What is it?
The visual system continues to develop during childhood. An unnoticed refractive error, strabismus or a prescription difference between the eyes can lead to lazy eye (amblyopia), in which vision in one eye does not develop fully because it is underused.
The examination includes age-appropriate vision tests, eye movements and assessment of misalignment. Drops relax the focusing muscles so the need for glasses can be measured objectively, and the retina is examined.
Depending on the findings, glasses, patching, eye exercises or strabismus surgery may be discussed. The response depends on the child's age and adherence to treatment; the plan is made with the family based on the examination.
Who is it assessed for?
- Children whose eye is noticed turning in or out
- Children who sit very close to the TV or squint to see
- Children with a family history of glasses, strabismus or lazy eye
- Preschool children who have never had an eye examination
- Children who tilt their head to look at things
Step by step
- 1
Talking with the family
Observed signs, pregnancy and birth history and family history are discussed.
- 2
Age-appropriate tests
Vision and eye movements are assessed with play-supported tests.
- 3
Dilated examination
Focusing muscles are relaxed to measure the prescription and examine the retina.
- 4
Treatment plan
Glasses, patching or other options are discussed with the family.
- 5
Follow-up
Visual development is tracked with regular check-ups.
Questions
Can my child be examined before they can talk?
Yes. For babies and young children, tests using lights and pictures that do not require reading letters are used.
What should we watch for after dilating drops?
The drops keep the pupils large for a few hours and may cause light sensitivity. A hat or sunglasses can help on sunny days.
How long does patching last?
It depends on the degree of lazy eye and the child's response. Vision is measured at check-ups and the plan is updated.
This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.