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Objective . To report the results of the W.H.E.E.L.S. Prevent Blindness Mid-Atlantic vision screening program that targets preschoolers using the Plusoptix Photoscreener (Plusoptix Inc., Nuremburg, Germany).  Methods . Trained program staff members conducted vision screenings at up to 113 preschool programs in the Richmond metropolitan area for four consecutive years; a cross-sectional analysis was performed.  Results and Discussion . From September 2010 to March 2014, 15,075 preschoolers have been offered a free vision screening; 12,402 (82%) have been screened. A total of 3,018 (24%) have failed the screening and were recommended to follow up with an eye care specialist for a comprehensive examination; only 30% reported complying. Significant refractive errors were more frequently the cause for a failed screening.  Conclusions . The W.H.E.E.L.S. program has identified a high number of preschoolers with significant amblyopic risk factors that were previously unknown to be present. Undesirably low follow-up reporting outcomes from children who fail a vision screening examination were consistent with other reports. Nevertheless, having a mobile vision screening program that uses photoscreening technology in targeting children prior to school entry is an efficient and cost-effective way to detect vision disorders in a timely manner.

The W.H.E.E.L.S. Preschool Vision Screening Program’s Initial Outcomes for 12,402 Children Screened Using the Plusoptix Photoscreener