School Health-Product Education-Vera Basic
 
Vera Basic

Introduction

Product Overview and Description
Product Use and Procedure
Features and Benefits
Frequently Asked Questions
Technical Specifications
Product Ordering Information

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Introduction
VERA Basic and VERA Basic II (new in '01) are the first software-driven vision screening products for educational use.VERA Basic for Windows 95, introduced in 1998, is a simple yet powerful vision-screening program that provides an accurate and reliable screening for visual acuity, hyperopia, and the presence of gross binocular vision and normal eye alignment. It is now in use in over 1000 private and public educational facilities. VERA Basic II for Windows 98 is an enhanced version of VERA Basic, offering the user screening, reporting and student tracking options prior users have most frequently requested. Since most schools now have PC's, VERA presents a cost advantage over expensive dedicated screening devices and significant advantages in accuracy and scope of screening when compared to eye charts and manual screening techniques. Users have consistently reported identifying visual defects they would have otherwise missed. Eliminating data transcription and record keeping saves any extra time spent in screening. Through the computer-generated letters to eye doctors and parents, VERA makes the school's contemporary health screening initiative evident to the community. The modest cost of the programs allow most schools to make the individual purchase decision and the unique nature of software allows for product sampling through trial software downloads.



Product Overview and Description
VERA Basic is comprised of tests for:
DISTANCE VISUAL ACUITY rated according to standard Snellen equivalents such as those used in conventional eye charts (20/20, 20/40, etc.). The test is given at a 10 ft. testing distance; short enough for most nurses' offices.
FARSIGHTEDNESS (Hyperopia or "Plus Lens" test)
FUSION (suppression) for simultaneous use of both eyes.
PHORIA (Fixation Disparity) for eye alignment when binocular vision is interrupted. Once the screening is completed, the student's name, grade and date of birth along with screening results are placed into a report ready for the eye doctor to fill out should the student fail the screening. The screening report is saved and may be recalled at any time.



Product Use and Procedure
The VERA Basic and VERA Basic II programs are intended to be used as routine screening procedures. The tests satisfy most state screening requirements and are practical for use in the school setting. The information provided to eye doctors is more than is possible with an eye chart but without the unnecessarily detailed information provided by many mechanical screening devices.
If Visual Acuity is adequate, the examiner proceeds to the binocular vision tests:
Before running the screening:
Students bring with them any prescribed eyeglasses they have, otherwise they may be unable to take the screening. The test lenses and monitor screen are to be cleaned to provide an unobstructed view of the tests. The monitor is positioned so that there are no windows or bright lights reflected on the screen. Brightness and contrast settings on the monitor should be high enough and room lighting low enough to allow the test screens to be easily seen through the colored test lenses. When using a full-sized keyboard, be sure the keyboard "NUM LOCK" is on and the test responses are entered from the numerical keypad only. Measure a distance of ten feet from the screen and mark with tape on the floor. Students will stand or sit behind this line for visual acuity testing. For the binocular vision tests, the student should sit with relaxed but erect posture from a distance of approximately 16 inches. The examiner will be prompted to calibrate the screening for their computer and does so by adjusting two sliders with their mouse to properly size a test "E" on the calibration screen. From the SETUP option on the main screen, the user can insert their name and their school's name into the screening report, choose which tests to run and choose the doctor's report or parent's letter to be displayed.
Running the screening:
A double-sided lens holder (flipper) holds the two pair of test lenses necessary for screening with VERA. The pair of clear convex lenses are used in the "Plus Lens" test, which screens for hyperopia. The colored lenses, which block parts off the test images from each eye, are used in the "Fusion" test which screens for gross binocularity and in the "Phoria" test, which screens for fixation disparity. In VERA Basic II, these colored lenses are used in the Stereopsis test as well.

