A Modified Clinical Technique (MCT) vision screening was performed on all first and fourth graders in a school district in Oregon. Of the 657 children screened, 108 failed due to the established referral criteria. Approximately one year later, the parents of the children who failed were contacted and a phone interview was conducted to determine if subsequent action was taken. Of the number failed, 6 9 ( 64.0%) were accounted for, of whom 63 (91.0%) were compliant with recommendations made for follow-up evaluation. A discussion of possible contributing factors and issues surrounding vision screenings are examined. An outcome assessment and referral evaluation provides valuable information regarding the effectivity, ultimate treatment strategies, parental perceptions and reasons for non-compliance of follow-up care.
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