Different Eye Tests for Children at Varying Ages
According to the American Optometric Association (AOA), infants should have their first comprehensive eye exam at 6 months of age. Children then should have additional eye exams at age 3, and just before they enter the first grade — at about age 5 or 6.
Different types of eye tests are carried out as per age of the child and as per their eye developmental state.
Eye Testing for Infants
Babies should be able to see as well as adults in terms of focusing ability, color vision and depth perception by 6 months of age. To assess whether your baby’s eyes are developing normally, the doctor typically will use the following tests:
- 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.
- Preferential looking involves using cards that are blank on one side with stripes on the other side to attract the gaze of an infant to the stripes. In this way, vision capabilities can be assessed without the use of a typical eye chart.
Eye Testing for Preschool Children
Some parents are surprised to learn that preschool-age children do not need to know their letters in order to undergo certain eye tests, even when they are too young or too shy to verbalize. Some common eye tests used specifically for young children include:
- LEA Symbols for young children are similar to regular eye tests using charts with letters, except that special symbols in these tests include an apple, house, square and circle.
- Retinoscopy is a test that involves shining a light into the eye to observe the reflection from the back of the eye (retina). This test helps eye doctors determine your child’s eyeglass prescription.
- Random Dot Stereopsis testing uses special patterns of dots and 3-D glasses to measure how well your child’s eyes work together as a team.
Vision Screening and Your Child’s Performance in School
Remember that appropriate vision testing at an early age is vital to insure your child has the visual skills he or she needs to perform well in school.
A child who is unable to see print or view a blackboard can become easily frustrated, leading to poor academic performance. Some vision problems, such as lazy eye, are best treated if they are detected and corrected as early as possible while the child’s vision system is still developing.
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