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Vision Screening Kit page 1

(This includes almost everything that a unit screener will need except a
pen, ruler, and clipboard. )

ADVANCE PREPARATION:
1. Decide where and when your unit is going to do this, and who will do the testing. After weigh-in
at the PT test, or a PAI, might be good. Find a space 20 feet long (hallway?) with decent lighting.
2. Have your unit commander tell everyone to bring their two pair of glasses and inserts
to the the screening, and not to wear contact lenses that day.
3. Print this kit on BEST quality. The 20/40 letter (on page 2) should be 17-18 mm tall; if not, download
more precise charts. Put a 20 foot mark on the floor (from the chart) to see where soldiers will stand .
4. Get a clipboard and pen for recording results. Consider taping or laminating this page on the
back of the clipboard, so that you have near print samples for soldiers over 45.
5. Make enough copies of the recording form and referral form for your whole unit.
* Each recording form will hold results for about 30 people.
6. For large units, decide whether you want to set up two screening lanes. Call Optometry in advance
to see if they if they want to send a tech to order glasses on-site for those who fail, or at least be
on standby by cell-phone for questions. It's also good to verify your POC in Optometry.

The following tiny print samples are only needed for soldiers 45 or older.
If your printer doesn't give good print quality, contact your local eye clinc for "a near point card".
Since 20/40 or better is considered "fully medically ready, they only need to read this first one.
Let the soldier hold the small print, so it shakes less; they should hold it about 16 inches away.

Class 2 (20/40) near print . Soldiers over


V H O Y E C N
45 need to be able to read this, or be
referred for reading glasses.

Class 1 (20/20) near print . This may be


D V K S O N Y
unreadable unless you have a good
printer!

Your optometry clinic is your POC for training and questions:


1. Suggest changes to 18th MEDCOM Optometry Consultant (james.carrell@kor.amedd.army.mil)
2. Optometry phone numbers: Area I (Casey 730-4325), Area II (Yongsan 725-3601)
Area III (Humphrey's 753-8124), Area IV (Walker 764-4422/ 5574)
Page 2

PRINT THIS OUT with best quality, so the letters are nice and dark. The big 20/40 letters should be between 17 and 18 millimeters high. (If not, you should
download the more precise charts from the VCRS Guide.) Tape this sheet up, in a well-lighted spot, 20 feet from the soldier being tested. If lighting is not good,
you may need to aim a reading lamp at it to make it more readable.
.
TEST EVERYONE WITHOUT LENSES FIRST. (Why? The Army does not require perfect vision. If the soldier can read either of these lines without their
glasses, their vision is good enough that they are allowed to deploy without glasses or inserts.)

V N D Y C K O
Class 1: If they can get 4 of these 7 letters right (tell them that they MUST guess), without squinting from 20 feet, write down that they are Class 1 (20/20).

O H C V Z D N
Class 2: If they can’t read the 20/20 line, have them try this larger line. If they can read 4 of these 7, write down Class 2 (20/40).

Class 3: If they can’t read either of those lines, write down Class 3 (uncorrected---without glasses). Ask if they have glasses; if so, retest with glasses.

If the soldier doesn’t have 2 pair of glasses and inserts, or can’t read either line even with glasses on,
they will need to see Optometry (see the sample referral form---Page 6 of this kit).
Page 3

SCREENING VISION works best with one tester, and one person to help control Soldiers in line.
For very large groups, consider two lanes. Also consider testing people who don’t wear glasses first; it
makes the lines move faster.
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SIX EASY STEPS:
1. As the soldier steps up to the 20 foot line, ask them if they have contact lenses in, and tell them to
take their glasses off. (If they have contacts in and can’t take them out, they’re done---tell them that they have to
come back without contacts, and to bring their glasses and inserts---you can’t screen them with contacts in. Sorry.)

2. Ask them to read the smallest line (20/20). Tell them guessing is required. They DON’T need to cover an
eye. If the get half (4 of 7) letters right, record class1 on the recording form (Page 4 of the kit) and tell them they’re
done. Don’t make a big deal about this, but if you notice them squinting a lot, tell them not to squint!

3.If they can’t read 20/20, tell them to guess at the bigger 20/40 line. If they get half right, they are class 2.
Record it and tell them they are done. The Army considers them deployable without glasses. They can wear glasses
if they want, but for the purposes of the Army screening, they aren’t required to have them.

4. If they can’t read the 20/40 line, record class 3 under “uncor” (uncorrected). Ask if they have 2
pair of glasses and inserts with them. If they don’t, refer them to Optometry.
If they have only one pair of glasses or don’t have inserts, they’re done. You aren’t required to test
vision with glasses on; they’ll still be a no-go and will need to see Optometry to order glasses or inserts!
If the soldier says that they have the glasses or inserts, but just forgot to bring them, tell them to
find them and come back to show you. If they have them at home, it’s a waste of taxpayer money to order
more. On the other hand, it’s important to actually force Soldiers to show you the glasses, because they
aren’t ready if they can’t find them.
You may want to schedule a makeup day in advance, or set up an eye chart permanently near your
MEDPROS clerk, to make it easier to screen those who forgot to bring their glasses, and other stragglers.

5. For those who can show you two pair of glasses and inserts, recheck their vision with glasses on.
This is the same as steps 2 and 3, except with glasses on. Record it in the second column (corrected) of the
recording form. Most soldiers will see well with glasses on---class 1 (20/20) or class 2 (20/40). If they
can’t see either line with their glasses, they’re Class 3 with correction --- refer them to Optometry.

