West Virginia
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Summary of the West Virginia State Guidelines
1. Required Screenings
In the state of West Virginia, vision screenings are a critical part of student health monitoring, with priority given to key age groups and high-risk students.
- All first-time school enterers
- Children aged 11–13 years
- Priority screenings: For students referred by teachers, parents, or self-referred
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High-risk groups:
- Special education students
- Students repeating a grade
- Students who previously failed a screening without follow-up
- Additional screenings: Color vision or near vision if concerns are raised
- Optional: Screening additional grades if resources and time allow
2. Screening Referral Criteria (Criteria for Passing Vision Test)
- Age 3: Refer if 20/50 or worse in either eye
- Age 4: Refer if 20/40 or worse in either eye
- Age 5 and older: Refer if 20/30 or worse in either eye
- Any age: Refer if there is a two-line or greater difference between eyes
3. Children Who Should Bypass Screening
- Students with known vision impairments that are already diagnosed and managed
- Students currently under eye care from an optometrist or ophthalmologist
4. Required Tools OR Important Changes to Tools Used/Discontinued
Recommended Distance Vision Tools
- LEA SYMBOLS® Chart: For pre-language children (ages 3–4) and kindergartners
- Snellen E Chart: For school-aged children
- Adolescent screening: Other validated evidence-based tools
Near Vision Tools
- LEA SYMBOLS®
- LEA Numbers charts
- Sloan Letters charts
Color Vision Tools
- Ishihara Color Vision Test Book: 10-plate or 14-plate versions
- Color Check Complete Vision Screener
Occluders
- Types include: Frosted plastic, pinhole occluders, and spectacle occluders
Key Notes
- Evidence-based practice: All screenings must adhere to best-practice standards
- Accuracy: Procedures must minimize false positives