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Healthy eyes and good vision are essential for your child’s growth and development. In fact, learning is 80% visual, which means a child’s success in school, athletics and many other aspects of life can be impacted by poor vision. Good vision goes beyond how far you can see, and also includes a number of other skills such as visual processing and eye movement abilities. 

Often times vision deficiencies are at the root of learning problems and behavioral issues and may unfortunately go unchecked and misdiagnosed. Remember, if your child is having trouble in school, an eye exam and a pair of prescription glasses is a much easier solution than treating a learning disorder or ADHD; yet many people fail to check that first. 

It is common for children to think that their vision deficiency is normal and therefore they often won’t report it to parents or teachers. That is why it is even more important to know what to look for. Here are some signs that your child may have a vision problem:

Vision Signs

  • Squinting or blinking often
  • Eye rubbing
  • Tilting the head to the side
  • Covering one eye
  • One eye that turns out or in
  • Reporting double vision
  • Holding books or reading materials very close to the face

 

Behavioral Signs

  • Complaining of headaches or eye fatigue
  • Short attention span
  • Difficulty reading
  • Losing their place frequently when reading
  • Avoiding reading or any activity that requires close work
  • Problems with reading comprehension or recall
  • Behavioral issues that stem from frustration and/or boredom
  • Poor performance and achievement in school or athletics
  • Working twice as hard to achieve minimal performance in school

Another issue is that many parents and teachers think that a school vision screening is sufficient to assess a child’s vision, so if that test comes back okay, they believe there is no vision problem. This however, is far from the case. A school vision test usually only assesses visual acuity for distance vision or how far a child can see. Even a child with 20/20 vision can have significant vision problems that prevent them from seeing, reading and processing visual information. 

Every child of school age should have comprehensive eye and vision exams on a regular, yearly basis to assess their eye and vision health, and ensure that any issues are addressed as soon as possible. It’s also important to have an exam prior to entering kindergarten, as undetected lazy eye may be more complicated to treat past seven years of age. 

Some of the issues the eye doctor may look for, in addition to good visual acuity, are the ability to focus, eye teaming and tracking, visual perception, hand-eye coordination, depth perception and peripheral vision. They will also assess the health of the eye and look for any underlying conditions that may be impairing vision. Depending on the problem the eye doctor may prescribe eyeglasses, contact lenses or vision therapy to correct the issue. 

During the school years a child’s eyes and vision continue to develop and change so it is important to continually check in on your child’s vision. If you have a family history of vision problems, follow-ups are even more important. Progressive conditions like progressive myopia, strabismus (crossed eyes), amblyopia (lazy eye) or astigmatism can be treated and monitored for changes with early treatment so it’s important to seek a doctor’s diagnosis as soon as signs or symptoms are present. 

Make sure that your child has the best possible chances for success in school and add a comprehensive eye exam to your back to school to-do list. 

An online eye test may seem like a convenient way to check your vision or get an eyeglass prescription but beware, these tests aren’t all they are chocked up to be. In fact, they may even be dangerous. 

What is an online eye test really testing? 

An online eye test is actually not an eye test at all but just a vision or sight test – and a partial test at that.  It is designed to measure your visual acuity and refractive error (nearsightedness, farsightedness or astigmatism) and to determine an eyeglass prescription – which is the lens power needed to correct the refractive error in your vision. 

Given that there is no one with medical training actually performing or checking the accuracy of the test, it is questionable how well the exam does even this. In fact, when an eye doctor does a refraction for glasses or contact lenses it also involves some judgement on the doctor’s part.  The eye doctor will often adjust the prescription slightly based on the patient’s age, occupation or hobbies.  The doctor may prescribe a prism in the lenses to help with binocularity and to prevent double vision in those who have deviations of the eye. There is no way an online exam can do any of this. 

Further, a refraction is only one very small part of an eye exam and if it takes the place of a regular comprehensive eye exam by an eye doctor, you put your eyes and vision at serious risk. 

A Comprehensive Eye Exam – Where Online Tests Fail

Even if the eyes see clearly and you have 20/20 vision, there may still be vision problems or eye disease present even without pain, blurred vision or other symptoms.  What the online eye test fails to measure is your complete visual health and capacity (beyond just visual acuity), the curvature of the eye (which is needed for accurate lens prescriptions- especially for contact lenses) and an assessment of the health of the eye itself. 

Just as we need regular medical and dental checkups as a part of preventative health care to prevent disease and maintain our health, we also need regular eye exams. A vision test  does not suffice. A comprehensive eye exam will examine much more than just how well you see. It will also check for visual processing, color vision, depth perception and proper eye movement.  It will measure your eye pressure, examine the back of your eye and look for early signs of eye disease or conditions such as glaucoma, macular degeneration, diabetes, tumors and high blood pressure – many of which threaten your eyes and vision if not caught early. 

If you do have some vision loss, the doctor will be able to determine if there is any serious underlying problem that is causing the disturbance in your vision. If you don’t have symptoms that doesn’t mean there isn’t a problem. Many serious eye conditions develop gradually without any symptoms. Some eye diseases do not affect the macula, and therefore you may still have good vision even though there is a problem (such as glaucoma, early dry macular degeneration, early cataract, diabetes, blood pressure and even tumors). Many of these conditions threaten the eyes and even general health if not caught early and when undetected they can cause permanent and irreversible damage to your vision 

Eye exams are the best way to detect these early and treat them before they develop into serious eye problems. 

Whether online vision tests are inaccurate, misleading or simply insufficient, they can fail to provide essential information and can delay or prevent vision saving treatments. Additionally, you could be walking around with the wrong vision prescription which can cause unnecessary eye strain, headaches and difficulty.  

Will an Online Eye Test Really Save you Money?

No. Besides the fact that most eye exams are covered by insurance, the eye exam you are getting from an eye doctor is much more thorough and comprehensive than an online eye test, so you are not comparing apples to apples.  The eye doctor’s exam uses real equipment and performs a complete and professional evaluation of your vision and eye health. There is simply no comparing this to a self administered test on a computer screen. 

An online eye test may be touted as a time and money saving convenience however, that is hardly the case. An eye exam is a medical procedure that requires training, precision, and proper equipment.  Anything less can put your eyes and vision at serious risk. 

 

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