Posted by: visionfirst | November 6, 2008

CHANGE We Need in Eye Care

website-photo-barack-obama-104“Change will not come if we wait for some other person or some other time. We are the ones we’ve been waiting for. We are the change that we seek.” Barack Obama

I love this quote. It’s the spirit of America. Congratulations to a man living the American dream—our new leader and my inspiration, President-elect Barack Obama.

Six years ago, I took action for change. My eldest daughter had passed her vision screenings with a major vision problem. Today Illinois has “Amy’s Law” and a required eye exam for children starting school.

President Obama…you asked us to believe, “Not just in my ability to bring about real change in Washington…I’m asking you to believe in yours.”

Here’s my list of real changes needed for children’s vision:

1. The OLD: A public health policy that promotes vision screenings.
CHANGE We Need: A public health policy that promotes comprehensive eye and vision examinations. Vision screenings are inadequate. Let’s bring children’s vision into the 21st century. Learn more about Vision First here…

2. The OLD: From the National Institutes of Health, Healthy People 2010, “Increase the availability of vision screening for pre-school children ages 5 years and under.”
CHANGE We Need: Increase the availability of eye exams for pre-school children ages 5 years and under.  Vision screening is not a substitute for an eye examination.

3. The OLD: More from the Healthy People 2010, “Increase the proportion of people having dilated eye health examinations at regular intervals.”
CHANGE We Need: Increase the proportion of people having comprehensive eye and vision examinations at regular intervals. We shouldn’t neglect vision. A healthy eyeball could still have a functional vision problem.

4. The OLD: Federal bill H.R. 507 and S. 1117, the Vision Care for Kids Act.
CHANGE We Need: A federal bill that provides grant money to States requiring eye exams for children starting school. All children need eye exams, not just those who failed a vision screening. Read more about H.R. 507 here…

5. The OLD: Illinois parents can only submit the State form as proof of an eye exam.
CHANGE We Need: Illinois parents should be able to submit other forms approved by the State, such as the Vision First form, as proof of an eye exam.  The Vision First form ensures a child’s best school supply–healthy eyes and good vision, but the Department of Public Health won’t approve it.

Opponents of change want me to quit.  I’ve been told: public support won’t make a difference; to go away for a few years; and the best yet, we can’t do this because a square peg won’t fit through a round hole.

Guess what?  I’ve found many holes in the proposed rule. Read my objection letter here. And yes…there’s one big enough to fit our square peg.

November 4, 2008 proved democracy is alive and that America IS a place where all things are possible.

Thank you, President Obama.

“Yes we can.”

Barack Obama: “This victory alone is not the change we seek… So let us summon a new spirit of patriotism, of responsibility, where each of us resolves to pitch in and work harder and look after not only ourselves but each other.”
 
Make a difference here…
 

Copyright (c) 2008 Vision First Foundation. All rights reserved.
Posted by: visionfirst | October 31, 2008

Trick or treat? Dispelling myths in eye care.

Here are ten eye care myths dispelled in the Halloween spirit:

1. Trick or treat? Vision disorders are not common in children.
TRICK! The National Eye Institute reports vision disorders are the most common handicapping condition in childhood.

2. Trick or treat? Children will tell an adult when they have a vision problem.
TRICK! Children with impaired vision often do not know it. They can be very good at compensating and accommodating poor vision.

3. Trick or treat? Children should be given vision screenings.
TRICK! The latest study by the National Eye Institute found vision screenings missed between 32 and 63% of vision problems identified by eye examinations.

4. Trick or treat? Vision screenings are good enough.
TRICK! Vision screenings attempt to separate those with possible vision problems (fail) from those without (pass) and nothing more. Vision screenings do not diagnose eye and vision problems. Read this article and more on the Vision First website…

5. Trick or treat? Vision screenings test and evaluate.
TRICK! Vision screenings do not test and evaluate. Only an eye doctor’s eye exam can. There is a big difference between screenings and exams. Read this fact sheet…

6. Trick or treat? 20/20 eyesight is perfect vision.
TRICK! 20/20 (or clear visual acuity) is NOT perfect vision. The eyes also need to work together as a team. Read about the eye chart here…

7. Trick or treat? A pediatrician can diagnose amblyopia or “lazy eye.”
TRICK! Only an eye doctor’s eye exam can diagnose amblyopia. (optometrist or ophthalmologist) A pediatrician does not have the equipment and training.

