See By Three™

See by Three has been a great success in screening almost 10,000 children in Florida and West Virginia. In addition to ensuring that children will have the opportunity to see the world more clearly, it has provided action able data to improve screening in the medical home. The next phase of See by Three will take lessons-learned  and put them into action in the Dallas-Fort Worth area.                                                                             


Statement of Need: 

  • The AAP recommends that, beginning at age 3, all children should be screened in the medical home
  • In the US only 21% to 36% of children younger than 6 years have undergone vision testing
  • Early detection of eye disorders leads to more successful treatment outcomes

Goals:

  • See by Three promotes effective vision screening of children and has demonstrated that t his screening can be performed effectively in the medical home by trained healthcare professionals.

Objectives:

  • See by Three takes a three-pronged approach to vision screening, including training, research and public awareness.

See by Three Will:

  • Contact every pediatrician and children’s health care provider in the grant footprint
  • Train all participating health care providers
  • Screen at least 15,000 children over a two-year period and refer the expected 750 children who are expected to fail a screening
  • Continue to screen at least 5,000 children in the two years following the grant
  • Apply best-practices to replicate the follow-up rate enjoyed in Iowa eye-screening study
  • Educate physicians, parents and the public at large about the need for early detection and treatment.
  • If a child who is identified as having an eye disorder does not have the ability to pay, care will be provided at no cost to the patient

More About the First Phase of See by Three
See by Three has three phases: demonstration, implementation and extrapolation. The demonstration phase is complete and consisted of a two-site medical-home vision screening operation. One of the sites was at Nemours Children's Clinic in Jacksonville, Florida and the other was at the Vision Initiative for Children in West Virginia.

West Virginia University Vision Initiative for Children (VIC)
Geoffrey Bradford, M.D., pediatric ophthalmologist, is the chief investigator for the West Virginia University Vision Initiative for Children (VIC). Dr. Bradford's properly trained, equipped and supported 120 (52 percent) of the state's licensed pediatricians on the most effective way to perform vision screening for children between the ages of three and five.

Nemours Children's Clinic in Jacksonville, Florida
Robert W. Hered, M.D. is a chief investigator at the Nemours Children's Clinic in Jacksonville, Florida. He trained pediatric offices through workshops and "hands on" support. In addition, he distributed an educational CD to all pediatricians and family physicians throughout the state of Florida.

Programs