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Do you know how well your child is able to see? 

You may be wondering if your child really needs and eye exam or if it is something that can wait until they expressed having vision problems. Many vision issues and eye health problems don’t have signs and symptoms, your child may not even be aware that they are having issues with their vision and they believe what they are seeing is normal. 

When should children have eye exams?

Children should have their eyes examined  at 6 months, 3 years, when they begin school, and then every year following. If there are any signs that there may be a vision problem or if the child has certain risk factors (such as developmental delays, premature birth, crossed or lazy eyes,) more frequent exams may be recommended. 

Eye Exams for Infants

To assess whether your baby’s vision is following important milestones, exams at 6-12 months can determine their development. Even though your child may not be able to talk, the doctor will use the following tests to assess their vision:

  • Tests of pupil responses evaluate whether the eye’s pupil opens and closes properly in the presence or absence of light.

  • “Fixate and follow” testing determines whether your baby’s eyes are able to fixate on and follow an object such as a light as it moves. (Infants should be able to fixate on an object soon after birth and follow an object by the time they are 3 months old.

How Vision Problems Affect Learning

Experts say that 80% of what children learn is school is presented visually, ensuring your child has good vision is essential in helping them reach their full potential.

The older children get, the more vision deficiency can affect their learning abilities. A recent CAO study shows that 10% of preschoolers have a vision deficiency and that number increases to 25% from kindergarten to grade 6. 

Children can also be misdiagnosed with a learning or behavioral disability, due to issues like difficulties with focusing on schoolwork. Up to 60% of children who are diagnosed with learning disabilities actually suffer from undetected vision problems.

Watch for these issues in conjunction with school problems:

  • Headaches or eye strain 
  • Blurry or double vision
  • Excessive blinking or rubbing eyes
  • Poor hand-eye coordination 
  • Crossed eyes or eyes that seem to work independently
  • Turning or tilting head to use one eye only
  • Having to sit closer to the board or keeping pages close to read