8. Trick or treat? Vision and learning are NOT related.
TRICK! Vision IS related to learning! Read this great article about learning difficulties here…

9. Trick or treat? Children with ADD, ADHD, or other learning problems don’t have a vision problem.
TRICK! These children could have a learning-related vision problem. Read another great article that explains how education can benefit from behavioral optometry here…

10. Trick or treat? Vision therapy is “hocus pocus.”
TRICK! Vision therapy is NOT “hocus pocus.” It is a proven treatment. Read the latest study that proves vision therapy is effective for one type of vision problem called, “convergence insufficiency or CI” here. Note: Vision therapy and CI is listed on the Vision First form but not on the State form in Kentucky, Missouri, or Illinois.

Don’t be tricked. Our children deserve the best treatment. Vision First is full of treats!

What’s new! Give parents the choice to upgrade children’s eye care.  Sign our new petition here (posted 10/31/08) and help us here…

Coming soon in November—A Vision First feast!

 

Copyright (c) 2008 Vision First Foundation. All rights reserved.
Posted by: visionfirst | October 12, 2008

Vision First form upgrades children’s eye care

“Bringing children’s vision into the 21st century” needs more than a good public awareness campaign. It needs a good report form for eye exams. Vision First has that form.

Here are the top ten benefits of using the Vision First form:

• Designed for the parent and teacher.
• Provides education on children’s vision.
• Suitable for recommended and required eye exams.
• Emphasizes a comprehensive eye and vision examination.
• Illustrates eye health, visual acuity, refractive evaluation, and visual efficiency.
• Accompanies prewritten letters for schools.
• Contains a vision screening disclaimer.
• Includes a Reference Page for parents and teachers.
• Represents high standards of eye care.
• Brings meaning and purpose to an eye examination.

Here’s what people are saying about the Vision First form: (from our petition at Care2)

“It is so important we all support this form and raise the standard of eye care our children deserve.” (#639, Janice)

“We need to protect our children and their future. The Vision First form puts the needs of the child first.” (#376, Rupe)

“This should have happened many years ago.” (#254, J. Brad)

“Aren’t the children important enough to be taken care of in this matter… please… help to pass this in every state… for all children.” (#252, Dee)

“Burocrats of America, shape up! The Vision First form is simpler and clearer.” (#814, Christoph)

This comment broke my heart: “I was one of the unlucky children who went through school not able to see the blackboard or even my teacher. Needless to say, I failed all through school until the day I quit, with the blessings of everyone concerned, at the age of 16. I needed glasses. I did not get them. NO one cared. As a result…I am uneducated and poor. Please do not do this to other children. Please do not destroy any chance of a good job and a good life. ALL children need their eyes examined from year to year while in School.” (#825, Blu)

Thank you, Blu…you sealed my commitment to this cause and the Vision First form.

I care…

I hope all of you do, too.

Support the use of the Vision First form.

Public comments period in Illinois ends October 19, 2008. Please join us. Sign our petition and submit a letter today…

and make a difference in the eyes of a child.

 

Copyright (c) 2008 Vision First Foundation. All rights reserved.
Posted by: visionfirst | September 25, 2008

Dr. K’s quest for the Vision First form

Six years ago I met an eye doctor I’ll never forget—Dr. Irving Kernis.

“Dr. K” was a founding honorary board member of Vision First. He was also one of the primary authors of the Vision First form with Dr. Woods, Dr. Mizener, and me. He quickly became one of my giants and mentors on this vision mission.  He was smart, sharp, and sincere. He took me under his wing as if I was one of his daughters.

Dr. Kernis was proud of his age, “Next year I’ll be 90!” Highly educated and politically correct, I could always count on him for advice and wisdom. I’m sorry to say today is the third anniversary of his passing. We sadly lost Dr. Kernis on September 25, 2005.

