The Eye Team was severely limited since the autorefractor and tonometer not only were not working properly, they were not working at all. Therefore we had to use the manual focometer which at best requires 30 to 50 minutes per individual to obtain a prescription. And because the focometer readings are based on a subjective determination by the patient coupled with the fact that the Garifuna patients do not sufficiently understand the Spanish translators, determination of a prescription frequently is not possible. We did not even try to test far visual acuity and prescribe prescription lenses except in the case of children on our second day in Punta Piedra.

Despite these difficulties, with only two half-day clinics in Limon and two half-day clinics in Punta Piedra, the Eye Team examined 79 patients for diseases and abnormalities, made 11 pair of prescription glasses, distributed 68 pair of reading glasses, obtained both pre-tests and post- tests for both far and near visual acuities, and distributed eye care hand-outs to each patient. The breakdown per community is:

Limon: 29 people examined , 7 pair of prescription glasses made, 26 pair of reading glasses distributed.

Punta Piedra: 50 people examined, 4 pair of prescription glasses made, 42 pair of reading glasses distributed.

In addition, many people came only for sunglasses and at least 360 adults' and children's sunglasses were distributed between the two communities.

Team members participating:

For the first three clinic days Hugh Guffey and Donna Goff(translator) examined patients for eye diseases and abnormalities, checked far visual acuity, administered refractions using the focometer, and post-tested far visual acuity with the trial lens set . For the fourth clinic day, Brent Brady and Hugh Guffey assumed these responsibilities.

Larry Pitts and Hugh Guffey both participated in prescription eyewear assembly.

Mary Guffey (and on the fourth clinic day, Donna Goff) administered the near vision pre-and post-visual acuity tests and distributed reading glasses.