VIEWS: 5 PAGES: 1 POSTED ON: 7/30/2010
Child and Teen Checkups Vision Screening Tips for Ages month nearsightedness
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
"Child and Teen Checkups Vision Screening Tips for Ages month nearsightedness"