COMMUNITY AFFAIRS

Why should you do Kids2See?
• You like working with kids • You want to do something clinical in Pre-Clerkship • You want to have tangible impact in an at risk community

Agenda

• Why the initiative? • The Plan • Get Involved

1. Why the initiative?

Consequences of Untreated Childhood Eye Disease
Description Learning Difficultie s • • 80% of children’s learning is visual Children can experience: – Visual confusion – Difficulty focusing in class – Headaches – Misdiagnosis of ADHD, MID, etc.

Preventable Blindness

Source: Preventblindness.org; Strabismus.org; Health News Digest; Ontario Association of Optometrists

• Problems with clarity of image or image processing by brain can lead to poor long term visual development in blurrier eye -> amblyopia • While asymptomatic at first, uncorrectable if not treated

1. Why the initiative?

What is ambloypia?
Definition • Reduced vision in an eye that has not received adequate use during early childhood Cause • Any condition that causes one eye to be favored, and the other ignored by the brain. – Examples: strabismus (crossed eyes), farsightedness, nearsightedness, cataracts Effect • Non-favored eye is ignored by the brain to avoid a clash between the two different images from the eyes • Permanent once brain stops growing

Source: Preventblindness.org; Kovacheye.com; Health News Digest; Medline plus

Estimated 1/20 children have amblyopia!!!

1. Why the initiative?

Strong precedent…

Ontario: “Due to provincial funding reductions, the Public Health Unit no longer provides vision screening in elementary schools in Ontario for young children.”

Agenda

• Why the initiative? • The Plan • Get Involved

2. The Plan

What are we testing for? What do we use?
Pot. issues Visual Acuity Definitio n Estimates Screening Test • SheridanGardner Visual Acuity Test • Sharpness of • 1/7 have refractiv Vision e error

• Both eyes • 1/25 have • Stereo Fly used Binocul strabismus (eye Stereopsis synchronous misalignment) ar ly to • Other disorders vision produce include aniseikonia single image (diff. refractive states), convergence Source: Preventblindness.org; Strabismus.org; Health News Digest; Ontario Association deficiency, etc.
of Optometrists

2. The Plan

What do we do?
Screen Childre n
• Wave 2 • ~140 kindergarten children at 2 schools Stats will be recorded Screening not an exam

Refer those suspected with problems
All families will be informed of benefits of (free) annual eye exams •

• •

Those suspected as having problems referred to Kids2See advisor ophthalmologist Accommodate children utilizing gov. programs, Lenscrafters Gift of Sight, and Sick Kids

Follow up with families and deal with access issues

Revaluate and Expand program
• Initiate program at other schools Expand voluntee r base

2. The Plan

Screening setup
Plan • Children brought in 4 at a time • In teams of 2, 2 tests administered and history taken • Borderline cases rescreened • When a child has been screened 1 volunteer takes child to get prize and other report to master list holder
Master list holder Volunteer w/ SG test

PRIZES!! !

Rescreeners

20ft

Child Volunteer

2. The Plan

History and Next Steps
35 children referred!

?? ? ? We need ? ? your help!!! ? ? ? ? ?

Agenda

• Why the initiative? • The Plan • Get Involved

3. Get Involved

UofT Meds Volunteers
Vision Screene r • Sign up to receive training session and screening dates!!! • Watch your email

1T1 Coordinator

• Work with 1T0 Coordinators in preparation to run program next year • Stay tuned to apply