The Current Issue

Research indicates that significant vision problems are prevalent in one in four of all school-aged children in the United States and one of the most prevalent handicapping conditions in childhood (Farebee 2004, Zaba 2008). Low-income and minority children are at a greater risk of under-diagnosis and under-treatment of vision problems as well as an unmet need for vision care services (Ganz et al 2006, 2007, Basch 2010). Among Title I students and academically and behaviorally at-risk children, research indicates that up to 85% have vision problems that are either undetected or untreated (Johnson et al 2000, Zaba 2008). In addition, 40% of children who fail a vision screening do not follow up for additional care.

Research indicates that the earlier students are identified and treated for vision problems, the better the academic outcomes (Glewwe, 2009). The failure to treat vision disorders in children affect such issues as childhood development, learning performance, self-esteem, social-emotional behavior, academic achievement, high school drop-out rates, and juvenile delinquency.

Experts estimate during the first twelve years 80% of what we learn comes through the visual processing of information, yet two out of three children in the United States do not receive any preventative vision care before entering elementary school (Farebee 2004, Zaba 2008). Screening with the traditional Snellen Chart may miss up to 60% of significant refractive error (Indian River Study, 2009).

Prior to NCEF’s Vision Initiative, students in Collier County were only screened for vision issues in grades kindergarten, first, third and sixth grade. By any measure, the level of inadequate vision care for children is significant, and the need in Collier County far exceeds the current services provided.


NCEF’s Contribution to a Solution

NCEF conducted a follow up study on child wellbeing in 2015 which addressed the overlapping medical needs for children in Collier County, vision examinations and eyeglasses being a significant gap in services. The Children’s Vision Initiative partners have established a well-defined baseline of need, and a multiple modality structure to treat the children with the most acute eye care challenges.

Coined “Now You See It®,” this strategic initiative ensures children in Collier County’s Title I schools receive vision screenings by eye professionals. Then, if medically appropriate, children also receive full eye exams and two pairs of eyeglasses – one for home and one for school. When the need for tertiary eye care is detected, as is the case for over 100 of these children annually, the services of volunteer ophthalmologists are called upon through the Bonita Springs Lions Eye Clinic.

Through this initiative, approximately 20,000 children a year are screened using state of the art instruments, and follow-up comprehensive vision exams are provided for those identified with poor vision. Of the nearly 3,000 children given follow-up exams annually, some 2,500 receive two pair of prescription lenses.

Summer camp experiences for children with limited or no sight are also offered through Lighthouse of Collier County.

NCEF and Bonita Springs Lions Eye Clinic have purchased Spot Vision Screeners for the majority of the local pediatric offices in our community. The screener is a handheld, portable device designed to help users quickly and easily detect vision issues on children six months of age and older. The Spot screens both eyes at once from a nonthreatening 3-foot distance. This tool has enabled early detection for the diagnosis of Astigmatism, Myopia, Strabismus, Hyperopia, and Anisometropia, and subsequent follow up care that will ultimately save their sight.

Partnering Organizations

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