How Often Should a Child Get an Eye Exam?

Child making glasses gesture with hands on shoulder of man in a crowd

From the moment they open their eyes to the world, children rely heavily on their vision to explore, learn, and connect with their surroundings. Just as you prioritize their nutritional and educational needs, their visual needs shouldn’t be overlooked. With the evolving challenges of today's digital age, the significance of optimal eye health has never been greater. From recognizing the initial signs of visual impairments to understanding the nuances of regular eye check-ups, the path to maintaining their eye health can be navigated with a little guidance. Dive into this comprehensive guide, which provides insights tailored for every stage of your child's development, ensuring a clear vision and a brighter future.

Why Are Eye Exams Important for Children?

Eye exams are important for children because they facilitate early detection and treatment of vision problems, ensuring optimal eye health and development. A child's eyes undergo rapid changes during their formative years, and undiagnosed visual issues can hinder their ability to learn and interact with their environment effectively. 

Regular eye exams for children catch conditions like nearsightedness, farsightedness, astigmatism, or even serious diseases such as amblyopia (lazy eye) at a nascent stage. Identifying and addressing these concerns promptly not only protects a child's vision but also supports their overall well-being, enabling them to achieve their full potential both academically and socially.

The Impact of Poor Vision on Learning

Poor vision can significantly affect a child's ability to learn. The classroom environment is heavily reliant on visual cues, from reading off a board to deciphering texts and recognizing visual patterns. Children with uncorrected visual issues might struggle to focus, miss vital information, or even misinterpret what they see. This can lead to reduced comprehension, a lack of engagement, and diminishing academic performance. Moreover, visual challenges can be mistakenly diagnosed as attention deficits or learning disabilities, further complicating the learning process. Clear vision is foundational to effective learning, and addressing visual impairments promptly can transform a child's educational journey.

When Should Your Child Have Their First Eye Exam?

We recommend that a child see an eye doctor to have their first eye examination by 6 to 9 months old and sooner if there are any problems or concerns. At this age, a child’s eye doctor can detect problems such as crossed eyes, lazy eye, or significant refractive errors. If parents or caregivers notice any unusual signs, such as misaligned eyes or excessive eye rubbing, they should schedule an examination even sooner. Early detection and visual correction can lead to more effective treatment, setting the foundation for optimal visual health as the child grows.

How Often Should You Get Your Child’s Eyes Tested?

After the initial check-up between 6 to 9 months, children should have at least one eye exam between the ages of two and five, and yearly after starting school to ensure optimal vision and development. If your child is older and has never had an eye exam then they should be seen as soon as possible. If your child requires corrective lenses or has a diagnosed eye condition at any time, annual pediatric eye exams become essential. Regular check-ups help identify and address any emerging vision issues promptly, ensuring that visual impairments don't hinder a child's learning or daily activities.

As your child grows from infant/toddler (birth to 24 months old), to preschooler (2 to 5 years old), and eventually to school-age (6 to 18 years old), their eyes and vision will continue to grow and play an important role in their learning and development.

We expect your child to meet certain developmental milestones for their oculo-visual system at different ages. For example, often children will not have 20/20 adult levels of vision until they are 6 to 8 years old as a part of their normal development. Their eyes will also undergo a process called emmetropization where the ocular optical system aims to end up focusing accurately with no need for eyeglasses.

However, sometimes children do not meet oculo-visual expectations and require help for their vision to develop appropriately. The most common problems that arise are the need for significant eyeglass prescriptions and/or problems with eye alignment/binocularity which may also result in amblyopia (also known as “lazy eye”). These children may have no obvious symptoms at the time of their eye exam. For these children, early intervention is critical to be able to obtain the best possible visual outcome. For this reason, it is very important for young children to have regular eye exams.

Recommended Eye Exam Schedule For Children

Regular eye exams play a pivotal role in early detection and management of vision problems. Here's a recommended schedule to ensure your child's eyes are checked at key developmental stages:

  • Once during infancy (6 to 9 months). First comprehensive eye exam to detect any congenital or early-onset visual issues.

