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How a Pediatric Eye Exam Differs from an Adult’s: What Parents Need to Know 

Posted by: Northwest Eye in News on August 19, 2024

How a Pediatric Eye Exam Differs from an Adult’s: What Parents Need to Know 

At Northwest Eye, we understand that children’s eye care requires a specialized approach, which is why our Pediatric Ophthalmology team is dedicated to providing the best care for your little ones. While both adult and pediatric eye exams aim to ensure healthy vision, the methods and tools used can vary significantly. To honor Children’s Eye Health Month in August, let’s explore how these exams differ and why it’s important to tailor them to the needs of children.  

The Developmental Journey of a Child’s Vision 

A newborn’s vision is different from that of an adult. After birth, vision is mostly blurry, but the visual system begins to develop rapidly. By the time they reach their teenage years, their visual system is typically fully formed. Throughout this developmental journey, regular eye exams are vital to monitor progress and address any issues that may arise.  

Key Differences Between Pediatric and Adult Eye Exams 

  1. Screenings vs. Comprehensive Exams:  

In pediatric care, vision screenings are often the first step in assessing a child’s eye health. These screenings conducted by pediatricians, or a family physician, are quick assessments to identify any possible vision problems. From there, the child is referred to a pediatric ophthalmologist for a comprehensive eye exam.  

In contrast, adult eye exams are typically always comprehensive focusing on diagnosing and managing any eye concerns or diseases that may have developed.  

  1. Tools and Techniques:  

Pediatric eye exams require specialized tools and techniques that differ from those used in adult exams. One key area is in visual acuity testing – the clarity or sharpness of vision. While adults are asked to read letters of decreasing size on an eye chart, young children, especially those who are not familiar with letters, need alternatives. At Northwest Eye, we use images, shapes, or interactive tools to test their vision.  

  1. Developmental Focus:  

Pediatric eye exams are more focused on developmental milestones to make sure their eyes are growing correctly. Below is a timeline of pediatric eye development and what to expect during each exam:  

  • Newborn: A basic eye health check for blink and pupil response, and “red reflex” testing. Red reflex is the normal reddish color visible when light that is shined into your pupil reflects off the inside surface of the eye. It is commonly visible in flash photography. 
  • 6 to 12 Months: A follow-up screening during a well-child exam to check alignment and eye movement. 
  • 12 to 36 Months: Photo screening and additional checks for healthy eye development. 
  • 3 to 5 Years: Visual acuity testing and alignment checks, with a focus on identifying conditions like strabismus or amblyopia. 
  • 5 Years and Older: Annual screenings to monitor for nearsightedness (myopia) and other potential issues. 
  1. Communication and Engagement 

One of the most significant differences in pediatric eye exams is how ophthalmologists engage with young patients. Children are not always able to articulate what they are experiencing. Therefore, our pediatric ophthalmologists at Northwest Eye – Dr. Richard Freeman, Dr. Alejandra Decanini, Dr. Tanya Glaser, and Dr. Catherine Origlieri – use child-friendly communication and interactive techniques to make the experience less intimidating. This might include using toys, games, or special charts. Their focus is to make the visit informative and helpful for both the child and the family.  

Why Choose Northwest Eye for Your Child’s Eye Care?  

At Northwest Eye, our pediatric ophthalmologists are experts in the unique need of children’s eye care. We understand the importance of early detection and treatment in safeguarding your child’s vision. By following recommended screenings and seeking a comprehensive exam, when necessary, you can help ensure your child’s vision develops healthily, setting them up for success.  

If you have concerns about your child’s vision or if they are due for an appointment, contact us today to schedule with one of our specialists at (763) 416-7600 or request an appointment online.  


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Serving Our Community

With six locations throughout the Twin Cities metro area, Northwest Eye is among the largest eye care providers in the Midwest. Be Eye Wise and schedule a general eye exam or a specific service consultation today. We have optical  at the following offices:  Golden Valley, Minnetonka, Maple Grove, St. Anthony, and Wayzata, MN.

8501 Golden Valley Rd.,
Suite 100 & 200
Golden Valley, MN 55427
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12501 Whitewater Drive, Suite 110
Minnetonka, MN 55343
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12000 Elm Creek Blvd N., Suite 100
Maple Grove, MN 55369
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6060 Clearwater Dr., Suite 150
Minnetonka, MN 55343

Please note:
***This office will be moving to our new Crosstown location on January 1.**
New Location:
12501 Whitewater Drive, Suite 110
Minnetonka, MN 55343
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2601 39th Ave NE., Suite 1
St. Anthony, MN 55421
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250 Central Ave N., Suites 105 & 107, Optical Suite 106
Wayzata, MN 55391
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7125 Tamarack Rd, Suite 150,
Woodbury, MN 55125
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11091 Ulysses St NE., Suite 400
Blaine, MN 55434
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9801 Dupont Ave S., Suite 100
Bloomington, MN 55431
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10709 Wayzata Blvd., Suites 100 & 120
Minnetonka, MN 55305
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