Vision Screening Referral Letter for Children: Eye Care Guidance 2025

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  1. Click ‘Get Form’ to open the Vision Screening Referral Letter in the editor.
  2. Begin by entering the child's name and date of birth at the top of the form. This information is crucial for identifying the child during their eye examination.
  3. In the section detailing screening results, fill in the right and left eye vision scores as indicated. If your child had difficulty reading lines on the chart, make sure to note that clearly.
  4. If applicable, provide any observations regarding your child's eye appearance or complaints about vision difficulties. This helps the eye care professional understand potential issues.
  5. The health care provider will need to complete their section after examining your child. Ensure they fill in their findings accurately, including any recommendations for follow-up care.
  6. Finally, ensure that all sections are completed before returning this form to school staff or directly to your child's eye care professional.

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CHECKING THE EYES WITH A LIGHT: At most well child checks, the doctor or nurse will use lights to look at the eyes. The lights can show if the eyes are straight and if the eyes are growing normally. If something unusual is noticed the care provider will recommend more testing with an eye doctor (ophthalmologist).
The Snellen letter eye test is a normal part of your routine eye appointment. Your optician will present the chart containing rows of letters of varying sizes, and ask you to read the letters aloud. They might also place lenses in front of your eyes to see if the chart becomes clearer for you.
4 years old: the critical line to pass screening is the 20/40 line. 5 years and older: the critical line to pass screening is the 20/32 line for Sloan and LEA/HOTV (or 20/30 in Snellen chart). Must be able to identify the majority of the 20/50 line with each eye. Screening is typically done at 10 feet.
Youll notice, next time you look at an eye chart, not every letter of the alphabet is used. Only the letters C, D, E, F, L, N, O, P, T and Z. Some letters arent used because they can easily be identified by the human brain even if they are too blurry to be seen clearly. For example, the letter Q.
What tests may be carried out? The red reflex test. The red reflex test is usually carried out alongside a general examination of your babys eyes, as part of newborn checks. The pupil reflex test. Attention to visual objects. Snellen and LogMAR charts. Range of movement tests. Refraction test. Colour vision deficiency test.

People also ask

Snellen and LogMAR charts When your child can recognise or match letters, their vision is tested using charts that have rows of letters and numbers of decreasing sizes. Your child will be asked to read out or match the letters they can see from a specific distance. These charts are called Snellen or LogMAR charts.
0:13 2:30 On the day of your eye exam youll sit in the waiting room until its your turn to be seen. Once youMoreOn the day of your eye exam youll sit in the waiting room until its your turn to be seen. Once you are brought into the eye exam room the doctor or the doctors assistant will ask you questions to

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