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Children’s Vision Screening DEVELOPMENT OF A LIONS KIDSIGHT USA PROGRAM Lions Clubs International.

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Presentation on theme: "Children’s Vision Screening DEVELOPMENT OF A LIONS KIDSIGHT USA PROGRAM Lions Clubs International."— Presentation transcript:

1 Children’s Vision Screening DEVELOPMENT OF A LIONS KIDSIGHT USA PROGRAM Lions Clubs International

2 What is KidSight?  A Lions Program that uses a hand- held camera vision screening device (several options) for pre-literate children age 6 mos. to 6 years Detects risk factors for amblyopia, refractive error, etc., before a child starts primary school. About 14% are referred. These visions problems after age 7 are much, much harder to treat. Screening results are instantaneous Cameras can be used by volunteers; cost about $6,000 to $7,500

3 Background  Programs in several states started in the late 1990s with the MTI Photoscreening camera.  Major programs started in TN, IA, IN, and CO – with three of them coordinated with help of eye departments at major universities – Vanderbilt, U of Colorado, and U of Iowa (major Lions eye centers at Vanderbilt U and U of Colorado).  University partners added credibility and did much of the photo interpretation for the Polaroid images from the MTI camera.

4 Background  Program was given LCIF Core 4 Program “Priority Status” in the late 1990s, which resulted in $2 million+ in grant funding to start statewide programs.  Grants went to NJ, NY, WY, CO, MI, VA, LA, and several others as a result.  Programs now screen upwards of 500,000 kids under 7 each year. University partners not needed today to interpret results of photos; referral criteria built into the device’s software.  LCIF provides matching grants for cameras – expansion of programs or to replace older cameras.

5 Lions KidSight USA Created  A National Survey of USA Lions conducted in the spring 2014 to identify need and direction for a national program.  90%+ of respondents favored children’s vision screening.  National planning committee established by Lions top leadership in the USA, headed by PID Dr. Ed Cordes (Optometrist from NY) and supported by Dr. Hauser Weiler (Ophthalmologist from VA).  A national coalition founders committee meeting was held Aug 16, 2014 representing NY, NJ, VA, IA, IN, CO, CT, TN, KS, and GA to determine next steps.  The official roll out of the program took place at the USA/Canada Lions Leadership Forum in Puerto Rico in September, 2014.

6 Lions KidSight USA Created  LCIF provided a seed grant for founders meeting and to support program launch.  National website is being created.  The committee created suggested models suitable for all program sizes to promote best practice standards.  Name Lions KidSight USA was approved. Logo developed.  Goal of national program is to build the capacity to screen all kids under age 7 by 2018.

7 Funding Of Program  2 equipment companies became partners at $50,000 each over 3-5 years.  Opportunity potentially to raise funds nationwide from non-Lions in the USA, but would be restricted to the program.  LCIF will need to invest some modest funds in the next two years, but this may not be significant if corporate funding happens as expected.

8 Goals of Children’s Vision Screening  Primary Goal – Detection of Amblyopia and its Risk Factors  Secondary Goal – Need for Eyeglasses  Detect Abnormal Vision  Risk factors to visual development  Timely treatment with greatest benefit

9 Effects of Poor Vision In The Young  Poor literacy  Behavioral Disorders  No participation in sports  Poor socialization  Other social/behavioral issues

10 HISTORY of Screening Methods  Tumbling “E” and Snellen Charts  Titmus Binocular Screener  MTI PhotoScreener  Auto Refractors  Modern Binocular Automated Screeners iScreen PlusOptix Welch Allyn SPOT

11 AMBLYOPIA  Decreased vision in one eye relative to the other  Caused by Congenital Cataract Crossed eyes – strabismus Unequal refractive error – one strong & one weak  Detect early, treat before age 6  Little benefit of treatment after age 8

12 When Should We Screen Where Should We Screen  Lions should screen children beginning at 6 months  Biggest benefit: 6 months to 6 years of age  Day care centers/nursery schools  School screenings  Do NOT screen adults – does not detect adult eye disease like Glaucoma, Macular Degeneration, etc.

13 What Should We Use  Strive for the best devices available  Lions KidSight USA Suggests The Following Characteristics  Ease of use  Durable  Binocular testing  Results on site provided by the unit  Non threatening to the child  Usable from 6 months of age on  Proven high level of reliable results

14 Screeners From Our Partners Plusoptix S-12 Welch Allyn Spot

15 Administrative Details  FORMS: Parental Consent to Screen Pass/Refer notice Screening Report “Opt Out” check box for permission to follow up  STRUCTURE District Childhood Screening Chairperson Data Tracking and Reporting

16 Referrals -- Have a Plan!  MOTTO: Don’t start something you can’t finish  Develop a referral system for your Club or District  Partner with the eye care providers for examinations  Partner with the surgical centers  Partner with eyeglass providers  Explore the state prison system for fabrication labs  Consider recycled eyeglasses if legal but consider liability issues

17 SUMMARY  Screen Children to find conditions we can help correct  Be certain that you have a path parents can follow for assistance if needed  Attract new members through this amazing service project – young members who have limited time  Build a legacy

18 Easy To Get Started 3 MODELS TO CHOOSE FROM

19 Beginner – Getting Started  Club (or zone on a sharing basis) has a screening device  Club(s) has a HIPAA compliant system to screen children at places such as pre-k institutions, head-start programs, community health clinics and community organizations, health fairs, etc.  A HIPAA-compliant permission form parents need to sign with “Opt Out” follow up check box  A HIPAA-compliant document detailing screening results that the kids or organizations hosting the screening can share with parents or guardians  The ability to provide/fund follow-up exams and care for the medically indigent, or at least a list of resources/agencies that can help  Maintain a list of screening information including the number of children screened and percentage referred for an exam.

20 Intermediate – Take It To The Next Level  All the above  Coordinate program at the district level or by a district foundation  Network of eye care professionals supporting the program  A coordinator, either a Lion volunteer or a paid staff person, to schedule/coordinate screenings and support clubs with the program (parental permissions, referral and follow-up care coordination, etc.)  Pursue regional partnerships  Maintain a central database of the number of children screened, referral rates, and if possible outcome data of eye exams

21 Advanced – Go For The Gold Standard  All the above  Coordinate program at the multiple district level and may have a university or hospital partner with paid staff to coordinate program  Pursue state-level partnerships with professional eye care bodies, education associations, and seek state government funding or program collaborations

22 All USA Lions Clubs Screening All Kids 6 Months to 6 years LIONS MAKING A DIFFERENCE FOR THE NEXT GENERATION Website:


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