Monday, July 1, 2019

Introducing the CVCA


At the POA’s House of Delegates meeting on May 17, 2019, we officially instituted an exciting and resource-rich program: the Children’s Vision Care Alliance (CVCA), a program that will enhance children’s vision care and assure that our children are getting the services they need to thrive and succeed. The POA has been supporting children’s vision for decades. In 2001, we created the Kids Welcome Here® (KWH) program. The KWH program is a multi-pronged education campaign designed to educate the public about the importance of comprehensive vision care for children. The essentials of the KWH are as follows:

·         Educational materials for parents and those who care for children;
·         Posters and flyers highlighting the importance of regular eye exams for kids;
·         Continuing education in pediatric vision care for optometrists;
·         Consultation with the PA DOH to revise vision screening protocols;
·         Education for school nurses on proper vision screening techniques; and
·         Education program for nurses and teachers about the link between vision and learning.

This program was so successful the POA licensed it to other state associations! This is also a good reminder that these materials are still available to our members—request a free poster and brochures by calling (717) 233-6455 or emailing Kelsey Rodkey, the POA’s Communications Coordinator, at Kelsey@poaeyes.org.

In 2004, the national InfantSEE® program was added to our KWH campaign. InfantSEE® is a public health initiative of the American Optometric Association designed to offer a one-time free eye and vision assessment to infants under the age of one year. Over four hundred and fifty Pennsylvania optometrists across the state have volunteered to provide this public health service. These programs are incredible and they continue to be relevant and important. However, the children of the Commonwealth need more. Current vision screening programs are not adequate. Here are some facts that I feel are important to share:

·         The American Academy of Ophthalmology found between 40-67 percent of children with failed screenings do not get the necessary follow-up care.
·         National Eye Institute study of Vision in Preschoolers found that even the most highly trained screeners using the best equipment missed 33% of children with an eye or vision problem
·         Morbidity and Mortality Weekly Reports, in 2002, noted that 79% of children had not seen an eye care provider in the past year.
·         Of children aged 3-5 seen by a pediatrician, only 66% received a vision screening (defined as spending 10 or more seconds trying to get the child’s cooperation).
·         One third of children with a late diagnosis of amblyopia had undergone a screening as a preschooler.
·         The Journal of the American Public Health Association notes: 10% of preschoolers have vision deficiencies (Pennsylvania has 75,200 students in preschool). 25% of children in grades K-6 have vision deficiencies (Pennsylvania has 318,000 students in grades K-6).
·         We know the prevalence of vision deficiencies increases for children at risk or classified as special needs.
·         60% of “problem learners” have undetected or untreated vision problems. The NJ Commission on Business Efficiency of the Public Schools found children with reading difficulties fall into two categories of visual problems: untreated or undiagnosed.
·         Current Ophthalmology reports that vision disorders are the fourth most common disability in the U.S. and the most prevalent handicapping condition in children.
·         Untreated visual deficiencies result in a 12% reduction in wages.

You can clearly see from all of this data something had to be done. The obvious answer to addressing these significant problems with undetected vision deficiencies is conducting a proper comprehensive eye examination on every one of our children. Experience has shown that education alone is not sufficient to correct the problem. The best solution is a system that encourages regular, comprehensive eye examinations for all of our children. Our next step as we work towards achieving these goals is to create a new coalition that will work with our existing programs and go further for the visual wellbeing of our children. This is how the idea for the CVCA came to be. The mission of the CVCA is to establish a network of Pennsylvania optometrists who agree to provide exemplary vision and eye care to children by following the American Optometric Association’s Evidence-Based Clinical Practice Guidelines, promoting children’s vision, and networking with schools and other professionals to improve the quality of children’s vision, thereby improving a child’s chances for success in life. We are currently working to add CVCA members. If you are already a member, thank you! If you are not, please consider joining this important cause. It is simple to become a member of the CVCA, all you have to do is complete the agreement found here: https://pennsylvania.aoa.org/Documents/PA/CVCA-LetterofAgreement.pdf and send it to the POA (fax: 717-233-6833, mail: POA, 218 North Street, Harrisburg, PA 17101, email: Kelsey@poaeyes.org).

I couldn’t be prouder of the POA and our hard-working members than I am right now. This program is a great example of the good we can do when we all work together for the welfare of our patients. Special thank you to Dr. Ed Savarno (WPOS), Dr. Tracy Sepich (MCOS), Dr. Perry Umlauf (BCOS), Dr. Dave Wagner (NWOS), and the many other doctors who worked so hard to turn this important idea into the CVCA. These doctors in conjunction with our Advocacy Division, our Board of Directors, and our staff are currently working with Pennsylvania legislators to create a Children’s Vision Bill. I look forward to seeing what is next to come!




Lori Gray, O.D.
POA President