I remember “nit picking” the initial drafts of the Vision First form with him in 2002 down to the commas and fonts. A form with meaning and purpose was best. We wanted our form to be great. Oh how I miss him. He was proud of our work and wanted Illinois to be a leader for children’s vision.

Today our Vision First form seeks approval from the Illinois Department of Public Health (IDPH) during the new eye exam law’s rulemaking. DPH proposed the State’s form shall be the only form accepted as proof of an eye exam. The proposed rule is flawed. We need your help.

Here are the benefits of our Vision First form:

• Designed for the parent and teacher.
• Provides education on children’s vision.
• Suitable for recommended and required eye exams.
• Emphasizes a comprehensive eye and vision examination.
• Illustrates eye health, visual acuity, refractive evaluation, and visual efficiency.
• Accompanies prewritten letters for schools.
• Contains a vision screening disclaimer.
• Includes a Reference Page for parents and teachers.
• Represents high standards of eye care.
• Brings meaning and purpose to an eye examination.

We hope you will join us in our quest to have our Vision First form approved as proof of an eye exam. Read my letter of objection and sample letters to DPH here. Petition signatures also count through October 18, 2008 at the Care 2 website here. You, too, can make a difference in the eyes of a child.

Dr. Kernis loved the saying, “Healthy eyes and good vision are a child’s best school supply.”

Let’s ensure all children have the best start for a lifetime of learning. Support the approval of the Vision First form today.

 

Copyright (c) 2008 Vision First Foundation. All rights reserved.
Posted by: visionfirst | September 5, 2008

Proposed rule is flawed. We need your help.

“From a certain point onward, there is no longer any turning back. That is the point that must be reached.” (Franz Kafka)

Vision First reached that point. We’re on our way to helping many more children.

Now we need our Vision First form approved by the state to ensure our success. The Illinois Department of Public Health disagrees.

The proposed permanent rule for Illinois’ new eye exam law was posted September 5th in the Illinois Register. Unfortunately, it mimics the emergency rule that needed 911 in June. Our Vision First form was not included as proof of an eye exam.

Do you think the Vision First form should be accepted as proof of an eye exam? If so, please sign our petition here…

Let your voice be heard over the next 45 days. Public comment period starts now and ends October 19, 2008 at midnight.

1. What is the “public comment period?” When a bill is passed into law, rules must be written regarding the law’s implementation.   This rulemaking process has two steps:  first and second notice.  The public has the chance to comment on proposed rules during these two times.  For further information, visit JCAR for the Illinois Rulemaking Process.

2. The Vision First form should be approved. How can I help? You can help by signing our petition, writing a letter, and sharing our website and blog with your family and friends. You do not have to live in Illinois. Anyone anywhere can support our cause!

3. Where can I sign the petition? You can sign here!

4. Where do I send a letter? Send (or email) your letter to:

Ms. Susan Meister, Administrative Rules Coordinator
Illinois Department of Public Health
535 W. Jefferson Street, 5th Floor
Springfield, IL 62761
EMAIL: dph.rules@illinois.gov

Subject: Objection to proposed rule for Public Act 95-0671

Also, copy your letter to: JCAR@ilga.gov and VisionFirst@care2.com.

5. Do you have a sample letter? Yes! View a sample letter here or read my letter.

Your voice counts.

Together…we will be heard.

 

Copyright (c) 2008 Vision First Foundation. All rights reserved.
Posted by: visionfirst | August 31, 2008

Cost-effective method?

“Mandated eye exams not a cost-effective method to protect sight” headlined the Chicago Tribune’s Voice of the People on August 26, 2008. The next day, the Chicago Suntimes headlined my Letter to the Editor, “With new law, kids need not go without eye care.”

I’m shocked the Illinois Association of Ophthalmology (IAO) does not support required eye exams for children starting school. In their letter, the IAO applauds the Tribune for last week’s editorial, “We do not need another nanny-state mandate.”

The IAO states, “forcing every kindergartner in Illinois to obtain a comprehensive eye exam is not a cost-effective method to protect their sight.”