6. People gradually lose reading vision throughout life. For soldiers 45 or older, you must retest
vision up close. This is done just like steps 2 through 4, except you use the small print sample from Page 1
of this kit. Let the soldier hold it about 16 inches from the eyes. Estimate 16 inches by looking at the
width of width of two sheets of standard paper (each is 8.5 inches wide). Exact distance is less important
than the fact that they can read it! Record results in the “NEAR” columns on the recording form.
If this older soldier had to wear glasses to pass the distance vision test, they need to use those same
glasses for near testing. Why? Some soldiers will say that they read without their glasses. And that’s fine.
But in a chemical environment, point out that they won’t be able to do that ---take off their mask (and
inserts) to read! This kind of soldier will probably need bifocal inserts.
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* Don’t worry about unique cases, like MRCL (Mission Required Contact Lenses) ---just refer them
to Optometry. If your unit has a lot of these, Optometry can train you to do these.
* Since most soldiers don’t even need glasses, the failures should be less than 10% of the unit.
* Since optometry has to see the failures, their NCOIC may want to know about your screening in advance.
To reduce the number of failures (referrals), they may even want to send a tech to your screening,
to order spare glasses on-site (by lensometry). For large screenings they may want to set aside time at their
clinic, to examine failures. In any case, they need to have a good point of contact with each unit.
Unit Vision Readiness Spreadsheet page 4

Screening Date: __________________


Visual Acuity Groups Required Optical
Name SS# 1(20/20) , 2(20/40+) , or 3(worse) Devices (Y, N, NA)

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Adapted from "VRCS Screening Guide" (CHPPM April 2005).
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"Uncor Dist" is all that's needed for those who see well (20/40
only
or better) without glasses. Shaded cells rarely used.
Unit Screener:_________________________
Example Soldiers, recorded on Vision Readiness Spreadsheet page 5

Screening Date: __________________


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Waivers for visual disability are rare, but would allow class 3 to stay in.
(A person who sees fine (20/20) without glasses is entered like this.) 1=deployable
Olddog, I.M.N. 000-00-0002 1 3 1 N 1 N
(This guy -over 45- sees good, except up close. His 1 pair of reading glasses is not enough.) 3
Prettygood, I.C. 000-00-0003 2 ? ? ? ?
(You don't need to test this guy with glasses since he is 20/40 ---class 2 without them. Deployable.) 2=deployable
Poorly, C. Ing 000-00-0004 3
(This one doesn't have glasses, and can't even read the 20/40. Unless he's that rare guy with a waiver for some
3
kind of eye disease like nystagmus, this one needs an exam.)

Ready, I.M. 000-00-0005 3 1 3 1 Y 2 Y


(Your squared-away CSM (age 45+) needs bifocals to see, and shows you 2 pair plus bifocal inserts.) 1=deployable
Glasses, Okay 000-00-0006 3 2 Y Y
column. MEDPROS figures it out for you. I
show examples of what it should compute.
(This guys glasses are good enough to see 20/40. He has two pair and inserts. Class 2-deployable.) You don't enter this final vision readiness

Contacts, Joe 000-00-0008 3 ? N 2 N


(Can't see 20/40 without contacts. Glasses/inserts might be at home? Come back with both & rescreen.)
Needs Update 000-00-0009 3 3 Y Y
(Best vision of "3" needs an exam. His glasses help, but not enough to guess half of the 20/40 letters.)
Apacheguy, Rare 000-00-0010 3 1 1 Y 2 n/a 1
(Apache pilot. Says he wears mission required contacts. Has a 6 month supply. Has 2 pair of Apache glasses as
a backup. Claims the Apache mask doesn't ned inserts.
These are complicated. Refer, or if your in a unit with these, consult Flight Surgeon/Optometry.)

These examples should help you figure out how to write down the results of your screening. If not, call
Optometry for training; see final page for phone numbers. In most units, if you can screen the easy ones
(those who see well, or have all their glasses and inserts) that should get your unit over 90% ready.
page 6

Vision Screening Results- You can use this (or modify it, or create you own system) for telling Soldiers how to
contact Optometry when they fail your screening. It also tells Optometry why the Soldier failed. It’s worth mentioning here (to
the Soldier) that this was just a screening; you aren’t medical experts, and this was not meant to be an eye exam---just a
screening to see who seemed to be visually ready to deploy.

You need to be rescreened later. Return with your glasses and inserts, so we know that you have them, and with your contacts out.
--------------------------------------
You need to call the Optometry clinic to see about getting more glasses/inserts.
You need to have protective mask inserts and two pair of spectacles.
If your prescription is less than 24 months old, and you are seeing well out of them, the sergeant at the Optometry Clinic
should be able to order more without an appointment! Call before going in to make sure that they are open; see phone numbers below. When
you go in, bring your glasses and medical records.
If you know that your prescription is older than 24 months, or has changed a lot, you should call to make an appointment
with the optometrist. Again, remember to bring glasses and medical records to the appointment.

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You need to make an exam appointment with the optometrist. You did not pass the vision screening. We are not vision
experts and do not know why. Maybe you were just having a bad day. Call to make an appointment with Optometry. Wear glasses if you have
them and take medical records to the appointment.

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You need to see the optometry clinic because you are in a special category that we do not fully understand at this level of
screening. Apache contact lens program and keratoconus are examples.

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If the unit screener wants feedback from Optometry on this Soldier, list a name and phone number or email address to contact:

LOCAL OPTOMETRY CLINIC phone numbers. (Please be patient or stop by; most clinics have 1 doc and 2 techs at full strength.)
Area I: Camp Casey (730-4325),
Area III: Yongsan Main Post (725-3601), Area III: Camp Humphreys (753-8124)
Area IV: Camp Walker (764-4422/764-5574)