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. 2021 May 1;98(5):490-499.
doi: 10.1097/OPX.0000000000001686.

A Comprehensive Review of State Vision Screening Mandates for Schoolchildren in the United States

Madison D Wahl, Donna Fishman  1 , Sandra S Block, Kira N Baldonado  1 , David S Friedman  2 , Michael X Repka  3 , Megan E Collins
Affiliations

A Comprehensive Review of State Vision Screening Mandates for Schoolchildren in the United States

Madison D Wahl et al. Optom Vis Sci. .

Abstract

Significance: Methods and frequency of vision screenings for school-aged children vary widely by state, and there has been no recent comparative analysis of state requirements. This analysis underscores the need for developing evidence-based criteria for vision screening in school-aged children across the United States.

Purpose: The purpose of this study was to conduct an updated comprehensive analysis of vision screening requirements for school-aged children in the United States.

Methods: State laws pertaining to school-aged vision screening were obtained for each state. Additional information was obtained from each state's Department of Health and Education, through their websites or departmental representatives. A descriptive analysis was performed for states with data available.

Results: Forty-one states require vision screening for school-aged children to be conducted directly in schools or in the community. Screening is more commonly required in elementary school (n = 41) than in middle (n = 30) or high school (n = 19). Distance acuity is the most commonly required test (n = 41), followed by color vision (n = 11) and near vision (n = 10). Six states require a vision screening annually or every 2 years.

Conclusions: Although most states require vision screening for some school-aged children, there is marked variation in screening methods and criteria, where the screening occurs, and grade levels that are screened. This lack of standardization and wide variation in state regulations point to a need for the development of evidence-based criteria for vision screening programs for school-aged children.

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Conflict of interest statement

Conflict of Interest Disclosure: None of the authors have reported a financial conflict of interest.

References

    1. Smith E, Chen W, Congdon N, et al. Eyeglasses for Global Development: Bridging the Visual Divide; 2016:37. The World Economic Forum: EYElliance. Available at: http://www3.weforum.org/docs/WEF_2016_EYElliance.pdf . Accessed January 15, 2020.
    1. Data Resource Center for Child and Adolescent Health. National Survey of Children's Health (NSCH) 2018–2019 Data Query. Available at: https://www.childhealthdata.org/browse/survey . Accessed January 13, 2021.
    1. Mayro EL, Hark LA, Shiuey E, et al. Prevalence of Uncorrected Refractive Errors among School-age Children in the School District of Philadelphia. J AAPOS 2018;22:214–7.e2.
    1. Yawn BP, Lydick EG, Epstein R, et al. Is School Vision Screening Effective?J Sch Health 1996;66:171–5.
    1. Kemper AR, Fant KE, Bruckman D, et al. Hearing and Vision Screening Program for School-aged Children. Am J Prev Med 2004;26:141–6.

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