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New research · Ophthalmology
Optometry and vision science : official publication of the American Academy of Optometry · 1d
Cohort studyOptometry and vision science : official publication of the American Academy of Optometry · 2026

Feasibility and accuracy of school-led vision screening in primary and secondary school students within the United Kingdom.

Cheralynn Saunders, Christopher J Davey, Neema Ghorbani-Mojarrad, Brendan T Barrett
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OphthalmologyCohort study

School staff correctly identified vision problems in most children with distance vision issues

Feasibility and accuracy of school-led vision screening in primary and secondary school students within the United Kingdom.

Cheralynn Saunders … Brendan T Barrett
Optometry and vision science : official publication of the American Academy of Optometry · 2026
Purpose

This study investigates the accuracy of school-led vision checking in United Kingdom school students.

Methods

School personnel were trained to conduct vision checks on their students.

n = 233
Results

school staff usually spotted kids who truly had distance vision problems

87.2%
Sensitivity
88.9%
Specificity
More results

One thousand and one children (45.7% female) from eight primary (6-8 years n = 233) and three secondary (11-13 years n = 768) schools participated.

Corresponding values for sensitivity and specificity were 95.8% and 88.1% for primary schoolchildren and 84.3% and 89.2% for secondary schoolchildren.

More results

High negative predictive values in both primary (99.3%) and secondary (97.4%) schools indicate school staff correctly identified most children with distance vision problems.

“
Conclusion

The vision screening assessment battery utilized within this study requires refinement; however, school-led vision screening is feasible and can correctly identify United Kingdom school children with and without vision problems with sensitivity and specificity of >80%.

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