During your child’s pediatric vision screening exam, our pediatricians will shine a light on their pupil to see how it dilates and responds. From there, your child will be asked to hold a hand over one eye and read letters from a wall chart at a distance to test their acuity for 20/20 vision. Acuity tests determine your child’s visual clarity and sharpness of vision. Anything under 20/20 vision may be treated with eyeglasses or other recommended treatment options.
Although a newborn’s vision is mostly blurry, vision screening should begin early on and at the following ages:
Newborn: Pediatricians may examine a newborn’s eyes for a red reflex, blink, and pupil response to ensure proper response and movement.
6 to 12 Months: Visual inspection of the eyes to check for healthy eye alignment and movement.
12 to 36 Months: At this age, a special camera—used for a photo screening test—will take pictures of your child’s eyes to identify underlying issues, such as amblyopia (lazy eye).
3 to 5 Years: As your child’s vision develops, our pediatricians will examine the child’s vision and eye alignment for sharpness, distance, misalignment, lazy eye, refractive errors, or other focusing problems.
5 Years and Up: As your child ages, they should be examined once a year for their visual acuity and alignment to address potential nearsightedness (myopia), which can be corrected with glasses.
What are the guidelines for pediatric visual acuity?
The guidelines for pediatric visual acuity are age-dependent since a child’s vision should improve with age. At 3 years old, a child should have 20/50 vision; at 4 years old, 20/40; and at 5 years old, 20/32 or 20/30. By age 6 and older, children should have 20/20 vision.
What is the most common test of visual acuity in children?
You may be familiar with one of the most common acuity tests. They’re in every doctor’s office and even at the DMV! A standard letter acuity test is a wall chart with rows of letters in decreasingly smaller sizes.
What is the most common vision problem in children?
Myopia, or nearsightedness, is the most common vision problem in children. It means children can see up close but have problems seeing things far away. Common symptoms of myopia are squinting, blurred vision, and distorted vision.