1. Childhood Vision Screening Why do we do it What are we looking for When should we screen When should we screen Where should we screen Where should we screen What should we use What should we use What do we do with the referrals

2. Why do we screen? To determine vision defects that would affect learning To determine vision defects that would affect learning Need for Spectacle Correction Need for Spectacle Correction Need for Amblyopia therapy Need for referral for other eye diseases

3. What are we looking for? GOAL OF VISION SCREENING: Detect Abnormal Vision Risk factors to visual development Timely treatment with greatest benefit Primary Goal – DETECTION OF AMBLYOPIA Secondary Goal – NEED FOR EYEGLASSES

4. AMBLYOPIA Decreased vision in one eye relative to the other Decreased vision in one eye relative to the other Congenital Cataract, Cornea disease Crossed eyes – strabismus Crossed eyes – strabismus Unequal refractive error – one strong & one Unequal refractive error – one strong & one Farsighted Farsighted Detect early: Treat before age 6 Detect early: Treat before age 6 Little benefit after age 8 Little benefit after age 8

5. VISION CORRECTION Effects of Poor Vision in the very young Effects of Poor Vision in the very young Poor literacy Poor literacy Behavioral Disorders Behavioral Disorders No participation in sports No participation in sports Poor socialization Poor socialization Others Others

6. When should we screen? Where should we screen? Lions should screen beginning at age 6 months Lions should screen beginning at age 6 months Biggest benefit: 6 months to 6 years of age Biggest benefit: 6 months to 6 years of age Day care centers/nursery schools Day care centers/nursery schools School screenings School screenings

7. We want to avoid this!!

8. And have more of these!

9. What should we use? Strive for the best devices available Strive for the best devices available Characteristics Characteristics Ease of use Ease of use Durable Durable Results on site provided by the unit Results on site provided by the unit Non threatening to the child Non threatening to the child Usable from age 6 months Usable from age 6 months Proven high level of reliable results ** Proven high level of reliable results ** FUNDING – HOW TO PAY FOR THESE UNITS

10. SPOT

11. Plusoptix

12. iScreen

13. Where do we find children? Registered Day Care Centers Registered Day Care Centers Church nurseries Church nurseries State registries State registries PR PR

14. Administrative Details FORMS: FORMS: Parental Consent to Screen Parental Consent to Screen Include “Opt Out” for follow up calls Include “Opt Out” for follow up calls Pass/Refer Pass/Refer Screening Report Screening ReportSTRUCTURE District Childhood Screening Chairperson District Childhood Screening Chairperson Data Tracking Data Tracking REFERRALS !!!!!

15. Parental Consent to Screen

16. Letter to Parent

17. Results Report

18. SPOT

19. Plusoptix

20. iScreen

21. How do you avoid this?

22. Referrals: Have a Plan! MOTTO: Don’t start something you can’t finish MOTTO: Don’t start something you can’t finish Develop a referral system for your Club or District Develop a referral system for your Club or District Partner with the eye care providers for examinations Partner with the eye care providers for examinations Partner with the surgical centers Partner with the surgical centers Partner with eyeglass providers Partner with eyeglass providers Explore the state prison system for fabrication labs Explore the state prison system for fabrication labs Consider recycled eyeglasses Consider recycled eyeglasses

23. SUMMARY Screen Children to find conditions we can help correct Screen Children to find conditions we can help correct Be certain that you have a path parents can follow for assistance if needed 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 Attract new members through this amazing service project – young members who have limited time Build a legacy – A Gift to Humanity Build a legacy – A Gift to Humanity LIONS HAVE THE POWER TO ELIMINATE AMBLYOPIA IN THE NEXT GENERATION !! LIONS HAVE THE POWER TO ELIMINATE AMBLYOPIA IN THE NEXT GENERATION !!