Questions and Answers 100%
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Chapter 36 of the Texas Health and Safety Code - ANSWER - known as the Vision
and Hearing Screening Program, requires that preschool and school age children
entering a child care facility or school be screened for vision and hearing problems
amblyopia - ANSWER - "lazy-eye blindness," a primary reason for vision screening so
that referral for treatment can be initiated
When is a referral for an eye care specialist indicated? - ANSWER - when there are
signs and symptoms of a visual problem, whether the child passes or fails any of the
vision screens
What makes a screening program effective? - ANSWER - follow up components,
diagnostic evaluations, treatment when indicated, and educational consideration.
Physical injury to the eye - ANSWER - will always warrant professional examination
record of vision screening - ANSWER - should be completed an kept by the school or
preschool for any child who is required to be screened; it should contain distance
acuities for both eyes, results of the Hirschberg corneal light reflex, and the cover
and uncover tests, observed signs or symptoms, any other vision test results, date
of screen, and name of screener
Who must be screened - ANSWER - all first time entrants (4 year olds and
kindergarteners) into a child care facility or Texas School--within 120 days of
enrollment of by the end of the first semester. 1st, 3rd, 5th, and 7th graders may be
screened anytime during the school year before June 30th
M-62 - ANSWER - vision screening annual report, of all the screening activities of a
facility throughout the school year; preschools and schools must submit the M-62 to
the Department of State Health Services by June 30th of each year
, Hirschberg corneal light reflex test - ANSWER - in order to pass this test, the
reflection of the penlight should appear to be centered in each pupil or the
reflection should be slightly toward the nose the same direction in each pupil
cover and uncover test - ANSWER - when conducting this test, the screener should
allow 2-3 seconds after the cover is placed on one eye for the other eye to focus
(fixate) on the target; when the eye is uncovered, it should be watched for 2-3
seconds to see whether it moves to pick up fixation
near vision test - ANSWER - these tests are usually conducted with the target object
12-13 inches from the eyes of the person being screened; the targets for distance
vision tests (e.g. cover and uncover at distance) should be between 10 and 20 feet
away from the person being screened.
This report should contain completed screening and follow-up information for all
children screened and/or evaluated within the school year; that means the report
should show whether or not every child referred was seen by an eye care specialist
outcome of the eye care specialist's evaluation - ANSWER - should be returned to
the child care facility or the school
3 charts required by the DSHS for basic visual acuity screening - ANSWER - Snellen
letter chart
Snellen "tumbling E"
H:O:V:T matching symbol test
Snellen letter chart - ANSWER - should only be used with those children who can
identify each letter of the alphabet 100% of the time after training
Tumbling E chart - ANSWER - should be used with those children who cannot identify
alphabet letters 100% of the time, but who can correctly indicate the direction of
the "E" 100% of the time after training. They must know the concepts of matching
and direction to play the "E" game