Experts recommend screening to detect amblyopia, strabismus, and
other vision problems in children younger than age 5 years.1 Children who do not have signs of vision problems and who
have no family history of childhood eye problems may have their eyes tested
during a routine doctor visit. Children from families with a history of
childhood eye problems need to have their vision tested by an eye care
specialist (an ophthalmologist or an optometrist).
Infants and children younger than age 3 usually don't have
significant vision problems that involve
refractive errors. Even so, the American Academy of
Pediatrics and the American Academy of Ophthalmologists recommend that all
children be tested for eye problems during the newborn period and again at all
routine well child visits.2 This recommendation has
been affirmed by the Canadian Paediatric Society.3
Infants with symptoms of eye disease, such as redness or swelling,
should be examined by a specialist as soon as possible.
Eye examinations by a specialist are also recommended before age 3
if:
- The family has a history of childhood eye
problems, especially genetic eye diseases.
- The child was born
prematurely.
- Signs of misaligned eyes (strabismus), lazy eye
(amblyopia), or nearsightedness (myopia) are present.
- The child's
eye is red, swollen, or cloudy.