The examiner proceeds to the student information screen from the main menu and enters the student's name, grade (optional) and date of birth and proceeds to the Visual Acuity and Hyperopia test screens. The Visual Acuity and Hyperopia test screens display a row of "E"s pointing up, down, right or left. The student calls out the direction in which each "E" is pointing. A moving arrow under the row of "E"s points to the character being tested. If the student correctly identifies the direction of an "E," ENTER is pressed. For an incorrect response, the 0 (ZERO) key is pressed. If the student cannot see any of the "E"s, the 0 (ZERO) key is pressed once for each "E" on the screen. If the student has insufficient visual acuity or uncorrected farsightedness, which may affect the validity of the binocular vision screening, a prompt alerts the examiner before the binocular vision screening begins. In these cases, referrals are made on the basis of the visual acuity and farsightedness screening alone. If the person performing the vision screening chooses not to continue, the selected report is generated ready to print.


VERA Basic and VERA Basic II:
FUSION (Suppression): The student views an image through the colored test lenses. Part of the image is seen with each eye and the student reports whether they see a full or incomplete image. The examiner presses ENTER for a correct response and the ZERO key for an incorrect response.
PHORIA (Eye Alignment): The student views two images, separated horizontally, through the colored test lenses. One image is seen with one eye and the other image is seen with the other eye. The examiner moves one image towards the other by pressing the space bar and stops the movement when the student reports that the two images are centered over one another.
VERA Basic II only:
  STEREOPSIS (Binocular Integration): The student views a screen of tiny red and green dots through the colored test lenses. The outline of a number 1, 2, 3 or 4 should be visible floating in the center of the field of dots if the student is properly integrating the vision from each eye. The student calls out each of the four numbers presented and the examiner enters the number reported. This test utilizes a random-dot stereogram, not unlike commercially available "magic eye" images. Upon completion of these tests, the report form(s) are generated, ready for printing if needed.
Complete step-by-step instructions for the testing procedure are provided in the User's Guide, which accompanies the software.

REFERRAL CRITERIA:
All students who fail the visual acuity and/or hyperopia (farsightedness) screening should be referred to an Ophthalmologist or Optometrist for an eye examination. It is recommended that a student who passes visual acuity and hyperopia screening but fails at least two of the binocular vision tests also be referred for an examination to rule out medical or functional vision issues, especially if the student is experiencing academic difficulties
.



Features and Benefits
Vera Basic Programmed visual acuity test logic:
Uses Snellen-equivalent E's and a programmed progression of line sizes.
Insures that every student receives exactly the same visual acuity screening.
Provides a more accurate and reliable visual acuity screening than an eye chart.
Consistently identifies deficits eye charts miss.
Screens for hyperopia and binocular vision.
Detects vision problems in children who may have 20/20 visual acuity.
Automatically prepares the eye doctor's letter with all screening information inserted.
No forms to fill out, and all information can be saved for easy retrieval.
School's initiatives are showcased by the information and the format of the computer.
Generated eye doctor's letter.
Attractive price point purchase decision can be made at individual school level.

Vera Basic II All the features and benefits of VERA Basic, plus:
More efficient visual acuity testing logic.
Reduces testing time.
Unique stereopsis test.
More accurate identification of binocular vision deficits.
Satisfies more state screening requirements.
Batch printing capability. Allows for bulk printing of screenings after screenings are completed.
Student List Utility Efficient tracking of students by date, grade or screening results.
Simplified data backup and it encourages backup of screening data.
Parent's letter of screening results.
Additional opportunity to showcase school's initiatives.



Frequently Asked Questions
Q: How many students can I screen using this software?
A: The software license allows for unlimited use on a single computer.

Q: Can I use VERA on my laptop?
A: VERA software will run on most, but not all laptops with the following minimum requirements: Pentium II, 266Mhz, 32 Mb RAM, and a compatible video card. However, a conventional 14-17" monitor is recommended. If a laptop is used, great care should be exercised in maintaining optimal viewing conditions of the screen, which is generally less bright than a conventional monitor.

Q: May I install Vera on more than one computer at my school?
A: The user license is intended to be for a single computer. Additional licenses may be purchased separately.

Q: Can I purchase additional testing glasses?
A: Registered users may purchase additional testing glasses to be used with a single computer. Registration forms are included in the VERA software kit.

Q: If I already have VERA Basic, can I upgrade to VERA Basic II?
A: Yes, a VERA Basic II upgrade can be purchased at a discounted price.

