Eye and Vision Tests for Children and Teens
The American Academy of Pediatrics (AAP) and the American Academy of Ophthalmology (AAO) recommend that all children have aneye exam during the newborn period and again at all routine well-child visits.footnote 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.footnote 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, and 15.footnote 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.footnote 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. (2016). Policy statement: Visual system assessment in infants, children, and young adults by pediatricians. Pediatrics, 137(1): 28–30. DOI: 10.1542/peds.2015-3596. Accessed March 6, 2017.
- 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 Working Group (2016). 2016 recommendations for preventive pediatric health care. Pediatrics, 137(1). DOI: 10.1542/peds.2015-3908. Accessed December 7, 2015.
- 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. (2013). Screening examination of premature infants for retinopathy of prematurity. Pediatrics, 131(1): 189–195. DOI: 10.1542/peds.2012.2996. Accessed April 20, 2016.
Primary Medical Reviewer John Pope, MD, MPH - Pediatrics
E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer Adam Husney, MD - Family Medicine
Current as ofDecember 3, 2017
Current as of: December 3, 2017