What to Expect at a Child’s Ophthalmology Visit
You don’t need a referral from your child’s pediatrician to visit with an ophthalmologist – parents can reach out directly to schedule an appointment. At our office, we have advanced equipment that allows us to look inside the child’s eye without causing any pain or discomfort. Our providers are experienced in working with young patients, and we enjoy helping them feel comfortable during their visit.
Some kids may feel shy or try to give the “right” answers during an eye exam. Before the visit, we encourage parents to talk with their child and explain that there are no “wrong” answers, and they won’t get in trouble if they can’t see each item correctly. Their answers will guide us to the best options to help improve their vision.
UT Southwestern ophthalmologists are experienced in working with young patients and helping them feel comfortable during their visit.
First, we will check your child’s vision one eye at a time using charts that list letters, pictures, or shapes. In young and nonverbal children, we may watch them track an object with their eyes to see whether the eyes work together as expected.
We will also dilate the child’s eyes, which is when we temporarily make their pupils bigger with special drops and shine lights (retinoscope and ophthalmoscope) into the eyes to examine inside the eye. Without the drops, the pupils close instinctively and block our view. The drops don’t hurt but putting them in might feel a little awkward. After the exam, your child’s eyes will be light-sensitive for a few hours – we’ll send them home in a fun pair of sunglasses to protect their eyes.
For most conditions, these exams are enough to make a diagnosis. If we suspect something more serious, such as pediatric cataracts, uveitis, or an ocular tumor, we can perform specific tests to pinpoint a diagnosis.
If your child is nearsighted, we will tell you how much of their vision is compromised:
- “Perfect” vision is measured as 20/20, meaning your child can clearly identify an object 20 feet away.
- If they are 20/30, for example, they can identify an object starting at 20 feet away that the average person could see from 30 feet.
- The larger the second number, the tougher it is for your child to see without being up close.
Children who are farsighted (hyperopic) can see distant objects better than near ones. Many kids who are farsighted need glasses at a younger age but typically either grow out the need completely or can use a reduced prescription as they get older.
Tips to Choose and Start Wearing Glasses
We tell parents of young, first-time glasses wearers to expect the first few pairs to last 3-6 months. While there are some glasses made specifically to be tougher, my advice is to choose inexpensive frames because there’s a good chance they could get broken or lost. There are a lot of fun and fashionable designs, even at lower prices.Kids love to make their own choices, so many parents let their kids choose the style or color. Some parents who don’t wear glasses themselves may pick up a set of non-prescription glasses to wear at home – it can help the child feel more included and in control of the change.
Wearing glasses can be a big adjustment. Many parents start by connecting wearing glasses with rewards and favorite activities. Depending on your child’s age and motivation, you might try one of these strategies:
- If they wear their glasses for two hours, they get a sticker on a chart.
- They can watch a movie or get screen time if they keep their glasses on during the activity.
- For every day they remember to wear their glasses to school, they get a nickel, dime, or quarter in a jar and they can spend their earnings at the end of the month.
It will take time for your child to adjust to wearing glasses consistently, so be patient and help make each wearing session a positive experience.