Q: How long does it take to complete the screening for each student?
A: From 5-10 minutes.

Q: Will VERA meet the screening requirements for my state?
A: The following are general guidelines:
Alabama - exceeds regs first grade and above
Alaska - exceeds regs when combined with external inspection
Arizona - meets regs minus near visual acuity
Arkansas - exceeds regs above grade 3. Grades K-3 require cover and corneal light reflex tests
Colorado - meets regs minus near point of convergence
Connecticut - meets regs
Delaware - meets regs
Florida - meets regs
Georgia - meets regs
Hawaii - meets regs
Idaho - meets regs
Illinois - meets regs
Indiana - meets regs minus modified clinical technique when required
Iowa - meets regs
Kansas - meets regs above grade 1. Grade 1 requires near point of convergence
Kentucky - n/a; determined by each school district
Louisiana - meets regs minus corneal reflex test
Maine - meets regs
Maryland - n/a; determined by each school district
Massachusetts - meets regs
Michigan - meets regs minus corneal reflex test
Minnesota - meets regs
Mississippi - n/a; determined by each school district
Missouri - exceeds regs
Montana - exceeds regs
Nebraska - meets regs minus accommodation testing which is not specified
Nevada - n/a; determined by each school district
New Hampshire - exceeds regs
New Jersey - meets regs minus near vision testing
New Mexico - n/a; information unavailable
New York - meets regs
North Carolina - does not meet all regs, no NVA or NPC tests
North Dakota - exceeds regs
Ohio - meets regs minus near vision testing
Oklahoma - exceeds regs
Oregon - meets regs
Pennsylvania - exceeds regs
Rhode Island - exceeds regs
South Carolina - exceeds regs
South Dakota - exceeds regs
Tennessee - n/a; determined by each school district
Texas - does not meet all regs; no cover and corneal light reflex tests
Utah - exceeds regs
Vermont - does not meet all regs; no cover test
Virginia - meets regs
Washington - meets regs
West Virginia - n/a; information incomplete
Wisconsin - exceeds regs
Wyoming - exceeds regs

 
Note that the cover test, near point of convergence and corneal light reflex tests are all out-of-instrument tests.



Technical Specifications
Vera Basic: Windows 95 or higher, 30 MB free disc space. User instructions are in the CD insert. User can install Acrobat reader from the CD Rom (if they do not have it on their computer) to view or print a full size manual from the .pdf file on the CD-rom
Vera Basic II: Windows 98 or higher, 50 MB free disk space. Direct X 7 or higher is required. Direct X is the piece of software windows uses to draw certain images. VERA Basic II will check for the proper version of Direct X and upgrade the user if they do not have it. A separate booklet manual is included. The user can install Acrobat reader from the CD Rom (if they do not have it on their computer) to view or print an additional full size manual from the .pdf file on the CD-rom. A 14" - 17" monitor is recommended.

To install VERA software:
1. Place the VERA CD in your computer's CD-ROM drive.
2. If the install process does not automatically start, choose Run from the start menu.
3. In the Run dialogue box type x:\setup.exe where x is the letter of your CD-ROM drive. For instance, if your CD-ROM drive were d, you would type d:\setup.exe.
4. Follow the on-screen instructions to install and calibrate the program.

To calibrate VERA:

After installation, VERA needs to be calibrated so that the visual acuity test characters it displays are sized appropriately. To do this, simple adjustments are made on a calibration screen which VERA automatically presents the first time the program is run.

The screen consists of a large "E" and two sliders. A ruler marked with millimeters is held to the horizontal side of the "E" on the screen and the mouse is used to move the slider until that side of the "E" is 100mm (10cm). The ruler is moved to the vertical side of the "E" and the slider adjusted similarly until that side of the "E" is also 100mm (10cm).

Calibration can be rerun from the SETUP option on VERA's main menu if monitor size or resolution is changed.



Product Ordering Information
SH Catalog # Product Name
90448 Vera Basic
90447 Vera Basic II
90449 Upgrade from Vera I to Vera II

 

 


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