Children’s eyes are constantly developing, especially in the first few years of life. Good vision plays a critical role in learning, social interaction, and overall development. Sometimes, glasses or other treatments are needed to ensure healthy vision. Here’s a complete guide for parents to understand when and why children may need eye care.
Why Might a Child Need Glasses?
Children may need glasses for different reasons, including:
- Clearer vision – Helping your child see better at school, play, and in daily life.
- Correcting misaligned eyes (Strabismus) – Glasses can help straighten the eyes.
- Strengthening a weaker eye (Amblyopia or “Lazy Eye”) – Ensuring both eyes develop properly.
- Protection – If one eye has poor vision, glasses can protect the stronger eye.
When Should Children Have Their Eyes Checked?
Regular eye exams are essential because early detection leads to better outcomes. Recommended schedule:
- At birth
- At 6 months
- At 1 year and 3 years
- Yearly, if not wearing glasses
- Every 6 months, if wearing glasses
Your pediatrician can guide you on when to visit an ophthalmologist if concerns arise.
Common Refractive Errors in Children
Refractive errors occur when the shape of the eye prevents light from focusing properly. The main types are:
- Myopia (Near-sightedness): Clear near vision but blurred distance vision. Usually develops in school-age children. Prescription lenses will show a minus sign (e.g., -2.00).
- Hyperopia (Far-sightedness): Common in younger children. Often mild and self-corrected by focusing muscles, but high hyperopia (+3.00 or more) can cause blurred vision, eye strain, or crossed eyes.
- Astigmatism: Caused by uneven curvature of the eye’s surface, leading to distorted or blurred vision.
- Anisometropia: Different prescription strength in each eye, which may lead to amblyopia if untreated.
How Are Children Tested for Glasses?
Even infants can have their eyes tested. Ophthalmologists use a painless exam called retinoscopy after dilating the pupils to relax focusing muscles. This ensures accurate results and helps determine whether glasses are needed or the condition can simply be monitored.
Why Do Doctors Dilate Children’s Eyes?
Children’s eyes can easily adjust (accommodate), which sometimes hides vision problems. Dilating drops prevent this and give accurate results.
- Possible side effects: mild stinging, temporary blurred vision, or light sensitivity.
- Tips for comfort: anesthetic drops before dilation, sunglasses, or a hat to reduce glare.
At What Age Can Children Start Wearing Glasses?
Glasses can be prescribed at any age—even in infants. For example, babies with high hyperopia may need glasses as early as 2 months to prevent long-term issues like lazy eye or crossed eyes. Follow-ups are usually every 6 months to check changes in prescription.
Signs & Symptoms of Refractive Errors in Children
Parents should watch out for:
- Blurred vision (near or far)
- Frequent headaches
- Eye rubbing or blinking excessively
- Squinting or frowning while reading
- Redness, itching, or eye fatigue
ALSO SEE: Children’s Eye Exams in Dubai | Eyemastr Care
What Causes Refractive Errors?
Refractive errors often run in families. They can be caused by:
- Genetics (dominant or recessive traits passed from parents)
- Environmental factors (such as increased screen time or less outdoor play)
- Combination of both
Common Myths: Will Glasses Make My Child Dependent?
No, glasses do not weaken a child’s eyes. In fact, not wearing prescribed glasses can harm normal vision development and lead to more serious issues.
Glasses vs. Contact Lenses
Both are safe and effective. Contact lenses are often chosen by older children or teens, especially if they play sports, as they provide a wider field of vision. However, they require careful cleaning and responsibility.
Can Children Have Laser Eye Surgery?
Refractive surgery is not recommended for children. It is only considered once the eyes have fully developed and the prescription is stable—usually after the age of 18.
Regular eye check-ups are key to protecting your child’s vision. If you notice signs like squinting, rubbing eyes, or struggling to see clearly, don’t delay an eye exam. Early intervention can make all the difference in your child’s vision and overall development.
