HOTV vs LEA ?

Specialties School

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For my sped highschool students, would a HOTV or LEA vision chart be better? I'm reading that LEA is preferred for younger children, but haven't found anything on older/highschool students. Thanks.

Specializes in School Nurse, past Med Surge.

I haven't read through this all in a while but there may be some info somewhere in this article.

https://www.nasn.org/nasn/nasn-resources/practice-topics/vision-health

Specializes in School nursing.

I use the HOTV with my middle and high school students. I find it works very well.

Specializes in School Nurse.

Texas requires HOTV, no other charts approved for Sped. Check your state guidelines.

Specializes in ICU/community health/school nursing.
1 hour ago, tining said:

Texas requires HOTV, no other charts approved for Sped. Check your state guidelines.

I was just about to say check your state's guidance and your district policy. This may be a best practice thing where we are behind the times....

Thank you all for your helpful responses! Interesting to hear what others have been using and what's been working. Seems like it probably comes down to what my district policy says.

Some resources I've come across regarding vision screenings that mostly apply to CA:

https://www.cde.ca.gov/ls/he/hn/documents/visionreport.pdf--"for students with special needs who are unable to use the optotype test with letters, use other appropriate optotype tests. - Illiterate ā€œEā€ Charts - Blackbird - HOTV with crowding bars - Lea symbols"

https://www.csno.org/uploads/1/7/2/4/17248852/csno_vision_faqs_03-2019.pdf

https://www.dropbox.com/sh/1h3dlqrw6hc9fpe/AADujXv0_w-yWrFhHgBBuWv1a/Screening Programs?dl=0&preview=Vision+Screening+Summary.pdf&subfolder_nav_tracking=1

https://higherlogicdownload.s3.amazonaws.com/NASN/3870c72d-fff9-4ed7-833f-215de278d256/UploadedImages/PDFs/Practice Topic Resources/vision_screening_table.pdf

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