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New research · Ophthalmology
Ophthalmology · 5d
Cross-sectionalOphthalmology · 2026

Vision screening outcomes and follow-up intervals among socioeconomically disadvantaged students from a school-based vision program.

YuQing Xu, Xinxing Guo, Kendall D Stout … Megan E Collins
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OphthalmologyCross-sectional

Greater school-level poverty was linked to higher odds of failing vision screening.

Vision screening outcomes and follow-up intervals among socioeconomically disadvantaged students from a school-based vision program.

YuQing Xu … Megan E Collins
Ophthalmology · 2026
Purpose

To evaluate rates of vision screening failure, eye exam completion, eyeglass prescribing, and follow-up recommendations from a school-based vision program (school-based vision program).

Methods

Pre-kindergarten through 5 th grade students (ages 4-13) who underwent school-based screening in Fort Worth, Texas in 2022-2024.

Results

poorer schools had higher odds of children failing the vision check

OR by subgroup · 95% CI
null = 1
odds of screening failure
1.35
odds of completing an eye exam
1.27
odds
0.82
completing an exam after failure
1.24
More results

Among 41,236 students screened across 81 schools (median FARM%: 93.9%), 64.0% were Hispanic.

Overall, 8,682 (21.1%) failed screening; 3,873 (44.6%) completed an eye exam.

More results

Hispanic and Black students had higher odds of screening failure (OR 1.35, 95% CI 1.25-1.46; 1.36, 95% CI 1.25-1.48, respectively) compared to non-Hispanic and non-Black students, respectively.

“
Conclusion · 1 of 3

In a predominantly Hispanic, economically disadvantaged district, this school-based vision program identified substantial unmet vision needs with disparities in screening failure and eye exam completion.

Conclusion · 2 of 3

Earlier follow-up recommendations were more common for high-risk diagnoses.

Conclusion · 3 of 3

Future work should focus on understanding whether students successfully connect to follow-up care after referral and developing guidelines to support children with ongoing eye care needs beyond SBVPs.

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