Pediatric Eye Care

Pediatric Eye Exams

Did you know that when you go see an eye doctor we already pretty much know your prescription before we ever ask you any questions? We are able to see a reflex off of the retina that allows us to evaluate the prescription without feedback. This is what we do for children who are unable to answer accurately our questions. This is helpful for really little children, children who are nonverbal, and even to help us decipher whether children who want glasses actually need glasses.

Main 2 Reasons for Kids to Wear Glasses
  • If the glasses are going to help them to see and function better in any aspect of their life
  • If the prescription is high enough that without the glasses they run the risk of their eyes becoming lazy or not properly developing.
Amblylopia (Lazy Eye) Treatment
  • Full time glasses wear-Sometimes full time glasses wear is enough to help both eyes develop properly
  • Patching- we will often prescribe 2 hours of patching of the better eye per day to help strengthen the weaker eye
  • Eye drops- we may consider using one drop of Atropine a week to blur the near vision of the better seeing eye to force the child to use the weaker eye
  • Acupuncture- Not prescribed as often but acupuncture has shown similar effectiveness to both the eye drops and patching
Contact Lenses for Kids

Contact lenses are a great option for kids of all ages. Here are some of the things we consider when fitting kids with contact lenses:

  • We will not fit contact lenses unless the child and the adult both want them and are both ready to take on the responsiblity associated with managing them
  • Daily lenses allow less maintenance, less handling and thus have less risk for infections
  • Contact lenses are a great options for children who are very active or children who are self conscious about wearing glasses
  • We do not let anyone leave our office with contact lenses without knowing how to insert and remove the contact lenses
  • We will train on insertion and removal and things to do and not to do using contact lenses
Myopia Control

Recent studies have shown 3 effective treatment options for children with myopia (near sighted) who are progressing. There have been several studies that have shown there is a huge difference in the quality of life of a person who has a mild prescription versus someone with a moderately high prescription.

  • Very low dose (0.01%) Atropine drops used daily in both eyes. These drops are not yet commercially available so they need to be compounded at a special compounding pharmacy.
  • Ortho K- fitting contact lenses to be worn at night that flatten the cornea to allow for uncorrected vision during the day.
  • Multifocal soft contact lenses
  • Allowing children who are not yet nearsighted at least an hour a day to play outside has been shown to prolong when they require their first pair of glasses. Once the child becomes nearsighted the outdoor benefit seems to be diminish.
  • Children who do not wear their glasses or who are under corrected have been shown to have the opposite effect and have been seen to progress at a faster rate. So if you suspect that your child’s prescription has changed getting them checked right away rather than waiting for their yearly exam is best.
Vision Therapy

When vision problems are present that are not fixed with glasses or contact lenses vision therapy may be a great solution. We offer out of office training where we train you how to do the exercises and then have you complete the eye exercises at home.