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Challenges and Opportunities of Vision Screening and Refractive Error Management for Underserved Children in the

Christina M Ambrosino1, Megan E Collins1,2

  • 1Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, Maryland.

Journal of Binocular Vision and Ocular Motility
|January 30, 2025
PubMed

Insights

Vision screenings are crucial for identifying childhood vision problems, especially for minority children who face greater risks. School-based programs effectively address refractive errors and improve access to eyeglasses for underserved youth.

Area of Science:

  • Public Health
  • Ophthalmology
  • Pediatrics

Background:

  • Uncorrected refractive error is a leading cause of visual impairment in US children.
  • Pediatric vision problems are often asymptomatic, necessitating regular vision screenings.
  • Disparities in eye care access exist across racial, ethnic, and socioeconomic groups.

Purpose of the Study:

  • To highlight the importance of vision screenings and equitable eye care access for children.
  • To examine challenges in providing vision services to underserved communities.
  • To explore the effectiveness of school-based vision programs.

Main Methods:

  • Review of existing literature on childhood vision impairment and eye care access.
  • Analysis of disparities in myopia prevalence and service accessibility.
  • Examination of successful school-based vision program models.

Main Results:

  • Children from racial and ethnic minorities bear a higher burden of myopia.
  • Longstanding disparities in eye care access persist.
  • School-based vision programs show success in addressing refractive errors and providing eyeglasses.

Conclusions:

  • Collaborations between schools and community organizations can improve eye care access for underserved children.
  • School-based vision programs are effective in managing refractive errors and meeting the need for eyeglasses.
  • Future community-based initiatives should involve multiple stakeholders to address unmet pediatric eye care needs.

Keywords:
Vision screeningaccess to caremyopiarefractive errorschool-based vision programs

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