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Cobb County School District 2014-2015

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VISION SCREENING PROGRAM Cobb County School District 2014-2015 Manual reference page 11 * Form V3 on page 22 * Manual reference page 14 and 15 and 16 * Manual ... – PowerPoint PPT presentation

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Title: Cobb County School District 2014-2015


1
Vision Screening Program
  • Cobb County School District 2014-2015

2
Vision Consultant
  • Dr. Ivo Horak
  • 735 Windy Hill Rd.
  • Smyrna, GA 30080
  • 770-436-9123 (office)
  • ivohorak_at_bellsouth.net
  • www.youreyesrus.com

3
MAP to Dr. Horaks Office pg. 2
Feel free to copy/share with parents.
4
Vision Screening Program
  • Supervisor
  • Heidi.Evans_at_cobbk12.org
  • Education program specialists
  • LeAnn.Barnes_at_cobbk12.org
  • Teresa.Vento_at_cobbk12.org

5
What to do first?
  • DISCARD ALL OF YOUR OLD SCREENING
  • MANUALS AND
  • USE ONLY THE CURRENT
  • YEARS MANUAL.

6
DONT USE THIS EYE CHART.
7
Common Vision Terminology
  • 20/20
  • You can see clearly at 20 ft what should normally
    be seen at 20 ft.
  • Average Vision NOT Perfect Vision
  • 20/100
  • You have to be at 20 ft to see clearly what
    should normally be seen at 100 ft.
  • 20/15
  • Better than 20/20!
  • You can see clearly at 20 ft what should normally
    be seen at 15 ft.

8
Common Vision Problems
  • Near Sightedness/Myopia
  • Far Sightedness/Hyperopia
  • Objects up close are clear
  • Objects far away are blurry
  • Objects up close are blurry
  • Objects far away are clear

9
Common Vision Problems
  • Astigmatism
  • Presbyopia
  • All objects near and far are distorted
  • The eye can no longer focus up close

10
Common Vision Problems
  • Amblyopia or Lazy Eye
  • Vision in one eye is weaker than other. The brain
    suppresses the weaker eye and uses the good eye
  • Usually develops before age 6
  • 6,7 critical age for foveal development
  • Tx patching, Sx
  • Strabismus or Crossed Eye
  • One or both eyes turn in,out, up, or down due to
    weak muscle control
  • Can develop as late as age 6

11
Vision Screening Program
  • We are trying to detect students who may have a
    vision disorder to refer for further care.
  • It is estimated up to 25 of school age children
    have undetected, treatable vision problems that
    can interfere with learning.
  • A child with an undetected or untreated vision
    problem is more likely to develop social or
    emotional problems. Thus, a child's vision
    problems can affect not only their own learning,
    but that of their peers.  Vision screening
    empowers organizations to ensure children have
    the opportunity to reach their full potential

12
NOTE
  • If a child has an excessively red eye (or eyes),
    or crusting on the eyelashes or eyelids
  • DO NOT SCREEN the child. Send home the V1
    letter, and mark the child as fail for the
    vision screening.
  • Child needs medical attention.

13
Digital Eye Strain
  • Digital devices are putting stress on the visual
    system
  • Back lit LED screens
  • Smart phones started 6 years ago
  • Tablets are 3 years old
  • 40 of 3rd-12th grade own a tablet
  • 40 of college students use tablets as their main
    computer
  • 35 of US population own tablet and 60 own a
    smartphone
  • Causes children to constantly converge and
    diverge eyes while trying to focus on the
    screen--leads to starring ---gtdecreased blink
    rate
  • Children are using technology at a younger age,
    and small children hold things closer to their
    eyes

14
Digital Eye Strain- cont
Symptoms of Digital Eye Strain -fluctuating
vision, decreased concentration -dry eyes -red
eyes -burning eyes, fatigue Eyes get locked
into over-focusing. Child may be wearing wrong
Rx. ie false myopia -exam often done after
child playing on tablet/phone in waiting
room Recommend the 20-20-20 rule
15
High Energy Blue Light
Found in LED bulbs and also emitted from tablets
-Different wavelengths of visible light focus
on different parts of retina -Blue light
stresses the focusing system Melatonin tells
brain that we need to sleep Blue light suppress
Melatonin-gtdecreased sleep-gtdisrupted circadian
rhythms --gtobesity, fluctuating moods-hormonal
changes.--gtdecreased learning Recommend to stop
using Tablets 1-2 hours before bedtime.
16
Vision Screening Program
  • Who do we screen (for the MASS screening)?
  • Grades 1, 4, 7, 10

17
Vision Screening Program
  • NOT a substitute for routine vision care.
  • NOT a diagnostic procedure does not determine
    whether glasses will be needed.
  • Children should see an Optometrist or
    Ophthalmologist before K.
  • Annual eye exams are recommended for kids with
    glasses and/or contacts.
  • Children who do not wear corrective eye wear
    should also have an eye exam every year.

18
Vision Screening Program
  • All new students need a completed Certificate of
    Ear, Eye, and Dental Examination (Form 3300) on
    file
  • Completing a 3300 form is NOT part of mass
    screening program Parents should provide this
    (from the doctor or health department)
  • Remember this is for NEW STUDENTS only ONE
    From 3300 is required to be on file.

