The results of a pupil exam can indicate many conditions, depending on which part of the test was unusual. Pupils are equal, round, and reactive to light and accommodation. You can also think of PERRLA as a sentence. If your pupils are nonreactive to accommodation, it means they don’t adjust when you try to shift your focus to an object in the distance or near your face. Accommodation refers to your eyes’ ability to see things that are both close up and far away. If they don’t, there could be a problem affecting your eyes. When your doctor shines a light in your eyes, your pupils should get smaller. This step reminds your doctor to check your pupils’ reactions to the next two items in the acronym. Your pupils react to your surroundings to control how much light enters your eyes. Pupils should also be perfectly round, so your doctor will check them for any unusual shapes or uneven borders. If one is larger than the other, your doctor will want to do some additional testing to figure out why. They control how much light enters the eye by shrinking and widening. ![]() The pupils are in the center of the iris, which is the colored part of your eye. The Southside ISD nurses do have resources for our children who are referred for doctor care.PERRLA is an acronym that helps doctors remember what to check for when examining your pupils. Early detection of vision problems is one way we can assist our children in their educational needs. Our students deserve not only the best teachers and resources for in-class education, but they also deserve an investment in best health practices, as well. It is because of Nurse Siebert that our district now has the amazing tool as she researched, contacted professionals in optometry, and appealed to our district and Lead Nurse to acquire. At Menchaca, this has allowed Nurse Heather Siebert to test almost every child with this amazing tool. Southside ISD purchased the vision screener to better equip our nurses in testing students who receive special education services or are under the age of 6. The screener purchased is considered a “best practice” screener by the Prevent Blindness Organization. The Welch Allyn Spot Vision Screener is very accurate in not only detecting the typical vision issues such as near- and far- sightedness, but can also detect issues including pupil size and alignment and astigmatism, which we cannot do with our chart screenings, but can impact vision in negative ways. For our students with special needs, using a chart is nearly impossible and we nearly always have to refer our students for an outside exam. ![]() Fewer than 15% of preschoolers get professional eye exams, which makes the screenings we do at Menchaca even more important for accuracy and thoroughness. Vision issues affect reading, writing, and even perception while running or walking which leads to injuries. Vision is such an important part of education if a child can’t see properly, they are less likely to perform to their full potential, have behavioral issues that mimic ADHD, and can impact their learning for the rest of their lives. With 700 students to screen in 120 days, this is a very time consuming process with potentially inaccurate results.Īccording to the American Optometric Association, up to 75% of school screenings miss vision problems. Also a factor is the students don’t really understand what they’re supposed to be doing and it is difficult to be accurate. ![]() The issue with this is that most of our students do not know their letters within the first 120 days, even when the teachers review them to prepare for the vision screening. Schools use what’s called the HOTV chart, which is the only approved eye chart for the age of our students. The Texas state law states that we are required to perform vision and hearing screenings on all of our PK4 and Kindergarten students within 120 calendar days of admission to school.
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