Your Child's Vision....A Parent's Guide

Start your child at age 1-3

As a parent, you strive to help your child develop into a healthy adult.  An important part of your child's overall health maintenance program is regular professional vision care.  Your child's eyes must function properly to accomplish the many visual tasks he or she will encounter in the years ahead.

Because you can't look through your child's eyes, it's impossible to accurately judge how well he or she sees.  The only way to be sure that vision is developing normally is to make certain your child receives a comprehensive vision analysis by an eyecare professional.

Unless a need is identified earlier, your child should be given his or her first comprehensive eye  examination between the ages of  1 and 3. 

Effective January 2008, it is Illinois law that your child's eyes have to be examined by an eye doctor before entering kindergarten.

Get a real eye examination

Do not confuse a vision screening, a brief check which tests how well a child sees an eye chart from a distance of 20 feet, with a comprehensive examination.  Problems with near vision, eye coordination, and focusing are among the many problems not identified in just a screening.

Prepare your child for the first examination


It is natural for your child to feel some apprehension with a new experience.  Talk with your child about the examination prior to the visit.  Encourage his or her questions.  You can assure your child that the examination is completely painless.

With today's diagnostic equipment and testing,  and our experience team, your child does not have to know the alphabet or how to read to have his or her eyes examined.

Schedule the appointment for early in the day so that you child will be well rested and cooperative.

To establish a case history, you will be asked a number of questions about your child's general health, development, and symptoms you may have observed.  This record will become a valuable reference in evaluating later development.

We will check for several conditions

There are several problems which could affect your child's vision:

Astigmatism.  A condition in which the vertical and horizontal portions of the eye focus differently, causing blurriness at all distances.

Nearsightedness (myopia).  A condition in which close objects are seen more clearly than those at a distance.  It is often first noticed in the early school years when a child squints to read the chalkboard or holds reading materials closer than normal.

Farsightedness (hyperopia).  A condition where far objects are seen more clearly than near ones.

Lazy Eye (amblyopia).  Condition in which vision cannot be corrected to 20/20 even with eyeglasses or contact lenses.  It affects about 2 percent of children.  With early diagnosis and treatment, permanent vision loss can be avoided.

Crossed-Eyed (strabismus).  Occurs when the eyes are not properly aligned with each other.  This condition affects 4 percent of all children.

Is your child having vision problems ???

Signs that you or your child's teacher may notice could include…

  • Frequent squinting.
  • Holding a book very close to the eyes – only seven or eight inches away.
  • A short attention span or frequent daydreaming.
  • A drop in scholastic or athletic performance.
  • Frequent eye rubbing or blinking.
  • Poor eye/hand coordination.
  • Avoiding close work.
  • Complaints of headaches, double-vision, or blurring.
  • Covering one eye.
  • Tilting the head or moving the head back and forth while reading instead of moving the eyes.
  • Omitting, miscalling, or repeating words when reading aloud.

Because your child's eyes can change very rapidly during the early years, it is important to protect his or her vision with regularly scheduled vision examinations by an eyecare professional.

What about watching TV?

Television viewing habits are an important factor in any discussion of child's vision.  Because television plays a part in almost every child's life, it is essential to develop sensible viewing habits to avoid unnecessary eyestrain.  Properly installed and adjusted, televisions and VCRs are safe for the eyes.  In fact, more eyestrain can be caused by close activities like reading or sewing than by watching television.

Here are some helpful tips that we recommend to our patients:

  • When watching TV, the viewing distance should be at least seven times the width of your TV screen.
  • The room should not be completely dark.
  • Position the television set so that glare and reflections are avoided.
  • Avoid sitting at an extreme angle in relation to the TV screen.

Perhaps most importantly, your child's television viewing should be sensibly balanced with creative play and exercise.

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