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Poor vision has been linked to diminished academic performance, social development challenges, and poor mental health. School\u2010based vision programs (SBVPs), which typically provide vision screenings, eye exams, and eyeglasses directly in schools, are one promising avenue to improve access to care, especially in underserved communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contributions to Theory<\/jats:title>\n                    <jats:p>Vision is a foundational component of both health and educational equity, and SBVPs are interventions that address gaps in access to care for disadvantaged populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>SBVPs would benefit from better integration with school health services and more robust systems to coordinate referrals to eye care providers. States should monitor the impact of SBVPs on access to care. Implementation and expansion of SBVPs should prioritize under\u2010resourced schools and students who face the greatest access barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Evidence for the impact of SBVPs in addressing unmet eye care needs among our most vulnerable students is robust. Evidence\u2010based policy, financing, data infrastructure, and community partnerships are needed to embed vision care in school health to advance both health and educational equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70237","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:31:58Z","timestamp":1790692318000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clearer Vision, Brighter Futures: Addressing Unmet Pediatric Eye Care Needs Through School\u2010Based Vision Programs"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3954-7046","authenticated-orcid":false,"given":"YuQing","family":"Xu","sequence":"first","affiliation":[{"name":"Wilmer Eye Institute, Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Johns Hopkins Center for School Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinxing","family":"Guo","sequence":"additional","affiliation":[{"name":"Wilmer Eye Institute, Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Johns Hopkins Center for School Health  Baltimore Maryland USA"},{"name":"Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Collins","sequence":"additional","affiliation":[{"name":"Wilmer Eye Institute, Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Johns Hopkins Center for School Health  Baltimore Maryland USA"},{"name":"Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746\u20101561.2011.00633.x"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010\u20101911"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjo.2025.100200"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2025.101484"},{"key":"e_1_2_15_6_1","unstructured":"National Association of School NursesandNational Center for Children's Vision and Eye Health \u201cVision and Eye Health \u201daccessed July 20 2025 https:\/\/www.nasn.org\/nasn\u2010resources\/resources\u2010by\u2010topic\/vision\u2010health."},{"key":"e_1_2_15_7_1","unstructured":"American Academy of Ophthalmology \u201cVision Screening for Infants and Children\u20142022 \u201d(2022) https:\/\/www.aao.org\/education\/clinical\u2010statement\/vision\u2010screening\u2010infants\u2010children\u20102022."},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0000000000001686"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0190254"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/children10030490"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0000000000000796"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2009.303"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2023.10.019"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2016.01.006"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_1564_21"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2012.04.020"},{"key":"e_1_2_15_17_1","unstructured":"US Census Bureau \u201cProjections of the Size and Composition of the U.S. Population: 2014 to 2060 \u201daccessed October 28 2025 https:\/\/www.census.gov\/library\/publications\/2015\/demo\/p25\u20101143.html."},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2017.1021"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2023.12.005"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2023.6316"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2023.02.019"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2022.04.009"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2022.07.010"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/09286586.2021.1954664"},{"issue":"8","key":"e_1_2_15_25_1","first-page":"5150","article-title":"Vision Screening and Eye Exam Outcomes From a School\u2010Based Vision Program in Texas","volume":"66","author":"Collins M. 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