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Eye exams are vital to children's well being. Pediatricians
examine a baby’s eyes within the first few weeks of life.
If possible congenital problems are detected they will
refer your baby to Children's Eye Center. Although a baby
cannot give verbal feedback, the doctor has equipment
that provides an "objective" evaluation of the eyes. One
instrument, for instance, shines a light into the eye, to
check for possible nearsightedness or farsightedness. Eye
drops are used to dilate the pupil. The drops usually take
effect after 30 to 45 minutes. This causes the entire eye
exam to take about one and one-half hours.
Around 3 years of age, children should have a dilated eye exam. Their eyes
will be tested using pictures (teddy bear, truck, phone, house, etc.). We
might try using the tumbling “E” game since very few children
are ready to be tested with letters at this age. At this stage, the pediatric
ophthalmologist measures a child's visual clarity at all distances, checks
depth perception, examines the health of the eyes, and looks for nearsightedness,
farsightedness, astigmatism and eye muscle problems.
Another eye abnormality that a pediatric ophthalmologist can detect is Amblyopia,
or "lazy eye," a condition in which sight does not develop normally
in one eye. It is possible that neither the child nor the parents may be
aware of the condition. If left untreated, amblyopia may not be treatable
in later years. The amblyopic eye may develop a permanent visual defect
and depth perception may be lost.
It is important for children to have an eye exam before starting school.
Vision screenings conducted through schools are not complete eye examinations.
A comprehensive children's eye exam should check the health of the eyes,
visual acuity, proper eye alignment and eye muscle function. It should include
a refractive test to determine whether a child needs correction. A recent
study showed that only 14 percent of children entering school in the United
States had ever had an eye exam. Early detection and treatment of vision
problems or eye disease is very important to the health of a child, so it's
best to schedule that appointment before the school bus comes!