An eye exam is not a cost-effective method to protect a child’s sight? Illinois mandates health and dental exams three times during a child’s schooling to protect a child’s body and teeth. How could one eye exam, before a child starts learning to read and write, be wasteful for a child’s sight? Academic learning is estimated to be 80% visual.

The IAO favors “a less costly approach in which family physicians and pediatricians, who already provide school physical exams, would also conduct a careful vision and eye health examination.”

Ha! The “careful vision and eye health examination” supported by the IAO is really a vision screening. Don’t be fooled. Do you know vision screening does not diagnose vision problems? Only an examination by an eye doctor can.

Two of my children passed vision screenings with undetected vision problems by the school and pediatrician. I learned the “cost-effective method” doesn’t work.

As a parent, I want what’s best for our kids—an eye exam by an eye doctor. All parents, schools, and doctors should want the same.

What do you think of the IAO’s position?

Copyright (c) 2008 Vision First Foundation. All rights reserved.
Posted by: visionfirst | August 25, 2008

We will miss you, Dr. Woods

With profound sadness, I’m sorry to inform you our dear friend and loyal supporter, Dr. Floyd Woods, passed away peacefully in his sleep after a long battle with cancer during the morning of August 25, 2008.

No words can express our grief at Vision First Foundation. Dr. Woods was truly “one-in-a-million.”

For the lucky ones who knew Floyd Woods, we share the same deep sorrow. For those who never met this great man, may you wish you did.

I met Dr. Woods six years ago when I began my vision mission, thanks to Dr. Floyd Mizener, after my letter to the American Optometric Association was featured in their national magazine, the AOA News.

We quickly became friends. We shared the same dreams for children’s vision. Dr. Woods was our founding Vision First secretary-treasurer. Vast experience and knowledge made him a key member on our Vision First board of directors.

Did you know Dr. Woods was a practicing optometrist for over 56 years? He was a past president of the Illinois Optometric Association and a past school board member. He held a master’s degree in reading from Loyola University. Dr. Woods was a “behavioral optometrist” and proud of it. And since he was good friends with Dr. Floyd Mizener, he coined himself, “Floyd the younger,” since he was the younger Floyd by two years. Dr. Mizener was, “Floyd the older.” His leadership and dedication to the profession of optometry made him a hero.

The two Floyds were quite a team. Together with Dr. Larry Vogel and the late Dr. Irving Kernis, the two Floyds formed the Optometric Four Horsemen and Cavalry. Optometry’s roots in functional vision would be preserved while medical optometry advanced.

I’ll never forget the ring on his cell phone—chirping birds. It seemed that his cell phone rang every time I called his regular phone. No doubt about it…Dr. Woods was a popular man. Oh how I miss hearing those birds. That chirping was symbolic of his fun, free spirit.

Dr. Woods loved children, and children loved him. His eye exams weren’t scary… they were FUN! He truly loved being an eye doctor. He believed vision screenings were inadequate, and thought “nothing less than a comprehensive eye and vision examination by an eye doctor was good enough for our children…period.”

When we traveled to Peoria in 2004 with Nora for the Illinois PTA convention, it was a weekend I’ll never forget. Nora and I felt like we were with royalty. Dr. Woods always wanted to “break the ice” and insert laughter whenever he could, too. When it was our turn to defend the resolution, he went to the microphone and said, “A little boy asked his grandma, ‘How old are you?’ She replied, ‘29 and holding.’ The little boy responded, ‘How old would you be if you let go?’” The room burst into laughter. The resolution passed that night. We were on our way to raising the standards for children’s vision.

