School Eye Health Guidelines - Test Tables - The International Agency for the Prevention of Cécité

	Ready-made spectacles	Custom-made
Improvement in vision with spherical equivalent lenses	Same or only one line less than full correction	VA with full correction is two lines or more than spherical equivalent
Difference in the spherical equivalent in RE/LE	< 1.00D (<2.00D for ready-to-clip)	>1.00D
Astigmatisme	max. of 0.75 cylinder in both eyes	>0.75D cylinder in at least one eye
Maximum spherical equivalent*	+/- 3.50D	No limit
Inter-pupillary distance between the eyes and the frames available	Not more than +/- 2mm	Can be adapted to any PD
Comfort of spectacles frames	As comfortable as custom spectacles

Main reasons for non-compliance	Possible solutions to improve compliance
Broken/lost frames	Dispensing quality frames suitable for children Ongoing partnerships with local eye care providers for repair/replacement of spectacles
Discomfort when wearing spectacles	Provision of quality frames adapted to children Thorough adjustment when delivering the spectacles Regular screenings to prevent children growing out of their frames
Social stigma (teasing, family disapproval, negative perceptions) & misconceptions towards spectacle wear	In-class health promotion activities Integration of eye health in the school curriculum ‘Vision champions’ in schools Community-based eye health education Parents’ involvement in screenings
No perceived benefits	Prescription of spectacles only to those with significant VA improvement

Année 1 of implementation	Screen all children as recommended in SOP
Année 2 of implementation	Screen new intake AND re-examination all children given spectacles the previous year
Année 3 of implementation	As for year 2

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