A Shared Vision: Partners in Pediatric Blindness and Visual Impairment
  • Home
  • Refer a Child
  • Parent Resources
    • Overview
    • Let's Play!
    • Sensory Recipes
    • Document Library
    • Websites
  • Vision Screening
    • Vision Screening
    • Resources
    • Pediatric Eye Doctors in Colorado
    • For Pediatricians
  • Donate Now
    • Donate Now
    • Value of Early Intervention
    • CO Child Care Tax Credit
  • Training
    • Trainings Opportunities
    • Teaching Child's First Teacher
  • Stay Informed
    • Latest News
    • Newsletters
    • Annual & Financial Reports
  • Our Families
  • About Us
    • Our Mission, Goal, Values
    • What We Do
    • Our Team
    • Our Partners

Vision Screening

EI Evaluation Quick Start Guide

Updated June 2022
Picture
Vision Screening Trainings

I.  Introduction

EI Evaluation Vision Screening serves two objectives. First, to help EI Evaluation teams determine if there are vision problems that may affect the developmental assessment process and results. Second, to identify children with vision concerns that require follow-up with pediatric eye doctors, specifically pediatric ophthalmologists or pediatric optometrists. Click HERE for a list of pediatric eye care professionals in Colorado.
Note, vision and hearing screenings are to be conducted prior to other EI Evaluation assessments.
Each member of the EI Evaluation team is to complete the required vision screening training modules provided by EI Colorado and A Shared Vision before conducting vision screening. See below.
Best practices - email the Vision Screening Parent Questionnaire to a child's family prior to their EI Evaluation meeting. Receive and score the completed Parent Questionnaire prior to the meeting. If a child has a known or suspected visual impairment, the EI Evaluation team should include an Early Intervention Teacher of the Visually Impaired.

II.  Vision Screening Protocol

Vision Screening protocol includes:
  • Gathering information about the child's family and medical histories
  • Assessment of their eyes and eyelids
  • Review of their visual behaviors
  • Objective testing of their eye's reactions.

Vision screening begins at birth, with specific components introduced over time.

While the Parent Questionnaire, completed by caregivers prior to their EI Evaluation, and in-person meetings for the assessment are preferred, telehealth and phone calls are also viable.
Picture

III.  Vision Screening Training

Each member of the EI Evaluation teams must complete three vision screening training modules provided by EI Colorado and A Shared Vision.
Training includes:
  1. Vision Screening Parent Questionnaire. Either a refresher for anyone who successfully completed the 2020-2021 training (30 minutes), OR the full Parent Questionnaire training for anyone who did not successfully complete the prior training (90 minutes, virtual).
  2. Vision Screening Objective Testing (45 minutes, in person)
  3. Vision Screening Using the IDA-2 or DAYC-2, depending upon the tool you and your team will be using (45 minutes, virtual)
Total time: 120 to 180 minutes
Register for Training

IV.  Vision Screening Documents

These downloadable PDF documents support all aspects of the vision screening protocol. Refer to the scenarios below to determine which documents to use based on the EI Evaluation team's primary tool (i.e., DAYC-2 or IDA-2) and whether the assessment meeting with the child and family will be in person or via telehealth.
Click on the document images to download.
Picture
Parent Questionnaire
Picture
Interview Using DAYC-2
Picture
Interview Using IDA-2
Picture
Objective Testing
Picture
Scoring Rubric and Referral Form

V.  Vision Screening Scenarios

Each scenario includes a list of the PDFs to download and use during the assessment meeting. Scenarios also describe the steps to conduct the vision screening, including documenting next steps for the caregivers. The order of the steps is dependent upon the modality of the assessment meeting. Specifically, objective testing should be completed during in-person meetings. However, if the meeting is conducted via telehealth, objective testing should be completed at a later date when an in-person meeting is possible.
Picture

Scenario #1

Vision screening to be conducted in person and caregiver completed Parent Questionnaire.
Documents:
  • Objective Testing
  • Scoring and Next Steps
Steps:
  1. Review Family History and Child’s Medical History on Parent Questionnaire
  2. Conduct Objective Test
  3. Confirm Appearance of Eyes and Eyelids on Parent Questionnaire
  4. Confirm Behaviors on Parent Questionnaire during evaluation using IDA-2 or DAYC-2
  5. Score vision screening results (“no concerns” and “concerns identified”), determine referral requirements, if any, and complete Next Steps

Scenario #2

Vision screening to be conducted in person and caregiver did NOT complete Parent Questionnaire.
Documents:
  • Interview Using IDA-2 or DAYC-2
  • Objective Testing
  • Scoring and Next Steps
Steps:
  1. Interview caregiver to get Family History and Child’s Medical History
  2. Conduct Objective Test
  3. Observe Appearance of Eyes and Eyelids
  4. Conduct evaluation using IDA-2 or DAYC-2 and supplemental questions to get Behavior information
  5. Score vision screening results (“no concerns” and “concerns identified”), determine referral requirements, if any, and complete Next Steps

Scenario #3

Vision screening to be conducted via telehealth and caregiver completed Parent Questionnaire. (Objective testing to be completed in person at a future date after the EI Evaluation.)
 Documents:
  • Scoring and Next Steps
Steps:
  1. Review Family History and Child’s Medical History on Parent Questionnaire
  2. Review Appearance of Eyes and Eyelids on Parent Questionnaire. Confirm via video, if possible
  3. Confirm Behaviors on Parent Questionnaire during evaluation using IDA-2 or DAYC-2
  4. Score vision screening results (“no concerns” and “concerns identified”), determine referral requirements, if any, and complete Next Steps
  5. Conduct Objective Test when able to meet in person. If in person not available as part of EI Evaluation, test with EI-TVI or trained EI provider at Initial IFSP, IFSP Annual Review

Scenario #4

Vision screening to be conducted via telehealth and caregiver did NOT complete Parent Questionnaire. (Objective testing to be completed in person at a future date after the EI Evaluation.)
Document:
  • Interview Using IDA-2 or DAYC-2
  • Scoring and Next Steps
Steps:
  1. Interview caregiver to get Family History and Child’s Medical History
  2. Interview caregiver to get Appearance of Eyes and Eyelids information. Confirm via video, if possible
  3. Conduct evaluation using IDA-2 or DAYC-2 and supplemental questions to get Behavior information
  4. Score vision screening results (“no concerns” and “concerns identified”), determine referral requirements, if any, and complete Next Steps
  5. Conduct Objective Test when able to meet in person. If in person not available as part of EI Evaluation, test with EI-TVI or trained EI provider at Initial IFSP, IFSP Annual Review
Picture
Contact Us


© 2022 A Shared Vision: Partners in Pediatric Blindness & Visual Impairment

Privacy Policy
  • Home
  • Refer a Child
  • Parent Resources
    • Overview
    • Let's Play!
    • Sensory Recipes
    • Document Library
    • Websites
  • Vision Screening
    • Vision Screening
    • Resources
    • Pediatric Eye Doctors in Colorado
    • For Pediatricians
  • Donate Now
    • Donate Now
    • Value of Early Intervention
    • CO Child Care Tax Credit
  • Training
    • Trainings Opportunities
    • Teaching Child's First Teacher
  • Stay Informed
    • Latest News
    • Newsletters
    • Annual & Financial Reports
  • Our Families
  • About Us
    • Our Mission, Goal, Values
    • What We Do
    • Our Team
    • Our Partners