Legislation to require formal eye examination prior to school entry is being considered in several states and is supported by optical trade organizations. Pediatric ophthalmologists cite anecdotal cases that suggest children receive spectacles unnecessarily, but data to support this are lacking.
Tennessee Lions' Eye Center, Vanderbilt Children's Hospital, Department of Ophthalmology, Vanderbilt University Medical Center, Nashville, TN 37212, USA. sean.donahue@vanderbilt.edu