Vision Screener
PROFESSIONAL
Slide Information
SPERIAN TRAINING PRESENTATION
1
Titmus Vision Screener PROFESSIONAL
Basic Testing Information: Each model contains 8 test slides. Tests are administered at Far, Near and Intermediate
distances. For ease in administration, follow test sequence under each category. If you wish to skip a test, continue
with the next test in the sequence.
Slide & Testing Function
CLICK ON SLIDE IMAGE TO LEARN HOW TO DO THE TEST.
Slide 1
Slide 2
SA-APS-1
SAS-2 Acuity
Allen Picture Test Right & Left Eye
Slide 3
Slide 4
SPS-3
SCD-1
Heterophorias Color Percetion
Slide 5
SA-BRL-4
Visual Acuity
Slide 6
SLP-1
Lateral Phoria
Slide 7
SVP-1 Vertical
Phoria
Slide 8
SA-BRL-2A
Visual Acuity
SPERIAN TRAINING PRESENTATION
2
Slide – SA-APS-1
Allen Picture Test
Testing distance
Age tested
TESTING FUNCTION
This is the Allen Picture Test. It test visual acuity (sharpness of the eye) and binocularity (both
eyes working together). Test is administered at FAR for both eyes (binocularity), Right and Left
Eye (acuity). Can test as young as 3 ½ years.
PATIENT QUESTION
Binocularity: On top line, what objects do you see?
Acuity: What objects do you see on line….?
SPERIAN TRAINING PRESENTATION
Binocularity (20/100) Jeep, Telephone, Cake, and Horseman
PATIENT ANSWER
PASS/FAIL CRITERIA
Acuity
Right
Eye
Binocularity:
PASS - All Images Seen
FAIL - Two Images Seen
Acuity
Left
Eye
Acuity, Right or Left Eye:
PASS - 20/30 & 20/40
FAIL - 20/50
Review pictures of Jeep, Telephone, Birthday Cake and Horseman with children before testing for
better communication.
TIPS
Binocularity: Test both eyes together (do not occlude)
Acuity, Right Eye: Occlude Left Eye
Acuity, Left Eye: Occlude Right Eye
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Allen Picture Test
Slide – SA-APS-1
BACK TO MAIN
Acuity, Both Eyes
Testing distance
Slide – SAS-2
Age tested
TESTING FUNCTION
Tests visual acuity (sharpness of the eye.) Right and Left Eye images are different.
Administer test at FAR and using PLUS Lenses. Refer to page 4 for Plus Lens Test.
PATIENT QUESTION
Which direction is the “E” (are the table legs) pointing? Top, Bottom, Left or Right? When using
Plus Lens, ask child to read 20/20 Line.
PATIENT ANSWER
PASS/FAIL CRITERIA
TIPS
SPERIAN TRAINING PRESENTATION
Left
Eye
Right
Eye
For Blue, Red, Yellow & Green Lines, PASS – Ability to identify 4 out of 6 “E”’s on
each line. With Plus Lens, FAIL if child can read 20/20 Line.
Ask the child to read the Pilot Line, starting with the big “E” at the Left. The pilot line is an
indication of the visual acuity of the child, confirm this by asking the child to read the
corresponding visual acuity line. Describe the “E” as “table with legs”, if needed and have child
indicate direction of “legs”.
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BACK TO MAIN
Acuity, Both Eyes
Slide – SAS-2
BACK TO MAIN
Slide – SPS-3
Muscle Balance
Testing distance
Age tested
TESTING FUNCTION
This is a Muscle Balance Test to test Vertical and lateral Phoria in children. For children that
fail this test, it helps identify if there is a possibility of amblyopia (lazy eye) or strabismus
(squint eyes). Test is administered first at far and then at near.
PATIENT QUESTION
Is the red ball in Box A, Box B or the ground?
PATIENT ANSWER
SPERIAN TRAINING PRESENTATION
Box A, Box B or the ground.
FAR: Ball in Box A is PASS, anywhere else is FAIL
PASS/FAIL CRITERIA
TIPS
NEAR: Ball in Box A or Box B is Pass, anywhere else is FAIL.
Occlude Left Eye and tell the child that you will throw a red ball and it should land in a “sandbox”.
