The article by Hammond and Schmidt1 in this issue of the Archives documents the feasibility of using a simple and inexpensive modality to test for visual problems in children 3 years and older. Moreover, the test can be administered rapidly and inexpensively by laypersons with a minimum of training. In fact, this test of the Random Dot E compared
See also p 54.
favorably with a battery of tests performed by more highly trained examiners. Since we have a test that is easy to administer, inexpensive, and reliable, we must ask ourselves: Why aren't we testing all of the children in the United States when they are 3 years of age?
Not only are we not doing that, we are not even testing about 80% of our children for visual problems before they start school, according to an extensive survey of the status of visual screening in the United
Reinecke RD. Screening 3-Year-Olds for Visual ProblemsAre We Gaining or Falling Behind?. Arch Ophthalmol. 1986;104(1):33. doi:10.1001/archopht.1986.01050130043016