Pediatric Vision Care

Vision. In the broadest sense, is the global ability of the brain to extract, process and act on information presented to the eye. This complex process can be thought of as three major but related areas:

Visual Acuity

Which is largely dependent upon refractive status and eye health.

Vision Efficiency Skills

Representing eye focusing, teaming, and tracking skills.

Visual Information Processing

Every examination we provide for children, regardless of the child's age, has these thoughts in mind.

Infants

Our infant vision examinations start in early infancy and continuing through the school years. Although young children may not be able to read an eye chart, specialized procedures have been developed that allow us to measure the clarity of sight of children at almost any age

Statement from the American Optometric Association

The American Optometric Association guidelines recommend that all children have a complete vision and eye health examination at the age of 6 months, 3 years, upon entering kindergarten, and routine vision care (every 2 years) thereafter throughout their school years" (American Optometric Association)

Excerpt from Comprehensive Pediatric Eye and Vision Examination, AOA

The prevalence of eye and vision disorders is substantial in children. Research indicates that early detection and intervention are particularly important in children because of the rapid development of the visual system in early childhood and its sensitivity to interference. When visual disorders such as amblyopia, strabismus, and significant refractive error are undetected, the long-term consequences can lead to significant vision loss, decreased educational and occupational opportunities and reduced quality of life. In addition, the cost of providing appropriate treatment for longstanding eye and vision disorders may be significantly higher than the cost of diagnosing and treating these problems early in life. A comprehensive pediatric eye and vision examination by a doctor of optometry or other eye doctor (ophthalmologist) is imperative for the timely diagnosis and treatment of eye and vision problems" (Comprehensive Pediatric Eye and Vision Examination, American Optometric Association 2016).

School Performance

Many vision problems can be corrected more easily with early diagnosis and treatment. Reports have estimated that up to 25% of students in grades K – 6 have vision-related problems, which may contribute to poor school performance. The visual system matures rapidly during the first few years and it is important to identify any problems that may interfere with normal vision development.

Eye Examinations for Infants, Toddlers and School-aged Children

A comprehensive eye examination will assess:

Visual Acuity

Measures how clearly a child sees objects.

Refractive Status

Measures for nearsightedness (myopia), farsightedness (hyperopia), and astigmatism.

Ocular Health

The child is evaluated for any eye health problems, including active pathology or congenital anomalies.

Eye Tracking

The ability of the eyes to fixate, smoothly follow and look between objects or printed words.

Eye Focusing

The ability to efficiently change and sustain focus while reading.

Eye Teaming

The ability to coordinate both eyes accurately and without fatigue or excessive effort. Accurate eye teaming is also important for accurate two-eyed depth perception or stereopsis.

Hand - Eye Coordination

As part of the visual examination we also assess vision development. Young children use vision to explore the world by identifying and directing movement. If a problem in vision is preventing adequate development of perception and eye-hand coordination skills then early intervention is vital.

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