The final step in the TAP vision screen is to discuss and agree actions with the person.
Possible options are:
- Refer for assessment of an eye health problem.
- Refer to an eye health professional for a more detailed eye examination
- Offer to explore whether vision assistive products that you have available may assist. Follow the procedures outlined in TAP for providing reading glasses or other vision assistive products.
Record your decisions on the vision screen form.
Read more about these options as you go through this topic. There is an opportunity to practice at the end.
Refer for assessment of an eye health problem
Vision assistive products should not be provided if the person has an eye health problem that has not been assessed and treated.
Remember, the TAP vision screen form uses this icon to indicate where a referral may be needed.
Question
What are appropriate reasons to refer someone to a doctor or an eye health professional? Select from the list below.
All of the reasons above are reasons that you would refer someone to a doctor or eye health professional.
Refer to an eye health professional
An eye health professional will carry out a thorough eye exam. This is a more detailed test of vision than the simple distance and near vision tests used in the TAP vision screen.
An eye exam is necessary to carefully check the person’s eye health and vision, and is needed to provide prescription glasses.
Any person with low vision should also have a full eye exam before being prescribed vision assistive products, as their condition may be treatable.
Refer people for an eye exam who have not already recently had an eye exam and:
- Cannot see the small Es on the simple distance vision test. These people may need prescription glasses, other eye health services, or low vision assistive products.
- Cannot see the Es on the simple near vision test and are younger than 35 years of age. These people may need prescription glasses.
Offer to explore whether vision assistive products that you have available may help
Reading glasses: People who may benefit from reading glasses are those who:
- Have normal distance vision (pass the simple distance vision test)
- Cannot see the Es on the simple near vision test
- Are over 40 years of age.
Low vision assistive products: People who may benefit from low vision assistive products are those who have some vision, however cannot see the medium or large Es during the simple distance vision test.
For more information about providing reading glasses and low vision assistive products, see TAP modules:
- Reading glasses
- Magnifying glasses and telescopes
Question
What actions would you discuss with the following people:
1. Patrick is 10 years old and has no signs of an eye health problem. He passed the distance vision test (could see the small Es during the distance vision test), however he could not see the Es during the near vision test.
Refer for an eye exam. Patrick may need prescription glasses.
2. Mabel is 50 years old and has no signs of an eye health problem. She passed the distance vision test (could see the small Es during the distance vision test), however she could not see the Es during the near vision test.
Mabel may benefit from reading glasses. If you have these available, complete the four steps to provide reading glasses (see the Reading glasses module).
3. Albert is 60 years old and wears prescription glasses for distance vision. He has diabetes and has blurry vision. He attends the community health clinic for his diabetes, however has not seen an eye health professional. He passed the distance vision test (could see the small Es during the distance vision test) wearing his glasses. However, he could not see the Es during the near vision test.
Refer Albert to an eye health clinic to check the health of his eyes
Albert may also benefit from reading glasses. Let him know that he should visit the eye health clinic, and come back for reading glasses if the eye health professional agrees.
4. Nina is 22 years old and wears prescription glasses, however still has difficulty seeing. She has been told by her eye health professional that low vision assistive products may help her. Nina’s eyes look healthy. She could not see the large E during the distance vision test. She could see the Es during the near vision test when she held the vision chart very close to her face.
Because Nina has already seen an eye health professional, and they have provided prescription glasses and suggested low vision assistive products, explore with her whether low vision assistive products such as a magnifying glass and/or telescope may help improve her vision.
You have now completed Lesson three!
If you have any questions or comments, post them on the discussion forum.