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Published byRudy Hanbury Modified over 9 years ago
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1. Common vision disorders in children 2. Purpose for the law 3. History of the law 4. Details 5. Children’s Vision Commission 6. Difference between exams & screenings 7. Financial questions 8. Resources for help
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Myopia (nearsighted) Hyperopia (farsighted) Astigmatism (oval shaped cornea) Amblyopia (lazy eye) Strabismus (eye turn) Focusing problems ◦ Accommodation ◦ Convergence
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Blur at distance *Trouble seeing the chalkboard Light focuses before it reaches the retina Causes ◦ Eye too long ◦ Cornea too curved Corrected by: ◦ Eyeglasses ◦ Contacts
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Blur at near ◦ Trouble seeing books Light focuses after reaching the retina Causes ◦ Eye too short ◦ Cornea too flat Corrected by: ◦ Eyeglasses ◦ Contacts
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Blur distance and near Caused by irregular shaped cornea Corrected by: ◦ Eyeglasses ◦ Contacts
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Blur at distance and near even with correction Causes ◦ Developmental ◦ Refractive ◦ Eye turn Treatments ◦ Patching ◦ Atropine drops ◦ Glasses, contacts ◦ Vision therapy
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Typically affect reading only Focusing muscles not working properly ◦ Accommodation ◦ Convergence Corrected by: ◦ Eyeglasses? ◦ Vision Therapy?
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May cause double vision Poor depth perception ◦ Distance ◦ Near Causes: ◦ Muscle imbalance ◦ Hyperopia Corrected by: ◦ Eyeglasses, contacts if refractive ◦ Surgery may be necessary ◦ Vision Therapy may be necessary
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80% of learning comes through vision Vision disorders rank as the most prevalent handicapping condition in childhood. 5% of children are identified as having vision problems during a typical vision screening. Yet, 10-12% of preschoolers have vision deficiencies 6% of children who fail a school screening will not receive a comprehensive exam Only 15% of children under the age of five have received a comprehensive eye examination. 60% of children with learning disabilities also have undetected vision disorders * National Eye Institute
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Original bill was sponsored by Speaker of the House Rod Jetton. Speaker Jetton’s son had a vision disorder that wasn’t diagnosed until he had an eye examination by Dr. Steve Tilley. The bill that passed this year was sponsored by Rep. David Pearce in the house and by Sen. Delbert Scott in the senate.
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Beginning July 1, 2008 all children entering kindergarten or first grade are required to have a comprehensive eye examination. Evidence of the exam shall be submitted to the school no later than January1, of the school year. The law “sunsets” in 2012, when it will be re- evaluated by the Children’s Vision Commission and the Missouri legislature. Parents may “opt out” of the examination with written notice to the school district. There are no penalties associated with the law.
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Two optometrists Two ophthalmologists One school nurse One Rep. from Dept. of Elementary and Secondary Education One Rep. from Missouri School Board Association
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Establish statewide guidelines for exams and reporting process Monitor exam results and make recommendation to state legislature on whether to continue law at it’s sunset.
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What’s the Difference Between an Eye Examination and a Vision Screening?
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Often performed by pediatrician, school nurse or volunteer May detect myopia, hyperopia, color or depth perception problems Amblyopia screenings? Not comprehensive but very valuable
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Performed by optometrist or ophthalmologist Can detect and treat myopia, hyperopia, astigmatism, amblyopia, strabismus and focusing disorders
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Estimated that 70% of these children already have insurance coverage for comprehensive eye exams. Parent’s responsibility Blindness Education Fund Charitable organizations, ie. Vision Service Plan, Cerner First Hand Foundation. Donations by the doctors.
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Every single child in Missouri deserves to opportunity to reach their full potential as a student. Educators have been mandated with “No Child Left Behind” 80% of learning during a child’s early school years is through vision. Without at least one comprehensive eye exam, some of our children will continue to “slip through the cracks”.
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Missouri Optometric Association ◦ www.moeyecare.org www.moeyecare.org
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