A. Visual impairments
in Children. Impairment of visual acuity should be determined with use of the standard Snellen test chart. Where this
cannot be used, as in very young children, a complete description of the findings should be provided,
using other appropriate methods of examination, along with a description of the techniques used for determining
the visual acuity for distance.
The accommodative reflex is generally
not present in children under 6 months of age. In premature infants, it may not be present until 6 months plus the number
of months the child is premature. Therefore, absence of accommodative reflex will be considered as indicating a visual impairment
only in children above this age (6 months).
Documentation of a visual disorder
must include a description of the ocular pathology.
B. Hearing impairments in
children. The criteria for hearing impairments in children take into account that a lesser impairment in hearing which
occurs at an early age may result in a severe speech and language disorder.
by a hearing aid, as predicted by the testing procedure, must be demonstrated to be feasible in that child, since younger
children may be unable to use a hearing aid effectively.
The type of audiometric
testing performed must be described and a copy of the results must be included. The pure tone air conduction hearing levels
in 102.08 are based on American National Standard Institute Specifications for Audiometers, S3.6 - 1969 (ANSI-1969). The report
should indicate the specifications used to calibrate the audiometer.
of a severe impairment will be based on the average hearing levels at 500, 1000, 2000, and 3000 Hertz (Hz) in the better ear,
and on speech discrimination, as specified in 102.08.
102.01 Category of Impairments, Special Sense Organs
102.02 Impairments of Central Visual Acuity
A. Remaining vision
in the better eye after best correction is 20/200 or less; or
B. For children below
3 years of age at time of adjudication:
1. Absence of accommodative reflex (see 102.00A
for exclusion of children under 6 months of age); or
2. Retrolental fibroplasia with
macular scarring or neovascularization; or
3. Bilateral congenital cataracts with
visualization of retinal red reflex only or when associated with other ocular pathology.
102.08 Hearing Impairments
A. For children below 5 years of age
at time of adjudication, inability to hear air conduction thresholds at an average of 40 decibels (db) hearing level or greater
in the better ear; or
B. For children 5 years of age and above at time of adjudication:
1. Inability to hear air conduction thresholds at an average of 70 decibels (db) or greater
in the better ear; or
2. Speech discrimination scores at 40 percent or less in the
better ear; or
3. Inability to hear air conduction thresholds at an average of 40
decibels (db) or greater in the better ear, and a speech and language disorder which significantly affects the clarity and
content of the speech and is attributable to the hearing impairment.