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Updated: Jun 4, 2025

Subjective Refraction Test Using a Smartphone for Vision Screening
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Recommendations for the optimization of student led free vision screening programs.

Nirupama Devanathan1, Melanie Scheive1, Amrish Selvam2

  • 1Department of Ophthalmology, Eugene and Marilyn Glick Eye Institute, Indiana University School of Medicine, Indianapolis, IN, USA.

BMC Medical Education
|December 18, 2024
PubMed
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Student-Led Free Vision Screening Programs (SLFVSP) improve access to eye care. Standardizing operations and fostering collaboration can enhance training and sustainability for greater community vision equity.

Area of Science:

  • Ophthalmology
  • Public Health
  • Medical Education

Background:

  • Student-Led Free Vision Screening Programs (SLFVSP) play a crucial role in addressing disparities in vision care access.
  • Understanding the operational models of these programs is essential for their effectiveness and sustainability.

Purpose of the Study:

  • To summarize the operational characteristics of SLFVSPs.
  • To identify areas for program optimization and improvement.

Main Methods:

  • A mixed-methods survey was administered to SLFVSP leaders and medical student educators.
  • Quantitative data were analyzed using Mann Whitney U and Fisher's Exact tests.
  • Qualitative data were synthesized into a SWOT analysis to evaluate program operations.
Keywords:
Preventative healthSWOTStudent-run free clinicsVision screening

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Main Results:

  • Programs varied in operational duration, funding sources, and screening locations (e.g., Federally Qualified Health Centers).
  • Key assets included improved access to vision screening, while liabilities involved challenges in recruiting faculty/resident oversight.
  • SWOT analysis highlighted strengths in partnerships and institutional support, but weaknesses in recruitment, space, and follow-up care infrastructure.

Conclusions:

  • Collaborative standardization of SLFVSP operations is recommended.
  • This standardization can improve staff training, organizational stewardship, and consensus-building.
  • Sustainable SLFVSPs are vital for building vision equity within communities.