3 Most Common Mistakes: Children’s Vision

Pitfalls to avoid with your child’s optometrist.

by Babble Editors

November 6, 2009


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What are the 3 most common mistakes parents make when visiting the optometrist?

Expert: Dr. Leanne Liddicoat, a VSP Vision Care network optometrist.

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1. Confusing those school screenings with eye exams.

"Too often, these quick screenings give parents a false sense of security. Parents think because their child's eyes have been checked in school, they don't need to see an optometrist, which isn't the case. In fact, sometimes screenings actually do more harm than good because it leaves many vision problems undetected. It's crucial that parents know the difference between eye exams and screenings. Only optometrists can see the health and development of your child's retinas and eye muscles."

"The American Optometric Association recommends that all children have a complete eye exam by an eye doctor at six months, three years and five years old. Between the ages of six and eighteen, your child should see an optometrist every two years, even if they've been screened by the school or pediatrician. Of course, if they're seeing poorly, you should schedule an exam sooner."

2. Relying on your child's opinion of their eyesight. 

"Kids that have impaired vision from birth have no idea what normal vision is like, so they don't know the difference. Also, some children either really want glasses or really don't want glasses, which may skew their opinion. That's why it's important to schedule regular eye exams, even if your child swears he can see just fine."

3. Leaving the sunglasses behind.

"Sunscreen isn't enough! Even on cloudy days, radiation can be strong, and the effects the UV rays have on the eyes over time can be devastating. And oftentimes, sun damage to the eyes cannot be fixed by an optometrist. It's never too young to put your child in sunglasses — younger ones often do better than the two- to three-year-olds. Your optometrist can help you choose a pair that's right for your child. Remember, the most important factor in sunglasses is 100% UVA and 100% UVB protection, along with a good fit and polycarbonate lenses for safety. And when you choose a pair, it's worth it to spend a little extra money on a pair that really protects your child's eyes."

As told to Andrea Zimmerman.

12 Comments

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mrb1 Nov 10, 3:31 PM

@anon:

Not surprising language considering the link you provided is from the AAO. 

An optometrist is a doctor just as much as a dentist is a doctor...neither have attended medical school and may also have not held a residency, as both are direct to practice medical specialties.  But while you would not see an oral surgeon (who has far more training) for a general cleaning or a regular filling, you would not have to see an ophthalmologist (surgeon primarily) for a routine eye exam for your child.

Optometrists are licensed by the DEA to prescribe medications just like MDs are.  They are the primary and most frequently used health care professionals for vision care.  When it serves their purposes, the AAO lists diabetes, glaucoma and macular degeneration as "certain limited eye diseases?"  All these conditions are treated primarily by doctors of optometry.

Optometrists spend four years in school post college just like MDs.  The only difference is that they do not have to attend residency as MDs do. 

Both will likely provide excellent care, but it is easier and usually less expensive to go to an OD. 



 

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anon Nov 10, 12:30 PM

And it looks as though optometrists have less training....

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anon Nov 10, 12:29 PM

As this link points out, there are big state-by-state variations on what optometrists are allowed to do by state regulators.http://www.aao.org/careers/envision/oph_opt.cfm

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mrb1 Nov 9, 10:33 AM

Great article.  What is more important that our eyesight?  Recommending that children visit a doctor of optometry is important. 

Pay no attention to comments about how optometrists are somehow inferior to ophthalmologists just because they have an MD instead of an OD after their name.  Ophthalmologists are indeed the right folks to see if and when you require surgery for any reason on your eye...they are specialized to do that.  For primary eye care, however, there is no medical professional more specifically trained than an OD. 

I have worn glasses for 25 years, since I was 13.  During those years, in all the visits to the ophthalmologist I never had a fully extensive eye exam.  It wasn't until I went to an OD that I had a fully dilated three hour exam that was incredibly thorough. 

Choose the right provider and get your kids' eyes checked. 

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sunglasses Nov 7, 2:27 PM

ffs - what?  my son wears good uva- and uvb-proof sunglasses every time we're outside.  trust me, it's not messing up his eyes. when i was 10, i sunburned my eyes.  i'll never not wear sunglasses again, and my son's eyes will be protected, too.

http://www.drgreene.com/21_602.html

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ffs Nov 7, 1:49 AM

"It's never too young to put your child in sunglasses — younger ones often do better than the two- to three-year-olds."

Seriously??? You don't think having your kid wear sunglasses on a regular basis will mess up their eyes?

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Cassandra Shannon Nov 7, 12:42 AM

Mostly they are looking for vision that needs to be corrected.  The ophthalmologist can tell by the shape of the eye.  My daughter was prescribed glasses at 2 1/2, well before she could verbalize her problems. 

Much more importantly and more rarely they can detect cancer.  Retinoblastoma is a cancer of the retina that only occurs in children, most often diagnosed under the age of one and if caught early has over a 95% cure rate.  However it can occur up to the age of 7.  My sons was diagnosed at the age of 3 3/4.  By that time the tumor was so large that the retina was completely detached. His eye had to be removed.  Had we known to get eye exams as an infant it may have been found earlier and his eye and vision could have been saved. 

This is generally a very easy cancer to diagnose.  If you have any concerns about anything strange with your child's eyes get them to the ophthalmologist asap.  Here is a website that every parent of an infant or toddler should see.  http://www.daisyseyecancerfund.org/

Thank you so much for this article to bring attention to a much overlooked problem.

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LazyEyedMother Nov 6, 7:58 PM

I have lazy eye (amblyopia) which is not correctable as an adult, and was detected "too late" when I was about 5 years old.  So I took my 3 year old son to an eye doctor to have him tested.  The insurance company and doctor's office all seemed surprised that I wanted to take my son to be evaluated, and if it weren't for my own experience I probably would have backed down.  At age 3, his vision was deemed "normal" but at age 6 he "luckily" got whacked in the corner of his eye by a marshmallow stick and so we took him in again to make sure there was no serious damage.  And that's when they discovered that he too has amblyopia!  He had significant improvement in his vision after wearing a patch on the good eye for a month or two.  It surprises me that there is not more push from pediatricians or others to get our young children in for eye checks.  So I'm really glad to see this article!  Thank you!

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catmom Nov 6, 7:32 PM

The comments above are very helpful, thank you. I wish I'd known about that government program earlier. I'd also be interested in finding out why these ages are the ones recommended for checkups (and do pediatricians/AAP and pediatric opthalmologists recommend the same ones as optometrists? Because my ped has never mentioned it, compared to well-child dental visits, which she did mention) Can you put a name to the diseases or problems they are looking for, and why at those ages?

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tipytop Nov 6, 3:28 PM

I concure, kate tuttle.

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marylandmom Nov 6, 2:42 PM

People should also know about the free public health program, Infant See (www.infantsee.org), subsidized by the US Government in which ALL babies under 12 months of age can go to a participating pediatric optometrist for a complete eye exam. 

I've taken all of my children and had great experiences.  They use very baby-friendly tactics for making sure the baby's vision is good.  You pay absolutely nothing.  You can find a list of participating providers on their site as well.

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kate tuttle Nov 6, 1:46 PM

The first mistake would be if you thought an optometrist were the medical professional you should be seeing to examine and oversee your child's eye health. Many optometrists are really great, and they are often the best choice for getting glasses fitted, but none of them have what your child's pediatrician or a pediatric ophthalmologist do: an MD.

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