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A Letter to Parents: What to Expect at your Child’s Eye Exam

If you’ve never had your child’s eyes examined or it’s been a while, EYEcenter’s own Dr. Meagan Herring wrote a letter to let you know what you can expect at your child’s next (or first) eye exam…

Dear Parent,

I know you are curious about your child’s first eye exam. Here is what will take place:

I will introduce myself as Dr. Herring, then welcome you and your child into my exam room. I’ll ask if you have any concerns regarding their eyes or vision that you’d like addressed today and we’ll chat about it for a few minutes.

I will ask about their eye and overall health history, including any medications, allergies. family medical and eye histories, so bring any old pairs of glasses they’ve worn in the past.

Then, we will discuss their developmental and educational milestones, as well as any daily habits including digital device use and amount of time spent doing near work.

I will also ask you whether they get enough water, sleep and outdoor play time, in addition to their nutritional patterns. It is my job as a primary care provider to inquire and discuss these aspects of your child’s health as they can each affect their visual system and overall eye health.

I will then begin with my assessment of their visual system by checking both near and far acuities and perform a few preliminary tests. These “games” include assessment of their eye movements, tracking patterns and natural postures, ability to focus, peripheral vision, pupillary assessment, color vision and depth perception.

I may then perform what’s called an ‘objective refraction’ behind the phoropter depending on their age. You know the piece of equipment I’m referring to – the bulky, outer space-like contraption? The phoropter will be placed in front of your child’s face to determine whether a refractive error exists.

I will do this by shining a light from a black, rod-like instrument called a retinoscope in their eyes while turning dials on the phoropter, all the while encouraging your child to sit still and stare at a large letter on a screen across the room.

Your child can sit still, right?

That’s when the fun begins. Depending on how active your child is, my time is limited or I will lose their attention and focus. I also get to decode what your child’s responses mean as I present lens options to them, while encouraging them further down the eye chart to the 20/20 line, (which, by the way, refers to what an average person sees at 20 feet as being the same size object that your child can see at 20 feet.)

By then, I will have a pretty good idea of whether or not your child may need glasses.

Up next, I will assess their binocular vision status, (how well their eyes work together), through the phoropter. Did you know that some children’s difficulties in school can be attributed to poor vision or eye teaming skills?

I will then move on to the health evaluation part of the exam and look at their eyes under a giant microscope called a slit lamp. I can tell identify any ocular allergies, blepharitis or dry eyes. I may need your help holding their head firmly in place and can even show you their eyes through the slit lamp if you are interested.

Dilation of their pupils comes next, and I will do this by gently instilling drops into their eyes. Don’t worry, I have a few tricks up my sleeve, including ‘magic drops’ and the ‘closed eye’ method. They don’t hurt but will make their eyes feel numb for a few minutes and blurry for a few hours after the exam.

Oh, and please don’t ask if this is necessary because they have soccer practice right after the exam or you will probably have to bring them back to finish their exam. Although I am a fan of the retinal photos you had taken at the beginning of the exam, they do not substitute the dilation, in your child’s case. This is because I perform a stronger dilation (aka cycloplegic dilation) necessary for me to fully assess their visual system and finalize their prescription.

You may choose to wait in the waiting area, or try on frames while your child’s eyes dilate. I will call him or her back in 15-20 minutes.

After your child’s eyes are blurry and the pupils are the size of dimes, it’s time for part 2 of the exam, where I will repeat the “better 1, or 2?” test.

I will then have the data I need to recommend or not to recommend glasses, patching or vision therapy.

Onto the final health assessment, where I will take one last look through the giant microscope at the back of their eyes with a small lens. I am not expecting to find anything, but am trained to look for congenital abnormalities, retinal holes or tears and cancerous tumors. I finalize this part with a larger lens and a science-y looking contraption on my head. Very fancy.

And that will conclude your child’s total eye check. I will go over any treatment recommendations and we will discuss any questions you have before making their personalized eye care plan.

Of course, we save the best for last as your child will receive a pair of ever-fashionable, disposable dark-out shades as you leave. And maybe a sticker 😉

Thank you for entrusting me in the care of your child’s eye health.

Sincerely,

Dr. Meagan

Reproduced with permission originally published in https://www.mindfuloptometrist.com/post/a-letter-to-parents-what-to-expect-at-your-child-s-eye-exam

Frequently Asked Questions with Dr. Herring

Q: Can you request lenses made from glass? Is glass still used for lenses?

