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Pediatric Eye Exams: The Complete Guide

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Vision is linked strongly to successful learning and proper child development. Think about the ways that information is conveyed in a classroom: computers, classroom boards, reading and writing.All of these educational tools depend upon good eyesight.

Our optometrists in Fayetteville and St. Paul’s, NC, will inspect your children’s eyes to make sure that their vision is crystal clear. Children often do not complain when they can’t see well, and pediatric eye exams are the only reliable way to help prevent the majority of vision-related learning delays.

Guidelines for professional eye evaluations for children:

American Optometric Association Schedule for Pediatric Exams

1. First eye exam should be done at 6 months old

2. Second eye exam should be scheduled at 3 years old, prior to starting preschool

3. Many elementary schools require a pediatric eye exam in order to begin first grade, at 5-6 years of age. This evaluation is very important!

4. When vision correction with eyeglasses or contact lenses is not needed, the next pediatric check-up can be done in approximately two years. When there is a need for eyeglasses or contacts, children are recommended to have annual follow-up eye exams.

Fayetteville Eye Exams For Children

little boy getting eyes checkedAs a part of comprehensive vision testing for children, Dr. Nathan Lieberman and Dr. Ann Kosterman Lieberman will check your young child’s visual acuity, binocularity, eye alignment and mobility, and ability to focus clearly on objects far away and close by.

We will also assess eye-hand coordination and peripheral awareness. All of these skills are necessary components of good vision, which is associated with proper learning and cognitive development.

To inspect ocular health, we will take a close look at the retina and eye tissues. A full screening will be done to determine whether eyeglasses are needed. Visit our pediatric optometrist near you.

What You Need to Know for Your Child’s Eye Evaluation

At the start of your appointment at Professional Optometry Fayetteville or St. Paul’s Vision Center, NC, Dr. Lieberman will get acquainted with you and your child. You will be asked a number of questions about your child’s past medical history, as well as any current medications or allergies.

Important information to share with us about your child:

  • Any difficulties holding eye contact
  • Weak ability to fixate on an object or track movement
  • Hereditary eye conditionsLow birth weight or pre-term delivery
  • Delays in development
  • Eye rubbing or excessive blinking
  • Past vision treatments
  • History of any eye injuries

How Important is an Eye Exam Before School Begins? Watch and Find Out:

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Checking Infant Vision

At Lieberman and Lieberman, we use a few standard methods for assessing eyesight in babies:

  • Fixation Ability- at 3 months of age, infants should be able to fixate on an object and track its movement.
  • Preferential Looking- cards with printed stripes are put in front of the infant, and we pay close attention to how the baby’s gaze moves
  • Pupil Response- the baby is exposed to light and we watch for normal widening and closing of the pupils
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Pre-school Vision Tests

Young children are often too shy to respond to eye doctors, or they aren’t comfortable yet with reading the alphabet. Fortunately there are many alternate ways for a qualified optometrist to assess your child’s vision and eye health!

In our Fayetteville and St. Paul’s, North Carolina offices near you, we use some of the following procedures:

  • LEA symbols- this method resembles basic eye charts, yet it uses images, such as a circle, house, apple and square
  • Retinoscopy- a handheld device that checks the reflection of light off of the retina; results indicate whether vision correction is needed
  • Random dot stereopsis- dot patterns are shown to the child, and we watch your child’s eyes to see how they team when viewing the dots

Typical Pediatric Eye Diagnose

What type of vision problems are generally detected when Dr. Lieberman examines children’s eyes?

The most typical conditions that we diagnose at Professional Optometry Fayetteville and St. Paul’s Vision Center are astigmatism, nearsightedness and farsightedness.

Other common pediatric ocular diagnoses may include:

  • Lazy Eye/Amblyopia: With this condition, visual acuity is decreased in either one or both eyes. A usual treatment involves patching the stronger eye in order to strengthen the weaker eye.
  • Strabismus: Often a congenital defect, this refers to a misalignment of the eyes. Surgery may be needed to correct the weak eye muscles.
  • Weak Accommodation: Expressed as a difficulty in focusing when your child’s gaze moves between objects that are far and near. Reading may be a challenge, and vision therapy exercises offer successful treatment.
  • Trouble with Binocularity: Eye teaming is weak, which may compromise coordination and depth perception. Vision therapy is often effective.
  • Convergence insufficiency: This condition may impact reading and other close behaviors. Treatment usually involves vision therapy exercises.

Help your child reach the head of the class- Schedule a comprehensive pediatric eye exam at Lieberman and Lieberman today!