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Lions of Illinois Foundation
Programs and Services
Camp Lions (for children and adults)
Low Vision Screening (for students)
Mobile Diabetic Retinopathy Screening
Mobile Hearing Screening
Used Eyeglass
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How to fill out low vision screening for

How to fill out low vision screening for
01
Start by gathering the necessary materials for the low vision screening, which typically include a visual acuity chart, a pen or pencil, and a well-lit room.
02
Ensure that the screening is conducted in a quiet and distraction-free environment.
03
Position the visual acuity chart at a standardized distance, usually around 10-20 feet away from the individual being screened.
04
Instruct the individual to cover one eye at a time with an eye patch or by closing their eyelid.
05
Ask the individual to read aloud the letters or symbols on the visual acuity chart, starting from the top row and moving downwards.
06
Record the smallest line or symbol that the individual can accurately identify. This provides an initial measurement of their visual acuity.
07
Repeat the procedure for the other eye.
08
If necessary, perform further tests or refer the individual to an ophthalmologist or eye care specialist for a comprehensive low vision evaluation.
Who needs low vision screening for?
01
Individuals who have experienced a significant decline in their vision and have difficulty performing daily tasks.
02
People with certain eye conditions such as macular degeneration, glaucoma, diabetic retinopathy, cataracts, or retinitis pigmentosa may benefit from low vision screening.
03
Those who have noticed persistent issues with reading, recognizing faces, seeing at a distance, or performing activities requiring fine visual detail should consider low vision screening.
04
Low vision screening can be beneficial for individuals of all ages, from children with visual impairments to older adults experiencing age-related vision loss.
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What is low vision screening for?
Low vision screening is for identifying individuals who may have visual impairments or vision loss that may impact their daily activities.
Who is required to file low vision screening for?
Individuals who are at risk for or have visual impairments or vision loss should undergo low vision screening.
How to fill out low vision screening for?
Low vision screening forms can be filled out by a qualified healthcare professional or an eye care specialist.
What is the purpose of low vision screening for?
The purpose of low vision screening is to detect and assess any visual impairments or vision loss in individuals.
What information must be reported on low vision screening for?
Information about the individual's medical history, symptoms, visual acuity, and any previous eye conditions should be reported on low vision screening forms.
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