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Building capacity: paediatric vision screening in elementary schools.

Madeline L Lischynski1, Marcella Ogenchuk1

  • 1College of Nursing, University of Saskatchewan, Saskatoon, SK, Canada.

International Journal of Circumpolar Health
|July 5, 2025
PubMed
Summary

A school vision screening program found high referral rates for kindergarten (42%) and grade one (29%) students. Enhancing school vision programs requires collaboration and addressing Indigenous health disparities.

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Area of Science:

  • Public Health
  • Optometry
  • Nursing Education

Background:

  • Vision impairment is a significant concern in elementary school children.
  • Early detection through school vision screening programs is crucial for academic success.
  • Nursing students can play a role in community health initiatives like vision screening.

Purpose of the Study:

  • To evaluate a vision screening program in an urban elementary school.
  • To assess the effectiveness of vision screening conducted by nursing students.
  • To identify students requiring referral for further optometric examination.

Main Methods:

  • A vision screening was conducted on 26 kindergarten and grade one students.
  • Fourth-year Bachelor of Science in nursing students performed the screenings.
Keywords:
School vision screeningcapacity buildingindigenous healthvisual acuityvisual impairment

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  • The Lea Symbol Assessment charts were used to test near (40 cm) and distant (3 m) visual acuity.

    • Main Results:

    • 42% of kindergarten students required referral.
    • 29% of grade one students required referral.
    • Referral rates were based on established visual acuity standards.

    Conclusions:

    • School-based vision screening programs require intersectoral collaboration between health and education.
    • Capacity building is essential for effective school vision programs.
    • Addressing Indigenous health disparities and improving healthcare access for Indigenous families are critical recommendations.