19
Screening Procedures
  • Methods HOTV or Titmus or Lea Symbols
  • If student initially fails, retest within 2 weeks
  • Fails a 2nd time, parents notified with letter
    V-1
  • Parents can
  • Take child for eye exam
  • Take child for re-screening with Dr. Horak, Dr.
    Davison, Dr. Mobley, or Dr. Schirack at no charge
  • PARENTS ARE RESPONSIBLE FOR COSTS OF FULL EXAM

20
Form V1. Pg 18 19 (spanish)
V-1 Form
21
ABCs of Detection
  • Complaint Signs
  • Eyes burn / itch
  • Seeing double
  • Unusual light sensitivity
  • Headaches
  • Letters jump together
  • Appearance Signs
  • Eyes crossed
  • Droopy lids or Swollen lids
  • Unequal pupils
  • Pink eye / watery eyes
  • Eyes in constant motion
  • Behavior Signs
  • Rigid body while viewing distant objects
  • Tilting head
  • Rubbing eyes
  • Excessive blinking
  • Squinting

22
Screening Procedures
  • If a child wears glasses perform the screening
    with the glasses on.
  • If child fails WITH glasses, the glasses may be
    for reading try screening without glasses.
  • Screening Challenges
  • Shy or Frightened
  • Learning disability
  • First Language not English
  • Hearing Loss
  • Malingering vs Hysteria

23
Screening Techniques
  • Titmus Machine
  • HOTV and LEA Charts
  • Screens for distance vision only
  • Overlooks farsightedness
  • Efficient
  • Less costly
  • Can screen for both distance near vision
  • Can Test muscle coordination
  • Can test color vision
  • More time consuming
  • ONLY DISTANCE IS REQUIRED FOR MASS SCREENING

24
Form V2 Page 16 in Manual Spanish version on
Page 17
25
HOTV Testing (Preferred method)
  • If you need more charts
  • HOTV charts available at www.bernell.com or
    www.macgill.com or
  • www.preventblindness.org
  • EACH eye must pass in order for student to pass
    the screening.

26
FYI
  • Schedule visual screenings early to maximize
    learning potential.
  • Use index cards as occluders (not hands)
  • Cut a curved edge on index cards, so as not to
    poke students in the eye!
  • Make sure both eyes are open to prevent squinting
  • Check each wall chart for proper screening
    distance.
  • Be aware of potential letter memorization (Allow
    only one student in the screening area at a time)
  • Create a comfortable environment with adequate
    lighting to minimize distraction
  • Minimize cross-contamination (use a fresh index
    card for each student, then discard the card.)

27
HOTV Testing
  • Child points to matching
  • stimulus card (or simply says the name of the
    letter) as adult points to each letter in the
    row.
  • Place chart at eye level from floor (eye level
    depends on the age/height of the students being
    screened)
  • 20/40 line K 1st Grade
  • 20/30 2nd thru 12th
  • Must identify 3 out of 5 letters to pass
  • EACH eye must pass

28
HOTV Testing
  • Fail once, retest 2 weeks
  • Fail twice, send V1
  • If no response in 30 days from parents, V2
  • ALL TESTING IS CONFIDENTIAL

29
Letters V1 V2 (also in Spanish)
30
Form V1. Pg 18 19 (spanish)
V-1 Form
31
Titmus Testing
  • Titmus machines available at www.schoolhealth.com
    Telemetrics
  • 1-800-523-8583
  • www.macgill.com
  • Special Student Services at 678-581-7400 has some
  • machines for check out
  • Must pass only distance portion for MASS screening

32
Titmus Testing
  • Prior to testing kids, check your Titmus manual
  • Student should wear glasses
  • The 20/40 slide (ex Boy, Girl, Bird, Rabbit) is
    passing for Grades K 1 - Must respond
    correctly with EACH eye
  • The 20/30 slide is passing for grades 2 12.
    Must respond correctly with EACH eye

33
Titmus Recording Form Page 11-13 in
Manual PLEASE CHECK GRADE LEVEL AT TOP OF PAGE.
34
PLEASE NOTE
  • KG/1st Grade Sample Form (page 11)
  • Do the first 6 slides

35
Screening Authorizations
  • Parent permission is NOT required for students
  • Grades 1, 4, 7, 10
  • If you feel any other student needs a screening
    form V3 (page 18) needs to be signed by parent
    or, in the case of a Special Education referral,
    the Special Education 2102 form may be used.

36
Screening Procedures
  • General Education Students
  • Can be corrected to 20/30 or better takes
    general ed courses
  • Use standard screening/authorization procedures
  • Special Education Students
  • If student has adequate comprehension but is
    unable to pass follow standard screening
    procedures
  • If student does not comprehend try LEA chart.
    If still no results do not retest ? send V1 and a
    copy of Cobb Co. School Eye Report for Children
    with Vision problems to parents (Page 24/25 in
    Manual)
  • Visually Impaired students- DO NOT SCREEN
    STUDENTS ARLEADY IDENTIFIED / SERVED by VI
    PROGRAM
  • Their vision needs are already documented
  • Vision cannot be corrected better than 20/70
  • Part of the Visually Impaired Program
  • Contact Heidi Evans

37
Eye Exam Resource Guide
  • Cobb County School System does NOT pay for eye
    examinations.. (though we do provide
    re-screenings for students who fail their school
    screening at no charge to families.)
  • Medicaid
  • PeachCare
  • Sight for Students (VSP Vouchers)
  • Lions Lighthouse

38
Total Reporting (page 20)- Due Jan 16, 2015
39
Schools with Titmus - bring your machines to
check out sessions, please!
40
Thank you! (Please take the quiz now)
41
THANK YOU SO MUCH!
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