“Because a child’s vision may change frequently, regular eye and vision care is crucial to a student’s classroom success,” said Dr. Michael Earley, optometrist and the AOA’s vision & learning specialist. “Unfortunately, most parents are not including eye exams as part of their child’s back-to-school health check-up.”
According to the recent Eye-Q® survey, 58 percent of parents did not take their child for an eye exam until age three or older. The AOA recommends that children have their first eye assessment at six months of age, then comprehensive eye exams beginning at age three, before a child enters school, and then every two years, unless otherwise advised by an optometrist. In between visits to the eye doctor, parents, as well as teachers, should keep a watchful eye out for some of the more prevalent signs that a child’s vision may be impaired.
The AOA recommends that parents contact their doctor of optometry if their child frequently:
1.Loses place while reading
2.Avoids close work
3.Tends to rub eyes
4.Has headaches
5.Turns or tilts head
6.Makes frequent reversals when reading or writing
7.Uses finger to maintain place when reading
8.Omits or confuses small words when reading
9.Consistently performs below potential
10.Struggles to complete homework
11.Squints while reading or watching television
12.Has behavioral problems
13.Holds reading material closer than normal
Many parents are not as aware of the less obvious warning signs of eye and vision problems. The Eye-Q® survey found that only one-third of parents identified using a finger while reading (31 percent) or behavioral problems (35 percent) as potential signs of a vision impairment.“It is especially important to monitor the signs and symptoms of vision problems as a student progresses in school,” said Dr. Earley. “If a child’s vision is impaired, increasing visual demands such as smaller print in textbooks or additional homework can significantly alter a student’s performance. And, new technology changes in the classroom, such as the use of interactive whiteboards, can also potentially exacerbate less obvious vision problems. Without healthy vision, students may suffer not only in the classroom, but also mentally, physically and emotionally.” Studies indicate that 60 percent of children identified as “problem learners” actually suffer from undetected vision problems and in some cases have been inaccurately diagnosed with attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD).
The earlier a vision problem is detected and treated, the more likely treatment will be successful. Comprehensive eye exams play a critical role in this process. It is important to keep in mind, a school vision screening, while helpful, is not a substitute for a comprehensive eye examination. Screenings vary in scope and are not designed to detect many visual problems that can significantly impact tasks like reading where more than clarity of vision is needed. Comprehensive eye exams performed by optometrists are essential for clear, comfortable and healthy vision. States including Kentucky, Missouri and Illinois have successfully established programs requiring mandatory eye exams for school-age children.
