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Children’s Eye Care

Paediatric Eye Tests

It is very important to take your children for eye tests on a regular basis. Paediatric eye care incorporates special techniques and technology to ensure accurate testing and helps us accommodate young children.

Preschool child needs his eyesight tested

According to experts, 80% of learning is visual, which means that if your child is having difficulty seeing clearly, his or her learning can be affected. This is especially true for infants who develop and learn about the world around them through their sense of sight. To ensure that your children have the visual resources they need to grow and develop normally, their eyes and vision should be checked by an optometrist at certain stages of their development.

According to Optometry Australia (OA) children should have their eyes evaluated by an optometrist at 6 months, then every year until the start of school and then at least every 2 years during their primary school years. If there are any signs that there may be a vision problem or if the child has certain risk factors (such as developmental delays, premature birth, crossed or lazy eyes, family history or previous injuries) more frequent eye tests are recommended. A child that wears glasses or contact lenses should have his or her eyes tested yearly. Children’s eyes can change rapidly as they grow.

Eye Tests in Infants: Birth – 24 Months

A baby’s visual system develops gradually over the first few months of life. They have to learn to focus and move their eyes and use them together as a team. The brain also needs to learn how to process the visual information from the eyes to understand and interact with the world. The foundation for motor development such as crawling, walking and hand-eye coordination also comes with the development of eyesight.

You can ensure that your baby is reaching milestones by keeping an eye on what is happening with your infant’s development and by ensuring that you schedule a comprehensive infant eye test at 6 months. At this eye test, the optometrist will check that the child is seeing properly and developing on track and look for conditions that could impair eye health or vision (such as strabismus (misalignment or crossing of the eyes), farsightedness, nearsightedness, or astigmatism).

Since there is a higher risk of eye and vision problems if your infant was born premature or is showing signs of developmental delay, your optometrist may require more frequent visits to keep watch on his or her progress.

Eye Check-Up in Preschool Children: 2-5

The toddler and preschool age is a period when children experience drastic growth in intellectual and motor skills. During this time they will develop fine motor skills, hand-eye coordination and perceptual abilities that will prepare them to read and write, play sports and participate in creative activities such as drawing, sculpting or building. This is all dependent upon good vision and visual processes.

This is the age when parents should be on the lookout for signs of lazy eye (amblyopia) – when one eye doesn’t see clearly, or crossed eyes (strabismus) – when one or both eyes turn inward or outward. The earlier these conditions are treated, the higher the success rate.

Parents should also be aware of any developmental delays having to do with object, number or letter recognition, colour recognition or coordination, as the root of such problems can often be visual. If you notice your child squinting, rubbing his eyes frequently, sitting very close to the TV or reading material, or generally avoiding activities such as puzzles or colouring, it is worth a trip to the optometrist.

Eye Tests in School-Aged Kids: Ages 6-18

Undetected or uncorrected vision problems can cause children and teens to suffer academically, socially, athletically and personally. If your child is having trouble in school or after school activities there could be an underlying vision problem. A child’s learning, motor development, reading and many other skills are dependent upon not only good vision, but also the ability of their eyes to work together. Children that have problems with focusing, reading, teaming their eyes or hand-eye coordination will often experience frustration and may exhibit behavioural problems as well. Often they don’t know that the vision they are experiencing is abnormal, so they aren’t able to express that they need help.

Teenage Eye ExamIn addition to the symptoms written above, signs of vision problems in older children include:

  • Reading below grade level
  • Spelling difficulties
  • Short attention span
  • Headaches
  • Frequent blinking
  • Avoiding reading or homework
  • Tilting the head to one side
  • Losing their place often while reading
  • Double vision
  • Poor comprehension

The Eye Tests

In addition to the basic visual acuity evaluation (or distance and near vision, or refractive errors) an eye test may assess the following visual skills that are essential for effective learning and optimum sports performance:

  • Binocular vision
  • Focusing
  • Convergence
  • Eye Tracking
  • Colour vision

The optometrist will also evaluate the area around the eye and inside the eye to check for any eye diseases or health conditions. You should tell the optometrist any relevant personal history of your child such as a premature birth, developmental delays, family history of eye problems, eye injuries or medications the child is taking. This would also be the time to address any concerns or issues your child has that might indicate a vision problem.

Children’s Glasses, Contacts & Other Treatments

If the optometrist does determine that your child has a vision problem, they may discuss a number of therapeutic options such as glasses or contact lenses, vision therapy or myopia management, depending on the condition and the optometrist’s experience. Since many eye conditions are much easier to treat when they are diagnosed early, while the eyes are still developing, it is important to detect any eye and vision issues as early as possible.

Following the guidelines for children’s eye tests and staying alert to any signs of vision problems can help your child to reach his or her potential both in the classroom and the sports field.