as the importance of addressing stakeholder needs to maximize impact and ensure program sustainability.

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Effect of a Randomized Interventional School-Based Vision Program on Academic Performance of Students in Grades 3 to 7

et al. 2021

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IMPORTANCE Uncorrected refractive error in school-aged children may affect learning. OBJECTIVE To assess the effect of a school-based vision program on academic achievement among students in grades 3 to 7. DESIGN, SETTING, AND PARTICIPANTS This cluster randomized clinical trial was conducted in Baltimore City Public Schools during school years from 2016 to 2019 among 2304 students in grades 3 to 7 who received eye examinations and eyeglasses.

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Refractive Error Findings in Students Who Failed School-based Vision Screening

Cited by 12 publications

References 31 publications

School‐Based Delivery of Vision Care in Chicago Public Schools

School‐Based Delivery of Vision Care in Chicago Public Schools

Lessons Learned From School-Based Delivery of Vision Care in Baltimore, Maryland

Effect of a Randomized Interventional School-Based Vision Program on Academic Performance of Students in Grades 3 to 7

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