Unite For Sight Workshop

1. Unite For SightWorkshop <Insert Your Name> Community Fellow, <Insert University>

2. Vision Problems in the Community • More than 40% of blindness in the U.S. could be prevented or cured by provision of appropriate treatment in a timely fashion. Unfortunately, about half of blinding eye disease remains undetected. • Cost and lack of sufficient insurance is the most important barrier to getting an eye exam by an eye doctor. • Needless blindness can be avoided by educating people about going to an eye doctor regularly.

3. Your Unique Position • You are in a unique position to educate your clients about the importance of regular eye exams. • You can connect families, adults, and children with free eye care.

4. Children: The Importance of Discovering Vision Problems Early • Discovering vision problems early on in a child’s life is an important part of helping him or her do well in school. • Avoid frustration • Make reading easier • Make learning more enjoyable • In the case of some vision conditions (covered later), early detection and treatment is the only way to prevent loss of sight in the afflicted eye

5. How to Identify a Child in Need The following may be indicative of a child experiencing a vision problem: • Eyes turning inward or outward • Squinting • Headaches • Worsening academic performance • Blurred or double vision • Losing place while reading • Avoiding close work • Holding reading material closer than normal • Rubbing eyes • Eyes tiring while reading or doing other schoolwork • Turning or tilting head to use one eye only • Making frequent reversals while reading or writing • Using finger to maintain place while reading • Consistently performing below potential

6. How to Identify a Child in Need • If you notice a child struggling with any of these symptoms, he or she may be experiencing a vision problem • The next step is to make sure that child has an eye exam by an eye doctor

7. Vision Screenings vs. Eye Exams Eye Exams • Performed by optometrists or ophthalmologists • Thorough • Can detect many vision problems and/or eye disorders and diagnose them • Vision screenings (insignificant) • Performed by non-specialist health staff • Provide baseline VA • Do not test for eye disorders, cannot provide diagnostic information

8. Vision Screenings: Frequently Inaccurate • Test only distance visual acuity. • Fail to detect children who have reading problems, hyperopia, or astigmatism. • Vision screenings are subjective • A research study found that two school nurses matched on their vision screening results for only 86.4% of the students. Ore, L., Tamir, A., Stein, N., and Cohen-Dar, M. “Reliability of Vision Screening Tests for School Children.” Journal of Nursing Scholarship. 41.3 (2009): 250-259.

9. Vision Screenings: Test Only Distance Visual Acuity • A study in New York City schools found that 41% of children who passed a distance visual acuity test still needed to be examined by an eye doctor for other reasons. • Screening solely for reduced visual acuity may miss up to 40% with potential vision problems.Bodack, M., Chung, I., and Krumholtz, I. “An Analysis of Vision Screening Data from New York City Public Schools.” Journal of the American Optometric Association. 81.9 (2010); 476-484.

10. Children and Eyeglasses • Do not assume that children with eyeglasses have recently had an eye exam. • A research study found that 49% of eyeglass-wearing children failed a visual assessment. 28% of non-eyeglass-wearing children failed the visual assessment. “Children Unable to Perform Screening Tests in Vision in Preschoolers Study: Proportion with Ocular Conditions and Impact on Measures of Test Accuracy.” Investigative Ophthalmology and Visual Science. 48 (2007):83-87.

11. Reading and Visual Skills • A research study was conducted in California high schools among students who were identified by their teachers as “poor readers”. • 17% of the students had deficient visual acuity (20/40 or worse in one eye) • 80% of the children were inadequate or weak in at least one of the following visual skills: binocular fusion ranges at near, accomodative facility, and convergence near point. • 80% of the students passed the visual acuity testing, but only 20% had adequate visual skills.Grisham, D., Powers, M., and Riles, P. “Visual skills of poor readers in high school.” Journal of the American Optometric Association. 78.10 (2007); 542-549.

12. Getting Free Eye Exams For Children • Children under the age of 18 are eligible for free eye exams

13. Free Eye Exams For Adults and Their Families • Senior citizens are eligible for free eye exams • Those between 18-65 cannot receive free check-ups, but can receive free eye care for any eye complaints. • Adult should go to their primary care doctor (free) and then be referred to an eye doctor (free).

14. Common Eye Disorders • Nearsightedness (myopia) • Most common visual problem among students • A type of refractive error • Close objects are clear • Far-away objects are blurry • Students may squint to see blackboard or presentation materials • Can be corrected with corrective lenses such as glasses or contact lenses

15. Common Eye Disorders • Farsightedness (hyperopia) • Also a common visual problem among students • A type of refractive error • Close objects are blurry • Far-away objects are clear • Students may squint while reading or hold reading material farther away from face than normal • Can be corrected with corrective lenses such as glasses

16. Common Eye Disorders • Lazy Eye (Amblyopia) • One eye is stronger than the other • Student may show signs of strabismus, but the two do not always co-occur • Over time, the brain may begin to disregard signals from the weaker eye • If it is not detected early, amblyopia can lead to a permanent loss of sight in the weaker eye • This disorder is only detectable through an eye exam from an optometrist or ophthalmologist

17. Common Eye Disorders • Pink Eye (Conjunctivitis) • Common in schoolchildren • The conjunctiva (lining on eyelid and part of eyeball) become infected and inflamed • Highly contagious • Prescription eye drops can treat bacterial forms • Viral forms clear up on their own and cannot be treated, but sometimes eye drops are needed to relieve inflammation.

18. Cataracts • Lens of the eye becomes clouded • Most common in older people • Clouded, blurred, or dim vision • Sensitivity to light and glare • Halos around lights • Fading of dolor • Treatment: outpatient surgery to remove clouded lens. • Mission Cataract USA covers the cost of cataract surgery for those eligible. Call 800-343-7265

19. Cataract Surgery

20. Glaucoma • Increase in fluid pressure inside the eye leads to irreversible damage. • Loss of peripheral vision, and leads to eventual blindness • High risk groups: African Americans over 40, everyone over 60, and those with a family history of glaucoma • Vision changes are very gradual and usually not noticeable until permanent and severe vision loss occurs • Treatment: medication and/or surgery

21. Diabetic Retinopathy • Those with diabetes can develop diabetic retinopathy. • Blood vessels in retina become damaged • Diabetic patients should have an eye exam at least once per year.

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