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Child and Teen Checkups Vision Screening Tips for Ages month nearsightedness

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Child and Teen Checkups Vision Screening Tips for Ages month nearsightedness

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									 Minnesota Department of
  Health (MDH) Child and                      Screening Tools Needed:
                                                 •      HOTV/Lea/Snellen/Sloan chart
   Teen Checkups Vision                          •      Occluder, pen light, small toy
 Screening Tips For Ages 1                       •      Ophthalmascope
                                                 •      Stereopsis (optional)
    mo through 20 yrs
                                              Screening Tips for charts:
                                                 •     Check for 2-line difference,
                                                 show whole line at a time, DON’T
                                                 ISOLATE LETTERS (could miss
                                                 amblyopia), no peeking.
Overview:
                                              AGE SPECIFIC RECOMMENDATIONS
Detection of eye abnormalities is
extremely important in infants and            Birth to 2 Months:
children (under age 6) as irreversible           •     Red Reflex and External
vision loss (amblyopia) can be prevented         Inspection
before the visual pathways are fully             •     Eye History/behavior (subjective
                                               screen)
developed. Myopia (nearsightedness) may
not be identified until age 11 and is
important to screen for in older children.     2 Months:
                                                 •      Same as at 0-1 months plus:
Impact of vision problems:                       •      Corneal light reflection with
Children with impaired vision have:              penlight or ophthalmoscope light
greater difficulty learning (80% of           4 months to Age 3 Years
learning depends on good vision), trouble        •     Same as at 2 months visit plus:
participating in recreational activities, a      •     Cover-uncover w/occluder & toy
future with limited employment options,          •     Fix and follow w/each eye (if
and difficulty with psychosocial                 crossed eye is fixed-refer to Eye
development.                                     professional).

                                              Age 3 years through 8 Years
Common Vision Problems:                          •     Visual acuity (monocular)
   •     Amblyopia (2-4%)                        •     Inspection, history update
   •     Strabismus (~4%)                        •     Corneal light reflex & Cover-
   •     Refractive Errors                       uncover while fixating on a toy*.
   (Nearsightedness (~20%), farsightedness       •     Stereopsis (optional)*
   and astigmatism,                           Age 9 Years to 20 years
                                                    • Visual acuity charts *if never had
                                                http://www.health.state.mn.us/divs/fh/mch/
                                                h lth-vis/index.html 651-281-9949

                                                                                             8/09

								
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