Lions KidSight USA Vision Screening - Courtesy of the Athens Lions Club
Vision Screening Program
The Athens Lions Club is a proud participant in the Lions KidSight USA Vision Screening Program. With a grant from the Lions Club International Foundation, our club was able to obtain new vision screening equipment for visual acuity (as part of a larger grant for our Ohio Lions District OH-7).
Our club is able to perform vision screening of children from preschool through high school. We have screened children in the Athens City School System over the last several years in both preschool as well as kindergarten. We have performed screening events through high school ages (and even adults) at other events throughout Ohio.
Note - when contemplating a vision screening for your school, please consider the following:
- Are screeners required to have a current criminal background check? (this may limit availability)
- Screening equipment for visual acuity includes the currently approved 5' crowded LEA symbol vision kits for preschool and Kindergarten age children. Our club also owns a PlusOptix S12C autorefractor - which has not been "approved" by the State of Ohio Department of Health, but provides a wealth of valuable information (a rough prescription of each eye for the individual being screened)..
- Parental consent is a requirement for our ability to screen each child. Please be sure to include a discussion with us of how that will be obtained and documented - we do have a standard parental approval form we can use if your school doesn't have something suitable.
- In addition to visual acuity, we may also screen as follows (and we follow State of Ohio Department of Health for recommended screening tests by school age group):
- Visual observation for eye health (all clients)
- Steropsis (Using the PASS-2 card system, Pre, K and 1st grade) - note that this is NOT required when screening with the 5' crowded LEA symbol kit.
- Ocular muscle balance (no longer required by State of Ohio Dept. of Health, 1st grade)
- Color Deficit (color blindness) in male children (typically as a first screening at preschool, Kintergarten and/or first grade) using a standardized color plate booklet.
For more information, contact us by email at: athensohiolionsclub@gmail.com.
Vision Screening Team Resources
Provided below are links to vision screening team resources used by our club, and posted here to be available for other Lions KidSight vision screening teams.
Forms:
Forms used starting 2024 school year:
- District OH7 Consent Form (MS-Word)
- District OH7 Referral Letter (MS-Word)
- Ohio Lions Kindergarten Vision Screening Program Result Form (MS-Word)
- Ohio Lions Preschool Vision Screening Program Result Form (MS-Word)
- PlusOptix Seqence Number Explanation (MS-Word)
- Preschool Screening Summary Form (used also for Kindergarten - just update header) (MS-Excel)
- Preschool Vision Screening Intro Letter (MS-Word)
- Screening Results Definitions (used to explain PlusOptix results) (PDF)
- Occular Muscle Balance Instructions (PDF)
- ODH Vision Screening Requirements Color Vision Referral (PDF)
- ODH Form D - LEA Crowded 4 to 5 Year Old Reference (PDF)
- ODH Form C - LEA Crowded 3 Year Old Reference (PDF)
- ODG Form B - School Observations Form Checklist Reference (PDF)
Legacy Forms for reference
- (with PlusOptix): Ohio Lions Generic Vision Screening Program - Student Screening Record (MS-Word)
- (with PlusOptix): General Vision Screening Summary Form (MS-Excel)
- Happy Feet Image (MS-Word)
- Parent Referral Letter - Generic (MS-Word)
- Parent Referral Letter - Athens Lions (MS-Word)
- School Follow-up Letter - Athens 042016 (MS-Word, old)
- Parental Consent Form - Generic (MS-Word)
- Vision Resource Document (pdf)
- Vision Screening Mini Poster (MS-Word)
- Vision Screening Quick Reference 2014 (pdf)
- Welch Allyn SureSight Conversion Reference (2017-04-09) (MS-Word)
Vision Screening Seminar Slides from OH-7 Leadership School, May 4, 2019
Resources (scanned literature from Prevent Blindness America; Note: some content protected by copyright):
- Amblyopia (pdf)
- Common Eye Problems (pdf)
- Don't Play Games With Your Eyes (pdf)
- First Aid for Eye Emergencies (pdf)
- Learning Through Vision - Eye Exam Requirements for IEP (pdf)
- Newborn, Toddler & Infant Vision Guide (pdf)
- Signs of Possible Eye Trouble in Children (pdf)
- Your Child's Sight (pdf)
Lions Club International Forms
- Child Video Photo Release Form (MS-Word)
- Photo Video Release Form (MS-Word)
- Submit a Photo to LCI (online webform)
Other Vision Resources
- Lions KidSight website
- Prevent Blindness website
- Prevent Blindness Ohio website
- WiseAboutEyes Training website
- Ohio Department of Health Vision Screening website
- SaveOurSight Fund (Ohio Department of Health) website
- Welch Allyn SureSight website
- PlusOptix Vision Screening website
- American Acadamy of Opthamology - Children Vision Screening website
- American Association for Pediatric Ophthalmology and Strabismus - (vision screening recommendations) website