199949 Eyeglasses for All

Monday, November 9, 2009

Sanjiv Desai, MS , Dept. of Community Ophthalmology, Tarabai Desai Eye Hospital, Jodhpur, India
Rajiv Desai, DO , Dept. of Community Ophthalmology, Tarabai Desai Eye Hospital, Jodhpur, India
Farhan Karim, MD , New York College of Osteopathic Medicine, New York, NY
Jessie McCann, MD , Albert Einstein School of Medicine, New York, NY
Phillida Roe, MBBS , Peninsular College of Medicine and Dentistry, Plymouth, United Kingdom
Purpose : To implement and evaluate a volunteer managed vision screening programme in schools.

Method : A month long project to record the Snellen visual acuity in school children was implemented in 31 schools of Jodhpur in the month of July 2008 by a team of international student volunteers. The cut off vision for refraction was taken as 6/12 for 6 years old and 6/9 for those above this age. Children were referred to the base hospital for refraction and low cost subsidized glasses every evening. Besides recording the Snellen acuity, color vision screening and ophthalmic examinations were also done on site. At the end of the project, the records were analyzed to assess the impact.

Results : A total of 6053 children were examined. 627 school children were found to have defective vision and were advised refraction giving a prevalence rate of 10.4 %. The compliance rate for refraction was 40.8 % and 256 children who came to the base hospital were provided spectacles at a subsidized cost of Rs. 30 each. Compliance could not be improved in spite of concerted efforts of teachers and team alike. The false positive rate in the screening procedure was 3.7 percent indicative of a well-performed screening. In the refracted children 33 had amblyopia [9 ammetropic and rest anisometropic or meridonial].

Conclusions : An effective school screening programme with a low false positive rate can be implemented with the help of volunteers. Compliance to refraction is poor and needs to be improved.

Learning Objectives:
Describe a programme for school vision screening including coordination of treatment of refractive errors. Describe a method for reporting relevant outcome measures.

Keywords: School-Based Programs, Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have planned,supervised and conducted the project and I have no financial interest in it.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.