Children with uncorrected vision conditions or eye health problems face many barriers in life, academically, socially, and athletically. High-quality eye care can break down these barriers and help enable your children to reach their highest potential! As a parent, make sure you are giving your children the eye care they need. Presented are guidelines from the American Optometric Association.
Your baby has a whole lifetime to see and learn. But did you know your baby also has to learn to see? As a parent, there are many things that you can do to help your baby's vision develop.
When your baby is about six months, you should take him to your doctor of optometry for his first thorough eye examination. Things that the optometrist will test for include excessive or unequal amounts of nearsightedness, farsightedness, astigmatism, lack of eye movement ability, as well as other eye health problems. These problems are not common, but it is important to identify children who have them at this stage. Vision development and eye health problems can be more easily corrected if treatment is begun early.
Unless you notice a need, or your doctor of optometry advises you otherwise, your child's next eye exam should be around age three, and then again before he or she enters school.
During the first 4 months
During the first four months of life, your baby should begin to follow moving objects with the eyes and to reach for things, first by chance and later more accurately, as hand-eye coordination and depth perception begin to develop.
To help, use a nightlight or other dim lamp in your baby's room; change the crib's position frequently and your child's position in it; keep reach-and-touch toys within your baby's focus, about eight to twelve inches from his eyes; talk to your baby as you walk around the room; alternate right and left sides with each feeding; and hang a mobile above and outside the crib.
From 4-8 months
Between four and eight months, your baby should begin to turn from side to side and use his or her arms and legs. Eye movement and eye/body coordination skills should develop further and both eyes should focus equally.
Enable your baby to explore different shapes and textures with his or her fingers, give your baby the freedom to crawl and explore, hang objects across the crib, and play "patty cake" and "peek-a-boo" with your baby.
From 8-12 months
From eight to twelve months, your baby should become mobile, crawling and pulling himself or herself up. He or she will begin to use both eyes together to judge distances and grasp and throw objects with greater precision.
From 1-2 years
From one to two years, your child's eye-hand coordination and depth perception will continue to develop.
During the infant and toddler years, your child has been developing many vision skills and has been learning how to see. In the preschool years, this process continues, as your child develops visually guided eye-hand-body coordination, fine motor skills, and the visual motor skills necessary to learn to read.
As a parent, you should watch for signs that may indicate a vision development problem, including:
- a short attention span for the child's age
- difficulty with eye-hand-body coordination in ball play and bike riding
- avoidance of coloring and puzzles and other detailed activities
By age 3
By age three, your child should have a thorough optometric eye examination to make sure your preschooler's vision is developing properly and there is no evidence of eye disease. If needed, your doctor can prescribe treatment including glasses and/or vision therapy to correct a vision development problem.
Unless recommended otherwise, your child's next eye examination should be at age five.
A good education for your child means good schools, good teachers and good vision. Your child's eyes are constantly in use in the classroom and at play. So when his or her vision is not functioning properly, learning and participation in recreational activities will suffer.
The basic vision skills needed for school use are:
- Near Vision. The ability to see clearly and comfortably at 10-13 inches.
- Distance Vision. The ability to see clearly and comfortably beyond arm's reach.
- Binocular coordination. The ability to use both eyes together.
- Eye movement skills. The ability to aim the eyes accurately, move them smoothly across a page and shift them quickly and accurately from one object to another.
- Focusing skills. The ability to keep both eyes accurately focused at the proper distance to see clearly and the ability to change focus quickly.
- Peripheral awareness. The ability to be aware of things located to the side while looking straight ahead.
- Eye/hand coordination. The ability to use the eyes and hands together.
If any of these or other vision skills is lacking or does not function properly, your child will have to work harder. This can lead to headaches, fatigue and other eyestrain problems. As a parent, be alert for symptoms that may indicate your child has a vision or visual processing problem. Be sure to tell your optometrist if your child frequently:
- Loses their place while reading
- Avoids close work
- Holds reading material closer than normal
- Tends to rub their eyes
- Has headaches
- Turns or tilts head to use one eye only
- Makes frequent reversals when reading or writing
- Uses finger to maintain place when reading
- Omits or confuses small words when reading
- Consistently performs below potential
Since vision changes can occur without you or your child noticing them, your child should visit the optometrist at least every two years, or more frequently if specific problems or risk factors exist. If needed, the doctor can prescribe treatment including eyeglasses, contact lenses, or vision therapy.
Remember, a school vision or pediatrician's screening is not a substitute for a thorough eye examination.
Please do not overlook the importance of safety eyewear when playing sports. Each year, hundreds of men, women, and children are injured when playing sports. To help prevent sports-related eye injuries, athletes should use protective athletic eyewear whether or not prescription eyewear is needed. One choice is a sports frame with prescription or non-prescription polycarbonate lenses. Baseball or softball players who are hit in or near the eye, or suffer a blow to the head, should seek immediate care at a hospital emergency room or from an eye care professional.