Dr. Woods was my mentor. He was my confidant. There were so many great times. Here is my tribute to Dr. Floyd Woods…memorable quotes I’ll hold dear to my heart:

“There is a national movement to mandate eye and vision examinations for all school children. Kentucky, Missouri, and now Illinois, are in the vanguard of this movement. The Vision First Foundation, an Illinois 501(c)(3) not-for-profit under the dynamic leadership of Mrs. Janet Hughes, led the entire process of passing the Illinois legislation. Vision screening is totally inadequate and must be replaced by mandated comprehensive eye and vision examinations by eye doctors. You might feel I am rather braggadocios, but I have been fighting for children’s rights for many years.
Dr. Floyd Woods”

His dreams were inspiring…

“Hi Janet,
We are going the right way. Don’t ever accept anything less than a complete functional examination by a functional optometrist.
Your ardent admirer forever, Floyd the Younger”

His dedication was empowering…

“We cannot, and I will not, let anyone ignore Vision First. It is a wonderful structure to insist on superior vision care for all our children. Janet, I have not been much help to you lately since I’ve been ill, but my spirit has been with you all the way. The work you are doing is much too important for anyone to ignore.
Your ardent admirers, Dorothy and Floyd (the Younger)”

His positive-mental-attitude was motivating…

“Hi Janet,
Do not, and I say again, do not be discouraged. The word is getting out that Illinois is doing something. I am encouraged and I hope you are. You are accomplishing something that was unheard of in the past.
Your ardent admirer, Floyd the Younger”

His willingness to educate was limitless…

“Hi Janet,
Absolutely. Peripheral vision can be enhanced through vision therapy. Parents can assist a child in this area through activities that demand bilateral integration (awareness of the two sides of the body). Balancing activities would go a long way in helping a child increase awareness of peripheral vision. A mini trampoline can be a very helpful tool for expanding peripheral awareness. Constriction of the peripheral fields, both visual and auditory, can create a significant problem in the learning to read process. Constriction of both fields occurs under the stress of learning to read. We could probably write a book on this relationship. Try standing on one foot with eyes fixated on a target. Not too difficult. Now try standing on the other foot with eyes closed. Wow, what a difference. Peripheral awareness is absolutely essential in the learning to read process.

Janet… please do not ask me these questions. They get me all excited because no one is paying any attention to these most significant visual problems of our children.
As always, your most ardent admirer, Floyd the Younger”

His humor was refreshing…

“Hi Janet,
Glad to have helped you. Not only do I repair patios, I also do windows, but don’t tell Dorothy.
Keep up the great work, Floyd the Younger”

He always wanted me to be well informed…

“Janet,
Check out this article. I am thoroughly disgusted. OMDs are now becoming the great saviors of our children. How can the OMD check ocular motor skills when the muscle used for focusing is paralyzed with drugs for dilation? I think our old friend, Floyd the Older, made this prediction a long time ago.
As ever, your upset eternal admirer, Floyd the Younger”

He wasn’t afraid to “tell it like it is.”

“Hi Janet,
Please read the section on pre-school screening! It is disgusting.
Always in admiration of you, Floyd the Younger”

And when the pressure was on during the emergency rulemaking in July ‘08, in spite of his cancer, he kept the pot boiling…

“The Vision First report form, along with the Reference Page, is the most complete and informative communication between disciplines that has ever been produced. The educator can use this information to enhance a student’s learning program. The form being considered by the state provides very little about helping the child. What a waste of valuable information.”
Sincerely,
Floyd Woods, One of the Four Horsemen still galloping

He always thought about the children…

“Janet,
The battle is beginning to loom on the horizon. We must be prepared to meet the adverse thinking with facts that are quotable and cannot be denied. Please do not let our detractors influence you. We have the strength of the truth and our opposition must be faced with our ammunition. We are in this battle for our precious children. We cannot fail.
Your ardent admirer, Floyd the Younger”

He was never a pest…

“Hi Janet,
The pest is back again. The evidence grows. I successfully found the original article on the Internet and bought it for twelve bucks. I love the article because it tends to substantiate what we have been saying about hyperopia and how it correlates academic achievement with refractive error. We will prevail! Keep up the great work.
As ever, in your corner, Floyd the Younger”

He was quick to share the success of others…

“Hi Janet,
I feel their page (Wichita Vision Development Center) is an absolute brilliant way to demonstrate to readers how the lack of some of the vision skills influences the reading and learning process.
As always, your most ardent admirer, Floyd the Younger”

