Children’s Vision for Parents

Children's Eye Health

Healthy vision is important for a young child’s development and early success. The mission of California Optometric Association’s Children’s Vision Team is to educate parents and ensure children receive regular comprehensive eye care.

Learn about children’s vision and discover important vision milestones, including what to look for in determining if your child has a vision problem. Vision problems in children is more common than you think!

Age-related vision development milestones that may help to decide if your child is having vision problems.

When should my child visit the eye doctor?

Child's age Asymptomatic/low risk At-risk
Birth through 2 At 6 to 12 months of age At 6 to 12 months of age or as recommended
3 through 5 At least once between 3 and 5 years of age At least once between 3 and 5 years of age or as recommended
6 through 17 Before first grade and annually thereafter Before first grade and annually, or as recommended thereafter

Comprehensive eye exams by a doctor of optometry are an important part of caring for your child’s eyes, vision, and overall all health.

Signs of Eye and Vision Problems

Many parents do not report seeing any signs or symptoms before their child is diagnosed with a vision problem. Schedule an eye exam with an eye doctor if your child fails a vision screening or you suspect a vision problem. The eye doctor will decide if your child needs eyeglasses or other treatment. Common signs include:

Eyes that appear:

  • Red
  • Crusty
  • Swollen
  • Watery

Eyes that:

  • Do not line up, turn out or cross in
  • Do not fully open

Other signs:

  • Squinting
  • Rubbing eyes a lot
  • Tilting head to one side
  • Holding objects close to face
  • Complaining of blurry vision or headaches
  • Sitting too close to TV
  • Short attention span
  • Avoiding coloring, reading and other close activities

What's the Difference?

Limitations of School Screenings

While routine school vision screenings may appear helpful, they give parents a false sense of security as there are a range of vision problems that may be missed. In their initial stages, many vision conditions lack obvious signs or symptoms and can go completely unnoticed, causing delays in the detection and treatment of a potentially serious or life-limiting condition.

Basic vision check used to identify potential vision problems and make referrals. They do not replace the need for a comprehensive eye exam.

1.  Setting:

  • Brief screening performed by a primary care provider, school nurse, or trained volunteer.
  • Typically conducted in a school or community setting.

2. How It Works:

  • Uses an eye chart to test visual acuity, often focusing on basic near and distance vision.
  • Limited scope, primarily checking if a child can see well enough to perform daily tasks and learn effectively.

3. Limitations:

  • Limited by available test materials and may not effectively detect all ocular health issues.
  • Does not include detailed assessments of eye health or refractive errors beyond basic visual acuity.

4. Referral:

  • If a child does not pass the vision screening, they are referred to a local optometrist or ophthalmologist for a comprehensive evaluation.
    – The screening serves as a preliminary check, not a definitive diagnosis.

Detailed evaluations performed by eye care professionals, providing a thorough assessment of both vision and ocular health, along with the ability to diagnose and treat various eye conditions.

1. Setting:

  • Thorough eye exam performed by a licensed optometrist or ophthalmologist at an optical center or medical facility.
  • Conducted in a clinical setting with specialized equipment.

2. How It Works:

  • Includes a detailed assessment of visual acuity, refractive status (nearsightedness, farsightedness, astigmatism), and other vision functions.
  • Uses pupil dilation to examine the back of the eye (retina) and assess overall ocular health.

3. What it Does:

  • In-depth exam using high-quality optical equipment to diagnose and manage a range of eye conditions.
  • Evaluates both visual function and ocular health, detecting conditions like glaucoma, cataracts, and retinal diseases.

4. What Happens Next:

  • The optometrist or ophthalmologist will diagnose and treat ocular health issues, provide prescriptions for corrective lenses, and monitor eye health over time.
  • Comprehensive care includes follow-up visits and management of any detected conditions.

The best thing to do is to schedule a full eye exam with an eye doctor:

  • You can usually book an appointment directly with an eye doctor. You don’t need to see your child’s pediatrician first or get a referral.
  • If the school gave you a paper with the vision screening results, bring it to the appointment.
  • If your child has insurance in California, they have vision care benefits included in their medical plan. Check your plan’s details or call customer support to learn more.
  • Some kids need to see a special eye doctor who focuses on pediatric eye care, especially if:
    • Your child is 6 years old or younger.
    • Your child has trouble communicating.
  • For children 7 years or older, you can generally take them to a regular eye doctor. If you’re unsure, ask your eye doctor if they examine younger children.

If you’re thinking of skipping the full eye exam, keep this in mind:

  • Many children with vision problems don’t show signs or can’t explain their symptoms.
  • Some vision problems don’t cause blurry distance vision. Even if your child says they can see the TV or street signs clearly, they might still have a vision issue.
  • If you think your child failed the screening because they didn’t understand or cooperate, research shows that kids who have trouble with vision tests often have a vision problem that needs attention.
  • Experts suggest that all children get a full eye exam before starting school. This is the only way to be sure your child has healthy eyes and good vision.

After the exam, let your child’s school know you followed up. Most schools have a form that the eye doctor can fill out with the exam results.

Little EyePods Podcast

Tune-in! Have you ever wondered what a baby can see? Or why some kids wear glasses, contacts, or even an eye patch? Or maybe what it means to be colorblind. Well, you’re in luck! Subscribe, download, and listen to COA’s newest podcast about vision and pediatric eye care – Little EyePods.

Common Terms About Eye Health

Understanding Your Child's Health Benefits

Families may be unaware of pediatric vision care benefit under the health care law:

  • Your child’s coverage is based on a comprehensive eye exam
  • Your child’s coverage extends through at least age 19 in California
  • Your child’s coverage is included in your health plan
  • California’s Medi-Cal program covers annual eye exams and eyeglasses for children

Speakers

LANCE ANDERSON, OD

Chief Strategy Officer

Dr. Lance Anderson is the Chief Strategy Officer at PECAA, where he is engaged in all aspects of company strategy.  He co-founded PECAA in 2007 and helped lead the organization as it grew from a small local Portland study group to a national alliance of independently owned eye care practices.  He served as a board member of Rev-360 from 2015 – 2021 and helped oversee the management and successful sale of Revolution EHR, Visionary Partners, and eventually PECAA.

He earned his Doctor of Optometry degree from Pacific University in 1991.  He started his own optometry practice in 1993 in Hillsboro, OR, and was able to grow the practice into a busy three-doctor clinic.  He retired from clinical care in 2021 and then moved to  New York City where he was tasked with helping to integrate PECAA with the HEA buying group.  He recently moved to Nashville, TN where he will continue to be actively involved in creating the future vision for PECAA as it is integrated into the VSP family of businesses.

JUSTIN MANNING, OD, MPH, FAAO

Chief Member Experience Officer

Dr. Justin Manning is the Chief Member Experience Officer at PECAA, where he leads the member experience team, encompassing member education, the Member Business Advisory services, Events, and the Cold Start program. He is the founder and host of the Practice Advantage podcast. Prior to joining PECAA, he founded The Keratoconus and Scleral Lens Institute at Bettner Vision in Colorado Springs, and eyeLeader, a consulting company focused on leadership development, technology in eyecare, and population health.

He has contributed to Review of Optometric Business and has lectured nationally and internationally on specialty contact lenses, design thinking, population health, and the patient experience. He earned his Doctor of Optometry degree from The Ohio State University and completed a residency in Geriatric Optometry at the VA Puget Sound Healthcare System in Tacoma, WA, a Master of Public Health degree at Salus University, and a graduate certificate in Customer Experience from the CU Boulder Leeds School of Business. He is driven to help all independent eye care professionals grow their businesses and enjoy their practices every single day.

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