CHILDREN'S EYE EXAM
Visual abilities play a big role in early development. Doctors of Optometry recommend infants have their first eye exam between six and nine months of age.
Children should have at least one eye exam between the ages of two and five, and yearly after starting school. A Doctor of Optometry can complete an eye exam even if your child doesn’t know their ABCs. A Doctor of Optometry can use shapes, pictures and other child-friendly ways to evaluate vision and eye health.
When there is potential for a child to need a spectacle prescription, the Optometrist will usually give special drops that have similar effects to dilation drops, however these drops tend to last 8-24 hours and the child loses the ability to focus for up-close tasks. These drops are important to determine the exact spectacle prescription the child needs.
SIX MONTHS OR YOUNGER
Newborns have all the ocular structures necessary to see, although these are not yet fully developed. At birth, your baby can see blurred patterns of light and dark. During the first four months, their visual horizon will expand from centimeters to meters. Their vision will become clearer as their eyes start working together and colour vision will begin to develop. By four months of age, an infant’s colour vision is similar to an adults’, and by the sixth month, your baby will acquire eye movement control and develop eye-hand coordination skills.
For the first six months, an infant’s eyes can appear slightly crossed or out of alignment, but this is usually normal. But if your infant’s eyes appear significantly crossed or remain misaligned after six months of age, contact your Doctor of Optometry right away; your child may have strabismus, commonly known as “crossed eyes”, a condition that needs to be treated with eyeglasses, contact lenses, prisms and/or vision therapy and, in some cases, surgery. In time, if not corrected, the ignored eye will become unable to function normally and will become largely unused. This may result in the development of a “lazy eye”.
Lazy eye, or amblyopia, is another condition that can become apparent within the first six months of your baby’s life. This condition describes weak vision or vision loss in one eye as a result of an uncorrected prescription. If detected or treated before ten years of age, it will often resolve completely so that both eyes can see properly. It’s important to treat amblyopia early – with vision therapy, eyeglasses and/or contact lenses, or patching – as treatment becomes very difficult later on. Untreated, amblyopia can lead to blindness in the affected eye.
Between ages one and two, it’s important for a child to develop good hand-eye coordination and depth perception. There are activities that can help improve these essential visual skills, such as playing with building blocks or balls of any shape and size.
Children at this age enjoy listening to and telling stories. It helps them develop visualization skills and prepares them for learning to read. At this stage of their development, toddlers also like to paint, draw and colour, sort shapes and sizes, and fit or assemble pieces. These activities are all integral to their visual development.
A preschooler’s eyes are not ready for prolonged or intense concentration at short distances, but they do enjoy TV. It is recommended that children have no screen time until the age of 2, then 1 hour a day maximum from the age 2-4.
Protect your child’s vision. If you notice any of these symptoms, book an eye exam with your Optometrist right away.
Be aware of symptoms that may indicate
your child has a visual problem:
Red, itchy or watering eyes
Sensitivity to light
An eye that consistently turns in or out
Squinting, rubbing the eyes, or excessive blinking
A lack of concentration
Covering or closing one eye
Irritability or short attention span
Holding objects too close
Avoiding books and television
Visible frustration or grimacing
•SCHOOL AGED CHILDREN•
A school-aged child’s eyes are constantly in use in the classroom and at play. For school-age children, several different visual skills must work together so they can see and understand clearly. If any of these visual skills are lacking or impaired, your child will need to work harder and may develop headaches or fatigue. The increased visual demands of schoolwork can make greater demands on a child’s visual skills, pointing out a vision problem that was not apparent before school. For children aged 5 or more, the recommended maximum screen time is 2 hours a day.
Conditions that may emerge during this stage in your child’s life include myopia or nearsightedness (blurred vision when seeing objects at a distance), hyperopia or farsightedness (blurred vision when seeing objects up close) and astigmatism (distorted vision at all distances).
Protect your child’s vision. If you notice any of these symptoms, book an eye exam with a Doctor of Optometry. Your child should have an eye exam every year whether they are symptomatic or not.
The child may not realize they have a vision problem – they may simply assume everyone sees the way they do.
A vision-related problem may cause some of the symptoms described below:
Headaches or irritability
Avoidance of near or distance work
Covering or rubbing of the eyes
Tilting of the head or unusual posture
Using a finger to maintain place while reading
Losing place while reading
Omitting or confusing words when reading
Performing below their potential