High Demand for Glasses and Updated Prescriptions

A recent study analyzing data from the Helen Keller Intl’s U.S. Vision Program (2016–2022) reveals a significant unmet need for eyeglasses and prescription updates among students across all school levels. The findings, published in Optometry and Vision Science, highlight important gaps in pediatric eye care and school-based vision programs.

Key Findings

Wide prevalence of unmet vision needs: Out of 97,069 students examined following failed vision screenings, only 27.3 % were wearing glasses at the time, while nearly three-quarters (75 %) were prescribed eyeglasses by the program. Notably, 67 % of those prescribed weren’t typical wearers.
Prescription updates are common among current wearers: Among students already wearing glasses, many needed updated prescriptions, especially those with higher levels of myopia (≥ 6 D) or astigmatism (≥ 3 D).
Older students show greater unmet needs: Students in grades 11–12 were significantly more likely to require eyeglasses compared to those in grades 1–2—highlighting unmet needs among older students often overlooked by existing programs.
Wearing status impacts visual outcomes: Many habitual wearers needed updated prescriptions, while 63 % of non-wearers were prescribed glasses after failing a vision screening.
Barriers to compliance and ongoing care: Many students either didn’t bring their glasses to school or had lost/broken them—factors that contributed to worse visual acuity. The authors stress the importance of not just providing eyewear, but ensuring its consistent usage and replacement, especially through parental and educator support and follow-up mechanisms.

What This Means for School-Based Vision Initiatives

Prescription monitoring is vital: Regular eye exams and adjustments are critical, especially for students with evolving refractive needs — simply providing glasses once is insufficient.
Expand reach to high schoolers: Older students carry a high burden of unmet vision needs and should be included in vision screening and care programs—not just younger students.
Promote consistent wear and replacement: Providing frames is not enough. Successful programs must include support for wear compliance, frame maintenance, replacements, and engagement from both educators and family.

Closing Thoughts

Identifying vision issues is only half the battle. Sustained follow-up, ongoing support, and strong awareness campaigns are essential to ensure students not only receive, but consistently use, the vision correction they need.

Clear vision is critical for success in school and beyond. If your child hasn’t had an eye exam in the past year—or if they are already wearing glasses but may need an update—schedule an appointment with our office today. Early detection and proper eyewear can make all the difference in their learning, confidence, and long-term eye health.