Effective Vision Screening in School Age
The target population of vision screening, like any screening, are symptom free children. If a child has any kind of symptoms or signs (s)he is referred for treatment independent of visual acuity values.
Passing limit should not be one single visual acuity value but based on the
vision needs of a particular child:
It should be clearly remembered that vision screening at school age is arranged to find those children who may need glasses in order to see well in the classroom.
We are not looking for diseases and therefore the deciding fact is whether the child sees well enough in the classroom or not. Myopia is not a disease and the child’s vision has not become worse if distance visual acuity is lower than before.
Vision screening should be a positive experience to each child and teach the children a correct attitude to changes in refraction. Refractive power of the eyes may change the same way as the size of clothing and shoes. Therefore spectacles are changed when they have become uncomfortable, not once a year.
Visual acuity screening is for healthy schoolchildren. If children have disabilities or diseases, their visual development is followed based on specific advice from the child’s physicians and the assessment of their visual functioning for the IEP/ILP* covers all visual functions.
*Individual Learning Plan (more child centred than the IEP)
Edited in July 2009.