Frequently Asked Questions
Vision Screening vs. Vision Examination
Question 1. When is a newborn or any other child considered high risk for potential vision problems?
Those with a family history of retinoblastoma, glaucoma, or cataracts in childhood, retinal dystrophy/degeneration, or systemic diseases associated with eye problems.
When any opacity of the ocular media is seen.
If nystagmus is seen.
Infants and children with neuro-developmental delay.
Other children who should have an eye examination by an eye professional are those with a family history of strabismus, amblyopia and/or sensorineural hearing loss or a family member needing glasses before age 6 years.
Visual Acuity Screening
Question 2. When charts have the bottom lines split into two columns, which column do you use for which eye?
Question 3. If you are screening a child who does not speak English, regardless of age, can you use the LEA SYMBOLS ® or HOTV charts?
Other Visual Screening Instruments
Question 4. Are there any special hints to help with screening kindergarten children for color vision problems?
Question 5. Our program would like to order vision screening equipment, what is recommended and for what ages?
Age Appropriate Screening
Infant’s age 6 to 12 months: Can have a high incidence of hyperopia and astigmatism that usually resolves without treatment. However, any concerns by parents and caregivers should warrant a referral.
Children ages 4 months to 3 years: It is important to screen for problems such as strabismus (crossed eyes) in very young children. Forty percent of children with strabismus are at high risk for developing amblyopia.
For children ages 8 and older: During the school-age years, it is important to screen for myopia, as 20 % of these children are so nearsighted that they will require corrective glasses. Generally, school-age students do not report visual problems, as they may have grown accustomed to blurred vision.