Recommendation Summary

  • All children aged 36 to <72 months should be screened annually (best practice) or at least once (acceptable minimum standard) during the interval between their third and sixth birthdays.
  • Vision screening requires training and certification of screening personnel with recertification of personnel planned every 3-5 years.
  • Vision screening programs must plan for acquisition of sufficient and appropriate space, obtaining and maintaining equipment and supplies.
  • Screening results must be recorded and communicated to the child’s parents, and as appropriate to the medical home/primary care provider, the school, and necessary state agency, with subsequent referral to an ophthalmologist or optometrist for examination and care when indicated. 
  • Specific data systems must be established to facilitate this process (18) and programs should monitor overall system performance at the population level to ensure that screening goals are being met. (19)