Eye and Vision Tests for Children and Teens
The American Academy of Pediatrics (AAP) and the American Academy of Ophthalmologists (AAO) recommend that all children have an eye exam during the newborn period and again at all routine well-child visits.1
The U.S. Preventive Services Task Force (USPSTF) recommends screening (tests) to detect lazy eye (amblyopia), misaligned eyes (strabismus), and defects in visual acuity in children between the ages of 3 and 5 years.2
The AAP recommends that vision screening start around age 3 and occur each year at ages 4, 5, and 6. After that, screening should occur at ages 8, 10, 12, 15, and 18.3
The AAO recommends that vision screening start around age 3 and occur each year at ages 4 and 5. After age 5, the AAO recommends screening every 1 to 2 years.4
- A family history of eye problems, especially genetic eye diseases.
- Signs of misaligned eyes, lazy eye, or nearsightedness.
- A red, swollen, or cloudy eye.
Children who have refractive errors or have a disease that affects the eyes
Children and teens with a disease that affects the eyes can follow the eye exam and vision testing schedule for all children. It's best that they see an eye doctor (specialist) for their eye care.
At least once a year, most eye doctors want to check the vision of children and teens that have refractive errors that impact their sight. If nearsightedness is severe or quickly gets worse in a child, he or she will need exams more often.
- American Academy of Pediatrics, et al. (2003, reaffirmed 2007). Policy statement: Eye examination in infants, children, and young adults by pediatricians. Pediatrics, 111(4): 902–907.
- U.S. Preventive Services Task Force (2011). Vision screening for children 1 to 5 years of age: U.S. Preventive Services Task Force recommendation statement. Rockville, MD: Agency for Healthcare Research and Quality. Available online: http://www.pediatrics.org/cgi/doi/10.1542/peds.2010-3177.
- Committee on Practice and Ambulatory Medicine, Bright Futures Periodicity Schedule Workgroup (2014). 2014 recommendations for pediatric preventive health care. Pediatrics, published online February 24, 2014. DOI: 10.1542/peds.2013–4096. Accessed March 7, 2014.
- American Academy of Ophthalmology Pediatric Ophthalmology/Strabismus Panel (2012). Pediatric eye evaluations. (Preferred Practice Pattern). San Francisco: American Academy of Ophthalmology. Also available online: http://one.aao.org/CE/PracticeGuidelines/PPP_Content.aspx?cid=2e30f625-1b04-45b9-9b7c-c06770d02fe5.
Other Works Consulted
- American Academy of Pediatrics Section on Ophthalmology, et al. (2006). Screening examination of premature infants for retinopathy of prematurity. Pediatrics, 117(2): 572–576. [Errata in Pediatrics, 117(4): 1468 and Pediatrics, 118(3): 1324.]
Primary Medical Reviewer John Pope, MD - Pediatrics
Specialist Medical Reviewer Christopher J. Rudnisky, MD, MPH, FRCSC - Ophthalmology
Current as ofSeptember 9, 2014
Current as of: September 9, 2014
Author: Healthwise Staff
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