Shreeji Eye Institute & Research Centre, Palak’s Glaucoma Care Centre

Children’s Eye Test: Signs Parents Often Miss

Children eye test signs are often missed by parents, leading to delayed diagnosis of vision problems. It is standard practice for parents to monitor height and weight, but there are other dimensions to children’s health that can be easily overlooked, like vision.

Children Eye Test Signs Parents Often Miss

Most children don’t tell their parents about their vision problems or the little things they notice about their visual world. Instead, parents should look out for behavioral habits and changes, including:

  • Sitting very close to the TV or screen: A child who has to sit inches from the screen due to myopia prefers to sit close to the screen due to nearsightedness.
  • Frequent eye rubbing: Rubbing eyes and fatigue are signals, and they should take their children for their first eye exam.
  • Squinting or tilting the head: A child who squints or tilts their head to read is trying to see the letters more clearly, as the letters are probably blurry or not.
  • Covering one eye: Covering one eye may indicate lazy eye or uneven vision.
  • Complaints of headaches after reading: There are many complaints of headaches due to the reading assigned in school and the eye strain that comes from refractive error.
  • Watery or red eyes: Persistent redness or watery eyes may indicate dryness, infection, or conditions like glaucoma.

Common Children Eye Test Signs and Hidden Eye Problems

Most problems related to the eyes don’t happen immediately and often cause no noticeable discomfort. So parents should be very careful with that.

  • Amblyopia (Lazy Eye)

About 3% of kids deal with Amblyopia. As the brain develops, it begins to focus on one eye. The weaker eye can become permanently impaired if not treated before age 7. An eye test can be the only reliable way of discovering this condition.

  • Strabismus (Crossed Eyes)

Strabismus happens when the eyes are misaligned. Parents often overlook this as a simple eye turn or a simple aesthetic. Misaligned eyes, untreated, can cause further issues, such as amblyopia. Early eye tests can detect misalignment before it leads to further complications.

  • Pediatric Glaucoma

Pediatric glaucoma is a serious but rare condition where the pressure of the eye damages the optic nerve. Glaucoma eye drops may be prescribed to help, and parents should never overlook sensitivity to light, excessive tearing, or a cloudy cornea. These are the classic signs seen in early eye test evaluations. Consistent use of prescribed eye drops is essential to prevent optic nerve damage.

  • Children can also experience dry eyes.

The increasing use of screens, as well as increased use of digital devices like classroom air conditioning, can cause dry eyes as children blink infrequently and they lose moisture in their eye’s tear film. Dry eye treatment for children is becoming more common due to pollution and dust in urban settings. If a child is released and begins to blink more and sees the world as gritty and full of eye clutter, that child needs an eye doctor. An eye doctor will be able to fully simulate a dry eye and recommend changes like lubricating drops, changes in diet, or changes in the everyday environment.

When to Check Children Eye Test Signs with an Eye Doctor?

The first eye exam for an infant is with the Indian Institute of Child Health. A  newborn should first be evaluated by  an eye doctor within the first 6 months of life and again by 3 years of age. For first-time enrollees, the child should formally be evaluated by the beginning of the school year, and if enrollees have goals or hit milestones, more evaluations are warranted.

For children with preexisting conditions that have already been managed, like the use of glaucoma eye drops or dry eye treatment, evaluations should be frequent, and these will assist the doctors in monitoring and managing the child based on their individual growth and development.

Conclusion

The development of a child is heavily influenced by their eyesight. Today’s skipped eye test could lead to years of undue hardship for a child. The earliest eye tests lead to the best outcomes for all conditions, whether the concern lies in refractive error, amblyopia, paediatric glaucoma, or dry eye.

There’s no need to wait for your child to feel discomfort to schedule the next eye test. An eye test will help to address any concerns regarding their vision.