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Screening Methods for Detection of Preclinical Visual Loss in Children: Implementing Programs—The Political Will

Correspondence: Requests for reprints should be addressed to: Mary Louise Z. Collins, M.D., Greater Baltimore Medical Center, 6569 N. Charles St., Baltimore, MD 21204.

Pediatric ophthalmologists, orthoptists, and others interested in the eye health of children, have long desired for vision screening to become a "hot" topic. Due to attempts by some in the optical industry to legislatively mandate comprehensive eye exams for all children in the prekindergarten age group, children’s eye health and amblyopia prevention are now being widely discussed. This paper reviews the recent history of the legislative efforts to mandate comprehensive eye exams in young children. In addition, the paper discusses the response by organized ophthalmology to assure the political and legislative decisions that are made are best from the public health standpoint.

Key words: vision screening, legislation, preclinical vision loss