  • Once during preschool (age 2-3). Second exam to monitor developmental changes and identify potential problems before they intensify.

  • Once before starting school (age 5 or 6). Ensure that vision is at its best for academic learning and social interactions in a classroom setting.

  • Annually after starting school. Regular check-ups to catch any potential vision problems early, provided no existing conditions or concerns arise.

  • Annually if they require corrective lenses or have a diagnosed eye condition.

  • Anytime there are signs of visual problems. Squinting, tilting the head, eye rubbing, complaints about blurry vision, or any other abnormal behavior related to sight should prompt an immediate visit to the eye doctor.

Ready to book your child’s eye exam? Schedule an appointment with Della Optique to keep on track with your schedule.
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How We Conduct a Child’s Eye Exam

We are often asked how we are able to examine a child if they can’t read or even talk yet. Just like for adults, some of the key areas we assess are visual acuity (size of detail seen), refractive error (such as myopia, hyperopia, or astigmatism), binocular vision, and ocular health. For children, we adapt and use exam techniques which are appropriate for your child’s age. We do our utmost to be careful and thorough, and aim for your child to have a pleasant and hopefully fun experience in the process.

child having an eye exam smiling

How Do You Know if Your Child Has Vision Issues?

Detecting vision problems in children can sometimes be challenging, as they might not always communicate or even recognize that they're experiencing difficulties. However, there are certain signs and behaviors parents and caregivers can look out for:

  • Squinting or closing one eye: Squinting can be a child's way of trying to see clearer, especially from a distance.

  • Tilting the head or unusual posture: This might be an attempt to adjust the angle of vision to see better.

  • Frequent eye rubbing: This can indicate eye strain or discomfort.

  • Avoidance of reading or close activities: A child might avoid tasks that strain their eyes.

  • Sitting too close to the TV: This could mean they're struggling to see from a normal distance.

  • Difficulty in school: Suddenly declining academic performance can sometimes be a result of vision problems.

  • Complaints of headaches: Frequent headaches can result from eye strain.

  • Eyes that turn inward or outward: This might indicate a condition like strabismus.

Tips for Managing Your Child’s Eye Health

By proactively managing and monitoring your child's eye health, you pave the way for clearer vision and a better quality of life.

  • Regular Eye Exams: Schedule annual check-ups, or anytime you suspect a vision problem.

  • Balanced Diet: Ensure your child eats foods rich in vitamins A, C, and E, and minerals like zinc, which support eye health.

  • Limit Screen Time: Excessive digital screen exposure can cause eye strain. Encourage regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds.

  • Protective Eyewear: Ensure your child wears protective glasses during sports or activities that might pose a risk to their eyes.

  • Adequate Lighting: Ensure their reading or study area is well-lit to reduce eye strain.

  • Be Observant: Watch for signs of vision problems, including squinting, frequent eye rubbing, or complaints about blurry vision.

  • Educate About Eye Safety: Teach children the importance of not looking directly at the sun and avoiding activities that risk eye injury.

Protect Your Child’s Eyes

Ensuring the health of your child's eyes is not just about clear vision, but about laying a strong foundation for their overall development and future success. With regular eye exams, early detection of potential issues, and following recommended guidelines, parents can equip their children with the essential tool of clear vision. In BC, the provision of free eye exams for kids further underscores the significance of prioritizing eye health from an early age. By staying informed and proactive, we can ensure our children see the world as brightly and clearly as possible.

As optometrists, it is always a special privilege to be able to see our youngest patients. It is a joy being able to play a small but important part in their lives and their visual world! 

Prioritize your child’s vision; the world is bright and vast, and your child deserves to see it clearly. Schedule your child's eye exam with Della Optique today!

Dr. Oliver Chong

Dr. Oliver Chong is a highly regarded optometrist who has dedicated over two decades to providing eye exams in a friendly and caring manner to families and patients of all ages.

https://www.linkedin.com/in/oliver-chong-46a0404/
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