He was proud of my work…

“Hi Janet,
As usual, you come up with perfection. You are so astute. Your “Top Ten Reasons” deserves a medal. Go to press. Thank you for all that you do for our children. Your untiring effort will make the world a better place for many years to come.
Forever in your corner, Floyd the Younger”

And not afraid to correct me when I was wrong…

“Hi Janet,
The Optometric Four Horsemen and Calvary needs to be corrected. My Funk & Wagnalls New Comprehensive International Dictionary of the English Language defines “calvary” as a sculptured representation of the crucifixion, usually erected in the open air. On the other hand, the same dictionary says that CAVALRY, among other things, is defined as organized, mounted combat troops. I like to think we are more like the latter rather than the former. Otherwise, in my humble opinion, the work is impeccable and will be very informational for all who visit the Vision First website.
Your most ardent admirer, Floyd the Younger”

He was full of compliments…

“Hi Janet,
I’m impressed. Thank you for your skills at nit-picking. We do not want to be redundant. As a layperson in this field, I think you are the best.”

Four minutes later I received this email:

“I meant I am the layperson judging the expert.
Your ardent admirer, Floyd the Younger”

He always remembered the kids and Mark…

“Hi Janet,
Thank you for the update. I am amazed at your energy. Give all your wonderful kids a big hug and kiss from Dorothy and me, and please don’t forget your very supportive and patient husband, Mark Sr.
Your ardent admirer, Floyd the Younger”

He was a humble man…

“Dear Janet,
Thank you for the great compliment. I do not deserve such praise. My concern is to see all children succeed at their primary job, to learn. I think we can help.
Forever in your debt, Floyd the Younger”

He made me feel appreciated…

“Dear Janet,
You, of course, know that you were sent from heaven to help our children become the best they can be. Your thought on the motto is great. We look to you for leadership in this monumental effort to help our children,
Your totally dazzled admirer, Floyd the Younger

I’m going to miss his classic signature and all its variations…

As always, your ardent admirer,
Your ARDENT admirer,
As ever, your ardent admirer,
Your constant and ardent admirer,
Your constant and eager admirer,
Your steadfast and most loyal admirer,
Your ever lovin’, forever your ardent admirer,
As always, I remain your loyal and ardent admirer,
As always, in absolute awe in your presence,
As always, forever in your debt,
Forever in your debt, you have my complete admiration,
Your ardent admirer and believer that you are Superwoman,
Forever basking in the bright light of Janet Hughes,
Floyd the Younger

I’ll cherish his pearls of wisdom…

“Dear Janet,
When you get down, gather your children around you, give them a hug, and thank God for his blessings. He will give you the strength and courage to continue our journey.
Your ardent admirer forever, Floyd the Younger”

And when he sent me this email last year, little did I know I’d be shedding these same “Tears of a Woman” today…

“Hi Janet,
This little vignette applies to you in every way.
My admiration for you increases every day,
Floyd the Younger”

On behalf of Vision First Foundation, our thoughts and prayers are with Dorothy, all the children and grandchildren, and all his friends and family.

How lucky to have been loved so much, that it is so hard to say, “good-bye.”

Sir Isaac Newton’s quote describes very well the impact Dr. Woods made in my life: “If I have been able to see farther than others, it was because I stood on the shoulders of giants.”

Dr. Woods made a difference in my life. Through Vision First, his legacy will live on forever.

Dr. Woods was, and always will be, my giant.

 

 

View a special memory page in honor of Dr. Floyd Woods on the Vision First website here…

View his obituary in the Chicago Tribune here… 

Copyright (c) 2008 Vision First Foundation.  All rights reserved.
Posted by: visionfirst | August 20, 2008

Nanny-state mandate? No way!

The Chicago Tribune’s editorial staff is in the dark.

Opinions squawked on August 19, 2008, “We do not need another nanny-state mandate.” As luck would have it, my upbeat “Letter to the Editor” was also posted on-line August 19, 2008 in response the Tribune’s story, Not seeing eye to eye.

The Tribune does not see anything good about this new eye exam law. Here are my “Top Ten Disputes” followed by the “Top Ten References.”

