Just like adults, children need to have their eyes examined. This begins at birth and continues into adulthood.

Following are my recommendations for when a child needs to be screened, and what is looked for at each stage.

A child’s first eye exam should be done either right at or shortly after birth. This is especially true for children who were born premature and a have very low birth weight and may need to be given oxygen. This is mainly done to screen for a disease of the retina called retinopathy of prematurity (ROP), in which the retina does not develop properly as a result of the child receiving high levels of oxygen. Although rarer today due to the levels being monitored more closely, it is still a concern for premature babies.

The next level of an eye exam that I would recommend would be at 6 months. At this stage, your pediatric eye doctor will check your child’s basic visual abilities by making them look at lights, respond to colors, and be able to follow a moving object.

Your child’s ocular alignment will also be measured to ensure that he or she does not have strabismus, a constant inward or outward turning of one or both eyes. Parents are encouraged to look for these symptoms at home because swift intervention with surgery to align the eyes at this stage is crucial for their ocular and visual development.

It is also imperative for parents and medical professionals to be on the lookout for retinoblastoma, a rare cancer of the eye that more commonly affects young children than adults. At home, this might show up in a photo taken with a flash, where the reflection in the pupil is white rather than red. Other symptoms can include eye pain, eyes not moving in the same direction, pupils always being wide open, and irises of different colors. While these symptoms can be caused by other things, having a doctor check them immediately is important because early treatment can save your child’s sight, but advanced cases can lead to vision loss and possibly death if the cancer spreads.

After the 6-month exam, I usually recommend another exam around age 5, then yearly afterward. There are several reasons for this gap. First, any parent with a 2- to 4-year-old knows that it’s difficult for them to sit still for anything, let alone an eye exam. Trying to examine this young of a patient can be frustrating for the doctor, the parent, and the child. Nobody wins. By age 5, children are typically able to respond to questions and can (usually) concentrate on the task at hand. If necessary at this stage, their eyes will be measured for a prescription for glasses and checked for amblyopia, commonly known as a “lazy eye”. Detected early enough, amblyopia can be treated properly under close observation by the eye doctor.

The recommendations listed above are solely one doctor’s opinion of when children should have eye exams. The various medical bodies in pediatrics, ophthalmology, and optometry have different guidelines regarding exam frequency, but agree that while it is not essential that a healthy child’s eyes be examined every year, those with a personal or family history of inheritable eye disease be followed more closely.

 

Article contributed by Dr. Jonathan Gerard

This blog provides general information and discussion about eye health and related subjects. The words and other content provided on this blog, and in any linked materials, are not intended and should not be construed as medical advice. If the reader or any other person has a medical concern, he or she should consult with an appropriately licensed physician. The content of this blog cannot be reproduced or duplicated without the express written consent of Eye IQ.


Read full article on Gold/Platinum Eye IQ


Spring Hill Office

Spring HIll Map

 

View Map

2707 Forest Road
Spring Hill, FL 34606
P: 352-683-2020  Fax: 352-683-3168

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 6pm
Friday 9am - 5pm
Saturday Closed
Sunday Closed

Featured Video

glasses eyechart

Meet Dr. Weber

Dr. Weber received his Bachelor of Science Degree from the University of Florida, graduating with honors. He received his Doctorate from the Southern College of Optometry in Memphis Tennessee, graduating in the top two percent of his class. During his twenty five plus years in practice Dr. Weber has been committed to providing “state of the art” comprehensive eye care.

Dr. Weber has lived in the Tampa Bay area with his wife and daughter for over twenty five years. When not practicing the doctor enjoys golf, boating, cooking, and motorcycling cross country.

Latest News

Macular Degeneration, Cataracts, and You
March 27, 2024
We are frequently asked if it’s wise to have cataract surgery if you have Macular Degeneration. Let’s start with some background. Cataracts and Age-related Macular Degeneration (A...
Eye Safety for the Upcoming Solar Eclips...
March 20, 2024
Mark your Calendars!!! On Monday, April 8, a solar eclipse will be visible across the entire continental United States and most of Canada. A solar eclipse occurs when the moon blocks any part of th...
12 Terrible Eye Jokes
March 13, 2024
Why did the guy try to avoid eye surgery by rubbing ketchup in his eyes?  He had heard that Heinz sight was 20/20. Patient: “Doc, I get a stabbing pain in my eye every time I take a si...