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When Should My Child Have Their First Eye Exam?

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A smiling child undergoes visual acuity testing as their parent gently reassures them.

Every parent wants their child to grow up healthy and happy. While we often think about nutrition, exercise, and regular doctor visits, one crucial area sometimes gets overlooked—eye health. Your child should typically have their first exam between 6 and 9 months, but there are a few other important eye exam milestones to consider as they age.

Early eye care is essential for your child’s development and overall well-being. Correcting refractive errors like myopia early can support healthy vision and promote learning, social interactions, and even self-confidence.

While the guidelines set out by the Canadian Association of Optometrists are good, you should always follow your child’s eye doctor’s recommendations, as they account for your child’s specific situation and needs.

When Should My Child Get Eye Exams?

Understanding the right age milestones for eye exams can help keep your child’s vision on the right track. Here are some general guidelines.

Infants (6 to 9 months)

According to the Canadian Association of Optometrists, your child’s first eye exam should happen between 6 and 9 months of age. Pediatricians generally perform basic eye checks during well-child visits, but a comprehensive exam by an optometrist can get a detailed look into your child’s eye health and catch common issues early.

Toddlers (2 to 5 years)

The next crucial milestone is between 2 and 5 years old. Eye exams can detect problems that could interfere with learning and development at this stage. Kids around this time are often more cooperative, making it easier to conduct thorough tests.

School-Age Children (6 years & older)

Once your child starts school, regular eye exams are essential. Annual comprehensive eye exams can identify issues that may affect academic performance or social interactions, Monitoring vision development helps address any problems in a timely manner.

What to Expect During a Kid’s Eye Exam

Children’s eye exams are designed to be as comfortable and as non-invasive as possible, so they may be slightly different from adult exams. Knowing what to expect can make the experience less daunting for you and your child. 

Initial Assessment

The eye doctor will first talk to you about your child’s medical history and any concerns you might have. This is often followed by a preliminary assessment to check how your child tracks objects with their eyes and responds to visual stimuli.

Visual Acuity Tests

Visual acuity tests measure how well your child can see at different distances. For younger children, this might involve identifying shapes or pictures. Older children may read letters on a Snellen chart, similar to an adult eye exam.

Eye Health Evaluation

The eye doctor will examine the overall health of your child’s eyes using specialized equipment. This evaluation helps detect structural abnormalities or early signs of conditions like amblyopia or strabismus, which we’ll cover in more detail below.

An optometrist performs a slit lamp examination on a smiling girl.

Common Childhood Eye Conditions & Their Diagnosis

Understanding common eye conditions can help you understand the importance of early detection and treatment. Here are some conditions frequently diagnosed in children.

Amblyopia (Lazy Eye)

Often called “lazy eye,” amblyopia actually has nothing to do with actual laziness. It occurs when one eye is weaker than the other, leading to poor vision development. Lazy eye is usually diagnosed through visual acuity tests and a thorough eye health evaluation. 

Early recognition helps promote proper visual development as children’s eyes continue to grow. Treatment often involves eye patches or corrective lenses.

Strabismus (Crossed Eyes)

Strabismus is a condition where the eyes do not align properly. Your child’s eye doctor can diagnose it through various methods, including visual alignment tests and a detailed eye examination. 

Vision therapy can help the eyes work together again, and treatment may involve eye exercises or corrective lenses.

Refractive Errors

Myopia (nearsightedness), hyperopia (farsightedness), and astigmatism are common refractive errors. These errors prevent children from seeing clearly, affecting their social interactions and academic performance.

Refractive errors are diagnosed through visual acuity tests and can often be corrected with glasses or contact lenses.

Tips for Preparing Your Child for Their First Eye Exam

Preparing your child for their first eye exam can help alleviate any anxiety they might feel. Here are some tips to make the experience smoother.

Talk About the Exam

Explain the process in simple terms so your child knows what to expect. To help them understand the steps involved, you can say, “The doctor will ask you to look at some pictures and lights.” This can better prepare your child for the exam and reduce anxiety.

Make It Fun

Turn the visit into an adventure rather than a chore. Bring a favourite toy or book to keep your child occupied while waiting. Some clinics even have play areas designed to make children feel more at ease.

Schedule Wisely

Book the appointment when your child is usually in a good mood, such as after a nap or meal. A well-rested and fed child is more likely to cooperate during the exam.

Book Your Child’s Exam Today

Proactive eye care is essential for your child’s overall development and quality of life. Adhering to recommended age milestones for exams can help ensure they maintain excellent eye health. Remember, early detection and treatment can often make a world of difference.

Call our team at Advance Eye Care Center today for personalized advice and support. We’re happy to book your child for their next eye exam today. One of our experienced eye doctors can examine their eyes and ensure everything is on track and developing as it should.

Written by Myles Bokinac

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