Then open the Left Eye and ask the question. Encourage a quick response because the “ball”
will tend to “move” after a few seconds. If necessary, repeat the test.
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Muscle Balance
Slide – SPS-3
BACK TO MAIN
Slide – SCD-1
Color Perception
Testing distance
Age tested
TESTING FUNCTION
Test red/green color perception. Test uses accurately reproduced Ishihara
Pseudo-Isochromatic plates does not classify type or degree of severity.
PATIENT QUESTION
What numbers do you see in circles A, B, C, etc.?
PATIENT ANSWER
SPERIAN TRAINING PRESENTATION
A
B
C
D
E
12
5
26
6
16
F
A total of 8 numerals should be seen: 1 2 5 2 6 6 1 6 – “nothing” or “no number” in circle F is a
correct response.
PASS/FAIL CRITERIA
TIPS
Normal:
Mild Deficiency:
FAIL:
Correct reading of ALL 8 numerlas
Correct reading of at least 5 numerlas
Inability to read at least 5 numerlas
Individuals with 20/50 or less in both eyes may FAIL this test due to low acuity rather than
deficiency.
NOTE: To avoid memorization of numbers in circles, ask subject to respond randomly.
(example, circle E, B, D, etc.)
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Color Perception
Slide – SCD-1
BACK TO MAIN
Acuity, Both, Right & Left Eye
Testing distance
TESTING FUNCTION
PATIENT QUESTION
Slide – SA-BRL-4
Age tested
This test checks for visual acuity of Both Eyes, Right Eye and Left Eye using the same slide.
Do you see three columns of letters? Read line from left to right. Direction for each line:
Both Eyes Test:
Read the letters in the middle column
Right Eye Test:
Read the letters in the right column
Left Eye Test:
Read the letters in the left column
SPERIAN TRAINING PRESENTATION
PATIENT ANSWER
PASS/FAIL CRITERIA
For each column of letters:
Lines 1 & 2 – All letters must be read correctly
Lines 3 to 7 – Allow to miss any one letter in a column
TIPS
Start with the line the subject can see most clearly. Acuity levels may be different for each eye.
You may use a different BRL test (like SA-BRL-2A) for NEAR to avoid memorization. Some
individuals may have irregularities due to binocular vision problems: Right/Left column appears
blurry, suppression of Right or Left Eye symbols, disappearance of symbols in left or right column,
failure to fuse Right and Left Eye columns into three columns.
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BACK TO MAIN
Acuity, Both, Right & Left Eye
Slide – SA-BRL-4
BACK TO MAIN
Slide – SLP-1
Lateral Phoria
Testing distance
Age tested
TESTING FUNCTION
This is a Muscle Balance Test to define a value for the balance of the eyes in the
horizontal direction.
PATIENT QUESTION
Do you see an arrow? The arrow points to which musical note?
PATIENT ANSWER
SPERIAN TRAINING PRESENTATION
Laterall Phoria Key
Notes on slide
1
7
2
3
6
Prism Values
4
5
5
4
Prism Diopters
LEFT
Hyperphoria
6
3
7
2
8
1
9
0
ORTHO
1
10
11
12
13
14
15
2
3
4
5
6
7
Prism Diopters
RIGHT
Hyperphoria
PASS/FAIL CRITERIA
Based on job standard selected.
TIPS
Occasionally, the subject may be confused. When this happens, momentarily occlude the Left
Eye, which sees the red line. Ask the subject to respond immediately when the red line
reappears. (Where do you first see the red line?) Remove occlusion. This is a binocular test. It
should not be given to an individual with vision in only one eye.
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BACK TO MAIN
Lateral Phoria
Slide – SLP-1
BACK TO MAIN
Slide – SVP-1
Vertical Phoria
Testing distance
Age tested
TESTING FUNCTION
This is a muscle Balance Test to define a value for the balance of the eyes in
Vertical direction.
PATIENT QUESTION
Do you see a red broken line: Through the round part of which musical note does the line pass
SPERIAN TRAINING PRESENTATION
Vertical Phoria key
Notes on slide
PATIENT ANSWER
Prism Values
1½
1
2
3
4
5
6
7
1
Prism Diopters
LEFT
Hyperphoria
½
0
ORTHO
½
1
1½
Prism Diopters
RIGHT
Hyperphoria
PASS/FAIL CRITERIA
Based on job standard selected.
