Anyone can start here · Telehealth / national (self-administered acuity check + coached professional referral)
Vision acuity self-check + coached eye-pressure referral — telehealth / national.
Fund it for $170. Proof lands onchain when it's done.
$170 proposed
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What the work involvesGlaucoma is asymptomatic until irreversible peripheral-vision loss has already occurred, and roughly half of cases were undiagnosed even in a population-based US eye survey (Tielsch 1991 JAMA). A validated smartphone or chart-based acuity check catches uncorrected refractive error today, but intraocular pressure -- the central modifiable glaucoma risk factor -- cannot be self-measured and needs a professional tonometry reading inside a comprehensive dilated exam (Weinreb 2014 JAMA).
How this work is done
A documented method, so this packet comes out the same whoever does it.
Bring
- validated smartphone visual-acuity app (tumbling-E/Landolt-C style, e.g. Peek Acuity) OR a printed Snellen-equivalent chart
- a measured, well-lit space at the chart or app's specified test distance
- an eye occluder (or the palm of a hand) for monocular testing
- current glasses/contacts, if worn, to test corrected acuity
- a referral directory / locator for low-cost eye-care access (community health center vision program, optometry-school teaching clinic, sliding-scale program)
Steps
- 1. Confirm correction status (glasses/contacts) and whether this run is a corrected or uncorrected check; record any current eye diagnosis, diabetes, or a first-degree relative with glaucoma, since these raise referral priority.
- 2. Set up the validated app or printed chart at its specified distance in adequate, consistent lighting; occlude one eye at a time and test each eye separately, then both together.
- 3. Record the smallest optotype line read correctly (at least half the letters/symbols) per eye as the acuity result (e.g., a Snellen-equivalent of 20/40), and repeat once to confirm the reading.
- 4. Ask the red-flag screen up front, regardless of the acuity result: any recent sudden vision change, eye pain, new flashes or floaters, halos around lights, or a narrowing field of vision.
- 5. Explain that intraocular pressure (eye pressure) cannot be self-measured and is central to glaucoma risk (Weinreb 2014); coach the person to book a comprehensive dilated eye exam with tonometry, and hand them one concrete, named low-cost access route matched to their situation (a community/FQHC vision program, a local optometry-school teaching clinic, or a sliding-scale/vision-voucher program).
- 6. Log per-eye and binocular acuity, correction status, the red-flag answers, risk factors (age >=40, family history of glaucoma, diabetes, high myopia), and the specific referral route with a next booking step; sign the record.
What counts as done
- Per-eye and binocular visual acuity recorded via a validated method (app or chart) at the correct test distance, correction status noted, confirmed by a repeat read
- Red-flag questions asked and answered (sudden vision change, eye pain, new flashes/floaters, halos, visual-field narrowing) before the record closes
- A comprehensive dilated eye exam with IOP tonometry recommended, with a concrete named low-cost access route offered and a next booking step recorded
- Risk factors recorded (age >=40, first-degree family history of glaucoma, diabetes) to set referral priority
Proof is measured against these, not judged by taste.
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