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Children’s Eye Tests: What They Can and Cannot Tell You

Optometrist Calls for More Focus on Vision in Children’s Eye Tests

Published: | Last updated: | Publisher: Smart Vision Optometry

At a glance

A vision screening helps identify possible eye problems; a full examination investigates concerns in more detail. Eye care and assessment of reading difficulties have different roles, and a clear result on an eye chart does not explain every learning concern.

Screening and an eye examination have different roles

Screening is an early check for possible problems. AAPOS explains vision screening and recommends a more detailed examination when screening identifies a concern about vision, eye alignment or appearance. Ask what a screening covered and what follow-up was recommended.

An eye examination can investigate a need for glasses and other eye concerns. The National Eye Institute’s guide to refractive errors explains how focusing errors are diagnosed and corrected. Our children’s optometry service provides a starting point for discussing your child’s symptoms and assessment needs.

Reading difficulties deserve their own assessment

Dyslexia is a language-based learning difficulty. RANZCO’s position on learning difficulties in children supports appropriate educational assessment and evidence-based literacy intervention. Treating a diagnosed eye problem does not establish that dyslexia has been treated.

For related background, read our article on children’s visual skills assessments and their limitations. Tell the clinician about both visual discomfort and school concerns, so each can be addressed through the appropriate pathway.

Questions to bring to an appointment

Ask which findings explain your child’s symptoms, which tests were performed, whether further referral is needed, and how any proposed treatment will be reviewed. Bring previous prescriptions, screening results and relevant school observations. Request a clear explanation of expected benefits, limitations and alternatives.

Frequently asked questions

Is a school vision screening the same as a full eye examination?

No. Screening identifies possible problems and whether further assessment is needed. Ask an eye care professional about a full examination when there are concerns.

Can an eye test diagnose dyslexia?

An eye examination assesses vision and eye health. Dyslexia requires an appropriate learning assessment; it should not be inferred from an eye test result.

What should I bring to my child’s eye appointment?

Bring previous prescriptions or screening results, relevant school observations and a description of when symptoms occur. Ask what the findings mean and what follow-up is recommended.

To discuss an eye assessment, book an appointment or call Bondi (02) 9365 5047 or Mosman (02) 9969 1600.

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