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
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Vision Screening protocol includes:
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. |
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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:
Training includes:
- 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).
- Vision Screening Objective Testing (45 minutes, in person)
- 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
IV. Vision Screening Documents
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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.
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Click on the document images to download.
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Parent Questionnaire
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Interview Using DAYC-2
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Interview Using IDA-2
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Objective Testing
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Scoring Rubric and Referral Form
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V. Vision Screening Scenarios
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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.
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Scenario #1
Vision screening to be conducted in person and caregiver completed Parent Questionnaire.
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Documents:
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Steps:
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Scenario #2
Vision screening to be conducted in person and caregiver did NOT complete Parent Questionnaire.
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Documents:
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Steps:
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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.)
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Documents:
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Steps:
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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.)
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Document:
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Steps:
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