Included is information on establishing a system or upgrading existing services, selecting appropriate screening tools, referring persons in need of professional vision care, obtaining appropriate treatment, and providing follow-up services required to ensure that all persons with severe handicaps receive the best possible vision care. (Author/SB)

The Parsons Visual Acuity Test (PVAT) described in the article has been developed for use with difficult-to-test individuals previously labeled untestable. The studies reported support use of the PVAT as an alternative screening procedure for identifying difficult-to-test persons who are in need of a professional eye examination. (Author/CL)