  • A: Yes. Opticians still sometimes use glass for lenses. However, glass is not used very often because they aren’t as safe. If these glass lenses breaks, they can shatters into many pieces and can injure the eye. Glass lenses are much heavier than plastic lenses, so they can make your eyeglasses less comfortable to wear.

Q: Can a coating be added to eyeglasses to protect them from further scratches?

  • A: A protective coating can’t be added to a lens after it’s scratched. The coating is applied when the lens is manufactured and can’t be put on later.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Sacramento, California. Visit EYEcenter optometric for an eye exam and eyeglasses that match your style.

Help! My Child Doesn’t Want to Wear Glasses!

Do your kids need glasses in order to see clearly? Maybe they have a strong case of nearsightedness, perhaps they have astigmatism, or another type of refractive error. Whatever the cause, getting your kids to wear eyeglasses can be a parenting challenge.

Palmer N. Lee, O.D. treats patients from all over Citrus Heights, California with their vision correction needs. The knowledgeable, caring staff at EYEcenter Optometric can help you and your kids if they’re struggling with their glasses or don’t want to wear them.

Why Won’t My Child Wear His or Her Glasses?

To help your children get the best vision possible, you first need to understand why they’re fighting with you over their glasses. It usually stems from something physical, emotional, or social, such as:

  • Wrong fit
  • Wrong prescription
  • Personal style
  • Reactions from friends

How do you know which it is? Pay close attention to the signs, from what your kids say, to how they behave, to how they interact with others.

Physical

Improper fit is a big reason why glasses could feel uncomfortable. If they slip down, itch behind the ears, or put pressure on the bridge of the nose, it can explain why a child wouldn’t like to wear them.

If there’s been a big change to their prescription, they may need time to get used to it. If they were given the wrong prescription, they may be straining their eyes, getting headaches, or having eye fatigue. An incorrect prescription can make wearing glasses painful or awkward. It doesn’t correct their vision, either, so they’ll still see blurry images. When this happens, your eye doctor can check the prescription and make an adjustment.

Emotional

Your kids at home aren’t the same as your kids in school, on the sports field, or with their friends. They may be afraid of being made fun of in school, or they may not want the sudden attention on their appearance. These feelings can be even stronger among the tween and teen set.

Social

Even young kids can feel different when they put on a pair of glasses, especially if it’s for the first time. Feeling different or weird, in their eyes, translates to a negative experience. When wearing glasses makes them feel like the odd man out, they may not want to wear them. The last thing your child wants is to feel like a social outcast. After all, everyone wants to belong.

How We Can Help

First, bring your child in to the eye doctor for an eye exam. Our optometrist, Palmer N. Lee, O.D., will check to make sure that your child has the right prescription and that any vision problems are being corrected. Next, we’ll take a look at the glasses and place them on your child’s face to determine if they’ve got the proper fit. Our optician will take care of any adjustments that need to be made.

The Vision They Need, The Style They Want

Fashion isn’t only for adults. Your budding fashionista or trendy young stud wants to look awesome, so don’t forget about style. When your kids look great, they’ll feel great! Give them the top-quality eyewear they need without compromising on style. Your kids are a lot more likely to wear glasses when they like the way they look.

What You Can Do to Help

Encourage, stay positive, and don’t give up. Avoid telling them what you want them to wear. Let them choose for themselves. In the end, they’re the ones wearing the glasses. Making decisions is an important life skill, something they’ll need as they grow up and become more independent.

For younger children, use positive words to encourage them. Talk about how glasses are like magic, letting them see beautiful things around them. Show them how a pretty flower or a bright red truck looks with the glasses on, and how different it looks with the glasses off. For older kids, throw in a little pop culture. Tell them how trendy they’ll look by showing them pictures of celebrities who also wear glasses. You’ll also rack up some cool parent points.

At EYEcenter Optometric, we have the experience and unique approach to children’s eyewear that will make your kids want to wear their glasses. Schedule an eye exam today – you can book an appointment online right here. If you have any questions or concerns, give us a call and we’ll be glad to help.

At EYEcenter Optometric, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 916-727-6518 or book an appointment online to see one of our Citrus Heights eye doctors.

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