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Summary of the Arizona State Guidelines
1. Required Screenings
Annual Screenings:
Children ages 9 and younger: Preschool, Kindergarten, 1st, 2nd, 3rd, and 4th grades.
Biannual Screenings:
Children ages 10 and older: 5th grade and up.
2. Screening Referral Criteria (Criteria for Passing Vision Test)
Distance Visual Acuity Tests:
HOTV Letterso LEA Symbols
Sloan Letters (used once a child is 6 years or older).
Near Vision Acuity Tests :
HOTV Letters
LEA Symbols.
Stereoacuity Tests:
Random Dot "E"
Butterfly Test.
Color Deficiency Screening: Conducted only once using Pseudoisochromatic Plates.
Instrument-Based Screening (Photoscreeners/Autorefractors):
For ages 1–6 years or children over 6 years who cannot participate in chart-based screenings.
Approved Tools:
Welch Allyn® Spot™ Vision Screener
Plusoptix S12C Vision Screener
Retinomax (Right Mfg. Co Ltd.)
SureSight Vision Screener (Welch-Allyn, Software v2.25).
3. Children Who Should Bypass Screening
Children with:
Documented vision impairment diagnoses.
Previously identified significant visual issues.
Ongoing eye care under a professional (e.g., ophthalmologist, optometrist).
4. Required Tools OR Important Changes to Tools Used/Discontinued
Required Tools:
Distance Visual Acuity Charts: HOTV, LEA Symbols, Sloan Letters.
Near Vision Acuity: HOTV and LEA Symbols.
Stereoacuity Tools: Random Dot "E" and Butterfly Test.
Color Deficiency Plates: Pseudoisochromatic Plates.
Instrument-based Tools: Welch Allyn® Spot™, Plusoptix S12C, Retinomax, SureSight Vision Screener.
Important Notes:
Instrument-based Screening is encouraged for younger children (ages 1–6) or those unable to participate in traditional screenings.
There is no specific mandatory rule in place for vision screening training, tools, or reporting for the 2022-2023 school year as per state regulations.
Recommended Products
Distance Visual Acuity
Stereoacuity and Near Vision Acuity
Optional Equipment
Additional Vision Screenings
Cabinets and Accessories
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