Standards for Screening


Conduct pediatric vision screenings for the detection of risk factors associated with Amblyopia, decreased visual acuity and additional ocular conditions and direct to an eye care provider as indicated.


United States Lions Clubs will conduct vision screenings to provide early detection of Amblyopia risk factors, correctable vision defects and other ocular conditions in children ages six (6) months to six (6) years. Screening children up and including 12th grade is acceptable. Lions Clubs will use automated photoscreening devices to conduct the screenings, which have been found to be useful for screening children, and their output easily interpreted by the individual screener.

Background:KidSight Logo

According to the University of Michigan, Kellogg Eye Center, “Amblyopia, affecting up to 4 percent of all children, must be diagnosed and treated as early as possible during infancy or early childhood to prevent permanent vision loss and to allow for development of optimal stereo or 3-dimensional vision.”ii Vision screening can have a significant impact on children’s educational outcome. A recent university study, conducted over one year, concluded that children’s academic test scores improved approximately One (1) year of extra schooling after they had been identified with vision impairment and received eyeglasses.iii

Vision Screening Criteria:

Age: Screening of youth age six (6) months to six (6) years of age.

Testing: Pediatric-age vision screeningsi conducted for the following conditions: Anisometropia, Astigmatism, Hyperopia, Myopia, Anomalous Corneal Reflexes, and Anisocoria.

Referral Criteria Recommendation: Children will be referred to an eye care provider for a comprehensive vision examination based on results of the automated photoscreening and vision acuity test if required under the individual state guidelines.

Performance Measure:

Measure the number of children screened and impacted by early detection vision screenings.

Measure: Unduplicated number of children, age Six (6) months – Six (6) years, receiving vision screening by members of Lions Clubs

Definition of Key Term: Screening – age-appropriate guidelines of the automated photoscreening device and additional visual acuity guidelines, per state requirements.

Calculate/measurement: Unduplicated number of children (6mo. – 6yrs) screened for the following conditions: Anisometropia, Astigmatism, Hyperopia, Myopia, Anomalous Corneal Reflexes, and Anisocoria. Screenings will be conducted with approved automated photoscreening device.

Tracking: Number screened, number referred, referral results, location (zip code) of screening and date of screening will also be included in the evaluation tracking. The number of Lion volunteers and service hours will also be tracked for each event.

Data Collection: Basic database (Google Docs) will be created for tracking vision screening. Each individual Club/District/Multiple District will track individual screening event inputs, which will be uploaded into a national database by an appointed representative.


i. Journal of American Academy of Pediatrics, Instrument-based Pediatric Vision Screening Policy Statement. Vol. 130 No. 5 November 1, 2012 pp. 983 -98 – PDF reference

ii. Amblyopia (lazy eye). Del Monte, Monte A. M.D., 2014. – Visit website

iii. Glewwe, Paul. Park, Albert. Zhao, Meng. A Better Vision for Development: Eyeglasses and Academic Performance in Rural Primary Schools in China. June, 2014. – PDF reference