In Focus

What to Expect at Your Child’s Eye Exam: A Pediatric Ophthalmologist’s Guide


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In this episode of It's Good to See You: Eye Health, Vision Care & More, Dr. Rupa Wong, a pediatric ophthalmologist, dives into everything parents need to know about their child’s eye exam. From when to schedule that first exam to what happens during each step, Dr. Wong walks parents through the entire process, addressing common questions and concerns to make sure they’re fully prepared. Whether it’s understanding the importance of a cycloplegic refraction, why eye exams are essential beyond vision screenings, or tips for making the visit a positive experience, this episode equips parents with all they need to know to feel confident about their child’s eye care.

Key Takeaways:

  • Who Should Bring Their Kids in for an Eye Exam?

    • Recommendations from the American Association for Pediatric Ophthalmology and Strabismus (AAPOS) for vision screenings.
    • Specific risk factors that suggest a need for earlier exams, such as family history of eye conditions (e.g., amblyopia, strabismus, high refractive errors) and prematurity.
    • Importance of early detection to support healthy vision development and learning.
  • Step-by-Step Walkthrough of the Eye Exam Process

    • A breakdown of each step in a child’s eye exam, including visual acuity testing, depth perception, color vision, and alignment checks.
    • How pediatric ophthalmologists use kid-friendly tools, like picture charts and “magic” 3D glasses, to make the experience engaging and accurate.
  • Why Cycloplegic Refraction is Essential for Younger Children

    • Explanation of cycloplegic refraction and why it’s preferred over manifest refraction in young kids.
    • How cycloplegic refraction provides an accurate measure of your child’s true prescription by temporarily relaxing their focusing muscles.
    • Common parental concerns about dilation and how the temporary effects of the drops help give a comprehensive view of the eye’s structure.
  • Addressing Common Parent Concerns About Eye Exams

    • Is it safe to dilate children’s eyes? Yes, and it’s crucial for examining the retina and optic nerve to ensure no hidden issues.
    • Do young children really need glasses? For some children, yes, and Dr. Wong explains why corrective lenses may be necessary to prevent long-term vision issues like amblyopia.
  • Tips for Preparing Your Child for Their Eye Exam

    • Practical tips to make the visit smooth and stress-free, including using simple language, scheduling at a good time, and bringing a comfort item.
    • How to set the tone for a positive experience and reduce any anxiety your child may have about the eye doctor.

Resources Mentioned:

  • AAPOS Guidelines for Children’s Eye Health

    • Learn more about pediatric eye exam recommendations from the American Association for Pediatric Ophthalmology and Strabismus at aapos.org.
  • Dr. Rupa Wong’s Blog Post on Preparing for Your Child’s Eye Exam

    • For more visual and step-by-step details, check out Dr. Wong’s blog post: What to Expect for Your Child’sEye Exam in Pictures.

Connect with Dr. Rupa Wong:

  • Website: www.drrupawong.com
  • Instagram: @drrupawong
  • Podcast: It's Good to See You: Eye Health, Vision Care & More
  • Join the Conversation: If you found this episode helpful, please share it with other parents who may benefit from learning more about children’s eye health. And don’t forget to subscribe for more insights and tips on eye care for you and your family!

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    In FocusBy Dr. Rupa Wong

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