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Sankara Nethralaya- Elite School of Optometry School eye examination model

By   /  August 14, 2019  /  No Comments

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Visual problems in children can affect their physical, intellectual, social and emotional development. Early detection and correction of ocular conditions may enable them in improved academic performance.    


Clinical Protocol: Screening for uncorrected refractive errors- ocular diseases- Binocular vision anomalies- Colour vision deficiency

Our school eye screening model is a comprehensive model that includes not only testing for refractive errors (need for spectacles) but also diagnosis of other ocular problems like squint, cataract, ptosis etc. Those requiring surgical or medical management are referred to the base hospital for further management and free treatment. 

Apart, we also screen for binocular vision anomalies (working of the muscles of the eye together). As most children complain of headache and eye strain after prolonged reading, we have established that binocular vision anomalies is the common cause and it is present in 30% of school children. This is done for children from class 8-12. Also we assess the response of the lens system in eye making sure all aspects of binocularity is addressed and correlate with their reading activities. Eye exercises (Vision therapy) for these problems in the school premises itself along with the vision screening kit.

Colour vision screening is another added protocol. Colour vision defects are common in 8% of boys, whereas it is less prevalent among girls. This screening is crucial considering that many careers like marine engineering, chemical engineering, armed forces and other such services have made normal colour vision mandatory. No child gets a screening for colour vision usually as there is no treatment available. But a counselling on the choice of career they should make is essential for their parents, teacher along with the children. This is also done for children from classes 8-12. 

Sustenance of care:

This model does not stop with the screening alone but continues and sustains a relationship with the school for regular care. Compliance to spectacle wear is monitored on a surprise visit and interventions are planned to improve compliance. 

Vision Ambassadors: We also train few selected students from the school as “Vision Ambassadors” to perform a basic vision screening and these students would help monitor compliance to the treatment suggested. This improved the ownership among children towards the overall eye health care.


  • Professional team of Optometrists, Paediatric optometry Fellows and interns of Optometry to offer screening and testing.
  • Choice of trendy, colourful frames that the children can select on their own
  • A complete detailed report to the school and the education department
  • In person distribution of spectacles with counselling to parents and children within 2 weeks of screening
  • Vision therapy for needy children at the school premises along with the therapy kit
  • Distribution of Information-Education-Communication materials
  • Telephone calls/ reminders to parents of referred children who did not bring them to the hospital
  • Surprise visit to school for assessment of compliance to spectacle wear and referral
  • Annual follow up of children identified with problems


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