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Using an Automated Hirschberg Test App to Evaluate Ocular Alignment

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Implementing and evaluating a school-based program to improve childhood vision.

Danna Ethan¹, Charles E Basch, Roger Platt

¹Health Education Department, Borough of Manhattan Community College, The City University of New York, New York, NY 10007, USA. dethan@earthlink.net

The Journal of School Health

|July 2, 2010

Summary

A school-based vision program significantly increased eyeglass use among elementary students in New York City. This intervention provided timely eyeglasses and encouraged regular wear, improving vision for underserved children.

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Area of Science:

Public Health
Pediatric Optometry
Educational Interventions

Background:

Vision problems affect approximately 20% of schoolchildren.
Children in low-income urban areas exhibit higher rates of vision impairment.
A Vision for Success program aimed to improve timely eyeglass provision and usage in NYC schools.

Purpose of the Study:

To evaluate the effectiveness of the A Vision for Success program.
To assess the impact of school-based optometric screenings and eyeglass provision.
To determine the influence of teacher encouragement on student eyeglass use.

Main Methods:

Intervention-control group design with 265 first and second graders across 8 NYC public schools.
Students who failed prior vision screenings received optometric screening and two pairs of eyeglasses.
Direct observation assessed classroom eyeglass use rates before and after the intervention.

Main Results:

Eyeglass use increased from 22% to 47% in the intervention group (p < .001).
The control group's eyeglass use remained stable at 19%.
Significant improvements in eyeglass use were observed for both boys and girls.

Conclusions:

School-based programs can effectively provide timely eyeglasses to children with visual impairments.
Regular classroom eyeglass use was significantly enhanced by the intervention.
Further targeted efforts may be necessary to ensure consistent eyeglass wear for all students.