Look again, Chicago Tribune. I just turned the light on…

Top Ten Disputes:

10. Eye exams are a “huge waste of time and money for the other 90 percent.” Let’s be fair…then health exams are a huge waste of time and money for healthy kids.

9. “The state already requires in-school screenings in kindergarten and 2nd and 8th grades.” Don’t get me started about the state’s screening program.

8. “Many pediatricians routinely include vision screenings as part of a regular physical.” Maybe they should check the teeth, too, while they’re at it.

7. “Such screenings aren’t as thorough, but they’re a cost-effective way to sort the kids who might need a comprehensive exam from the overwhelming majority who don’t.” A cost effective way to sort the kids? I don’t want my child sorted. Did you know an MD or pediatrician can bill a vision screening as an exam?

6. “That’s why groups including the American Academy of Pediatrics (AAP) and the American Academy of Ophthalmology (AAO) oppose mandatory eye exams for children.” I wish the AAP and AAO would oppose required calculators. I had to buy a $140 TI-84+ graphing calculator for my 7th grader. Groups that oppose mandatory exams have a hidden agenda that is NOT in the best interests of kids. Beware.

5. “Besides out-of-pocket costs, we’ll be paying for those exams in the form of higher premiums—and more tax dollars to cover the costs for those who rely on the government for medical care.” My son’s kindergarten well-child visit, shots, and blood work cost a whopping $629 in 2006. His eye exam? $61. Something isn’t adding up here…

4. “A 2004 study published in the Journal of the American Academy of Pediatric Ophthalmology and Strabismus concluded that mandatory eye exams can lead to wasteful overprescribing of glasses.” I bet it was a tainted study. Did you know ophthalmologists (OMDs) practice optometry by exemption? Perhaps the OMD should be included in the optometric licensing and continuing-ed (CE) requirements.

3. “Educators aren’t thrilled about having to enforce yet another nanny-state law.” Here we go again…nanny-state law. I think someone is watching too much Super Nanny, Take Home Nanny, and Nanny 911.

2. “But schools still bear the administrative burden, along with the thankless task of nagging noncompliant parents.” Nagging noncompliant parents? I’m calling Jon Stossel. Give me a break!

1. “What’s coming into focus is an overreaching law that burdens parents and educators and drives up the cost of medical care. There are no proven benefits and no consequences for those who blow it off.” No consequences? There are consequences. Here is one example.

Top Ten References:

10. “Vision disorders are the most prevalent handicapping condition in childhood. However, fewer than 15% of all preschool children receive an eye examination.” (National Eye Institute, 2/14/06) This is serious.

9. “Important vision disorders in children include amblyopia, strabismus, significant refractive error, ocular disease, and color vision deficits. Early detection and treatment of these disorders are important to maximize a child’s visual potential.” (Survey of Ophthalmology, March/April 1999, page 445) Do you believe the authors missed convergence insufficiency and learning related vision problems?

8. “Amblyopia is a significant public health problem, with a prevalence in the neighborhood of 2% to 5%. It is the leading cause of monocular blindness in the 20-70 year age group.” (Ophthalmology 2000, page 1637) Again, this is serious.

7. “Early detection of amblyopia can occur if factors that cause amblyopia are detected and treated earlier, possibly even before children become literate.” (Ophthalmology 2000, page 1637) Let’s catch this early before it’s too late.

6. “Visual development from birth through school age has sensitive and critical periods where abnormalities can lead to permanent impairments, especially in the development of binocular vision, an important part of human vision.” (American Public Health Association, Policy Statement 2001-1) Eye exams are important.

5. “Impaired vision in children can seriously impede learning and contributes to the development of emotional and behavioral problems. Early discovery and treatment can prevent or at least alleviate many of these problems.” (Illinois Department of Public Health, Vision Screening Manual, July 2001) This is from the Department of Public Health.

4. “Screening is NOT a diagnostic procedure and does NOT determine that correction of a possible defect or need for glasses is indicated. Diagnoses are made only by an eye doctor.” (Illinois Department of Public Health, Vision Screening Manual, July 2001) This is exactly how it is printed in the manual. In other words, screenings don’t do anything.

