| AGE |
TESTS |
REFERRAL CRITERIA COMMENTS |
| Newborn to 6 months |
- Ocular history
- Vision assessment
- External inspection of the eyes and lids
- Ocular motility assessment
- Pupil examination
- Red reflex examination
|
|
- Refer infants who do not track well after 3 months of age.
- Refer infants with an abnormal red reflex or history of retinoblastoma in a parent or sibling.
|
|
| 6 to 42 months |
- Ocular history
- Vision assessment
- External inspection of the eyes and lids
- Ocular motility assessment
- Pupil examination
- Red reflex examination
- Visual acuity testing
- Objective screening device “photoscreening”
- Ophthalmoscopy
|
|
- Refer infants with strabismus
- Refer infants with chronic tearing or discharge.
- Refer children who fail photoscreening.
|
|
| 42 months to 5 years |
- Ocular History
- Vision assessment
- External inspection of the eyes and lids
- Ocular motility assessment
- Pupil examination
- Red reflex examination
- Visual acuity testing (preferred) or photoscreening
- Ophthalmoscopy
|
|
- Refer children who cannot read at least 20/40 with either eye. Must be able to identify the majority of the optotypes on the 20/40 line.
|
| 5 years and older* |
- Ocular history
- Vision assessment
- External inspection of the eyes and lids
- Ocular motility assessment
- Pupil examination
- Red reflex examination
- Visual acuity testing
- Ophthalmoscopy
|
|
- Refer children who cannot read at least 20/32 with either eye. Must be able to identify the majority of the optotypes on the 20/32 line.
- Refer children not reading at grade level.
|
|
* Repeat screening every 1-2 years or after age 5.
