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    Wild Blue Yonder 
      Bob Arnold (Alaska) 
      Photoscreen Coordination1-3 
        Coordinator 
        Screener Training and Distribution: Lions, Public Health Nurses, Schools, Clinics 
        Important Numbers: Instrument Referral Criteria (specific) and CPT 99174/99177 
      Patched Acuity Screening4,5 
        Ad Tape & Label (printed 3M) 
      Parental Communication 
        Home Visual Acuity4 
        ROP education and Consent6 
      Surgical Travel Efficiencies: 
      Home Removal of NLD stents7 
      Remote Refraction: 
        Phoropter Trapeze8 
        School Bus Accommodation-Relaxing Skiascopy9 
        
      References: 
        1.         Arnold RW, Gionet EG, Jastrzebski AI, et al. The Alaska Blind Child Discovery project: rationale, methods and results of 4000 screenings. Alaska Med 2000;42:58-72. 
        2.         Lang D, Leman R, Arnold AW, Arnold RW. Validated portable pediatric vision screening in the Alaska Bush. A VIPS-like study in the Koyukon. Alaska Med 2007;49:2-15. 
        3.         Matta NS, Arnold RW, Singman EL, Silbert DI. Can a photoscreener help us remotely evaluate and manage amblyopia? Am Orthopt J 2011;61:124-7. 
        4.         Tsao Wu M, Armitage MD, Trujillo C, et al. Portable acuity screening for any school: validation of patched HOTV with amblyopic patients and Bangerter normals. BMC Ophthalmol 2017;17:232. 
        5.         Clausen MM, Armitage MD, Arnold RW. Overcoming barriers to pediatric visual acuity screening through education plus provision of materials. J AAPOS 2009;13:151-4. 
        6.         Arnold RW. A video educational and consenting system for ROP (letter). JPOS 2012;49:382. 
        7.         Haering C, Beck KB, Arnold RW. A Multi-tool to Reduce Nasolacrimal Stent Complications With the Home-Removable Farson Crawford Tube. J Pediatr Ophthalmol Strabismus 2016;53:52-4. 
        8.         Arnold RW. The phoropter trapeze. A portable refractive support for remote clinics. Binocul Vis Strabismus Q 2003;18:26-7. 
    9.         Arnold AW, Arnold SL, Sprano JH, Arnold RW. School bus accommodation-relaxing skiascopy. Clin Ophthalmol 2019;13:1841-51.  | 
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