3. “Screening tests vary widely in performance, even when administered by licensed eye care professionals. The four best tests detected two-thirds of children with one or more targeted conditions, but nearly 90% of the children with the most severe conditions.” (National Eye Institute, 2/14/06) 68% = F, and for the most severe cases 90% = B? What if your child was missed?

2. “Vision screening is not a substitute for a complete eye and vision evaluation by an eye doctor.” (Illinois Public Act 93-0504) The public has been fooled for too long.

1. “Children with impaired vision often are not aware of their handicap; therefore, they do not complain or seek help. If they have always seen in a blurred or distorted way, they accept the imperfect image without question. For this reason, it is up to the adults responsible for the child’s health care and educational process to detect those children with vision problems.” (Illinois Department of Public Health, Vision Screening Manual, July 2001) Look at the children, looking up to us, to look out for them…

In 1969, Illinois began mandating vision screenings by lay people who would be certified after a three-day-class for $100. Almost 40 years later, we’re still doing the same thing, except Illinois lawmakers raised the standards for all children starting kindergarten in 2008.

Two choices are available: be a part of the problem, or be a part of the solution. What is your choice going to be?

 

Copyright (c) 2008 Vision First Foundation. All rights reserved.
Posted by: visionfirst | August 14, 2008

New law headlines Chicago Tribune!

Thirty-nine years late. But hey, it’s required now and who’s counting anything today except Michael Phelps’ fans! :)

It’s about time all children starting school for the first time in Illinois have an eye exam. Opponents of the new law disagree.

“Not Seeing Eye to Eye” appeared on the front page of the Chicago Tribune today. I was quoted along with a parent, school superintendent, optometrist, ophthalmologist, and the chief sponsor of the bill, Senator Deanna Demuzio.

I’m shocked educated professionals would “question the merits of the new law.” Illinois requires health and dental exams. Since academic learning is estimated to be 80% visual, shouldn’t eye exams be included?

In 1969, Illinois enacted the Vision and Hearing Test Act. Mass vision screenings would be mandated for all children. Screeners would be certified after a three-day-class for $100. Illinois tax-payers would pay the bill for these vision screenings. Fast and cheap was said to be the best way to find possible vision problems. Yikes! Shouldn’t we question the merits of mandated vision screenings?

The American Academy of Pediatrics (AAP) “recommends screenings as a cost-effective way to evaluate a child’s vision.” A cost-effective way to evaluate a child’s vision? Sure…as long as it’s not my child! Do you feel the same way?

I’m disappointed the AAP would make this statement. The bill for my son’s kindergarten health exam, blood and urine samples, and shots was $629! Screenings do not evaluate, and screeners cannot diagnose vision problems. Illinois law confirms vision screening is not a substitute for an eye exam.

Tribune reporter Tara Malone summed-up the controversy very well with my quote near the end of the story…we needed to raise the standards. And we did in Illinois.

Do you think children’s vision should be brought into the 21st century?

 

Copyright (c) 2008 Vision First Foundation. All rights reserved.
Posted by: visionfirst | July 23, 2008

Vision First in the news!

Wild water slides, cool wave pools, and soothing hot tubs proved another great vacation for the Hughes clan at the Wilderness Resort in Wisconsin Dells.

But at the same time, a break from cooking and cleaning can’t top making the front page of a newspaper!

Thanks to Dr. Sam Forzley and Dr. Sandra Bury, two great reporters called me about my part in Illinois’ new eye exam law. The Lemont Reporter-Met, the Southtown Star, and the Herald News covered the reason all kindergarteners should have an eye exam by an eye doctor before starting school.

It was the press we needed. It’s about time the public knows the truth. Required vision screenings miss vision problems, yet screening advocates are planning to repeal this law and stop any future bills for required eye exams in other states! Do you believe that?!

Vision First will continue to fight for what’s best for the children. Will you join us in our Kids Eyes Count Campaign?

 

Copyright (c) 2008 Vision First Foundation. All rights reserved.

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