Anyone can start here · Home self-check + Southern College of Optometry / The Eye Center referral network, Memphis, TN
Vision acuity self-check + coached eye-pressure referral -- Memphis low-cost eye-care access.
Fund it for $190. Proof lands onchain when it's done.
$190 proposed
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What the work involvesMidlife vision loss from uncorrected refractive error and undiagnosed glaucoma is common and largely preventable, yet cost and access keep many adults from ever getting intraocular pressure measured. This packet pairs a self-administered acuity check with a coached referral into Memphis's low-cost eye-care safety net -- Southern College of Optometry's community/reduced-fee clinic (The Eye Center, ~40,000 patients/year; MobilEYES Community Vision Unit) -- so the professional half of the screen that self-testing cannot replace actually gets booked.
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 the Memphis low-cost access route (Southern College of Optometry / The Eye Center, or an equivalent community/sliding-scale clinic) named and a next booking step recorded
- Risk factors recorded (age >=40, first-degree family history of glaucoma, diabetes) to set referral priority
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