TIPS
Occasionally, the subject may be confused. When this happens, momentarily occlude the Left
Eye, which sees the red line. Ask the subject to respond immediately when the red line
reappears. (Where do you first see the red line?) Remove occlusion. This is a binocular test. It
should not be given to an individual with vision in only one eye.
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BACK TO MAIN
Vertical Phoria
Slide – SVP-1
BACK TO MAIN
Acuity, Both, Right & Left Eye
Testing distance
Slide – SA-BRL-2A
Age tested
TESTING FUNCTION
This test checks for visual acuity of Both Eyes, Right Eye and Left Eye using the same slide.
PATIENT QUESTION
Do you see three columns of letters? Read line from left to right. Direction for each line:
Both Eyes Test:
Read the letters in the middle column
Right Eye Test:
Read the letters in the right column
Left Eye Test:
Read the letters in the left column
SPERIAN TRAINING PRESENTATION
PATIENT ANSWER
PASS/FAIL CRITERIA
For each column of letters:
Lines 1:
Lines 2-6:
TIPS
Start with the line the subject can see most clearly. Acuity levels may be different for each eye.
You may use a different BRL test (like SA-BRL-4) for NEAR to avoid memorization. Some
individuals may have irregularities due to binocular vision problems: Right/Left column appears
blurry, suppression of Right or Left Eye symbols, disappearance of symbols in left or right column,
failure to fuse Right and Left Eye columns into three columns.
All letters must be read correctly
Allowed to miss any one letter in a column
17
BACK TO MAIN
Acuity, Both, Right & Left Eye
Slide – SA-BRL-2A
BACK TO MAIN
Slide – SF-1
Binocular Vision
Testing distance
TESTING FUNCTION
PATIENT QUESTION
PATIENT ANSWER
Age tested
Test vision with Both Eyes working together
SPERIAN TRAINING PRESENTATION
How many cubes do you see? What are the colors of the cubes?
Three, Red / White / Blue
PASS/FAIL CRITERIA
Three:
Four, then Three:
Four:
Two:
PASS
PASS
FAIL, NO FUSION
FAIL VISION IN ONLY ONE EYE
TIPS
The 2 white cubes should fuse together for a subject with good binocular vision. The functioning
eye can be determined by asking the subject to identify the colors.
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BACK TO MAIN
Binocular Vision
Slide – SF-1
BACK TO MAIN
Slide – SPCD - 1
Color Perception
Testing distance
Age tested
TESTING FUNCTION
Test color perception. Test uses photographically reproduced TITMUS Pseudo-Isochromatic
blocks.
PATIENT QUESTION
In the boxes, which direction is the “E” (table legs) pointing? Top, Bottom, Left or Right? With
preschool/primary grade children follow sequence as – Blocks 1,4,5,6,7,8 and then Blocks 2,3
since these are the most difficult.
SPERIAN TRAINING PRESENTATION
PATIENT ANSWER
PASS/FAIL CRITERIA
Unconditional PASS:
Conditional PASS:
FAIL:
Correct reading of all blocks
Correct reading of at least 5 blocks.
Inability to read at least 5 blocks
Children who have a Conditional PASS in the second or lower grades may PASS when tested
again in the higher grades
TIPS
Block No. 1 is introductory. For children, it is assumed that they are familiar tihe the “E” and know
how to respond, Individuals with low visual acuity (20/70 or less) in both eyes may FAIL this test,
due to low acuity rather than faulty color perception. This screening test checks for a problem in
recognizing colors but does not classify type or degree of severity.
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Color Perception
Slide – SPCD - 1
BACK TO MAIN
FAR – Testing Distance 20 ft
SPERIAN TRAINING PRESENTATION
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NEAR – Testing Distance 14”
SPERIAN TRAINING PRESENTATION
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INTERMEDIATE – Testing Distance 19” – 40”
SPERIAN TRAINING PRESENTATION
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Peripheral Vision Lights
SPERIAN TRAINING PRESENTATION
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Slide Position
TITMUS V4
TITMUS V2
SPERIAN TRAINING PRESENTATION
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