Author:
,Simon Geoffrey R.,Boudreau Alexy Darlyn Arauz,Baker Cynthia N.,Barden Graham Arthur,Hackell Jesse M.,Hardin Amy Peykoff,Meade Kelley E.,Moore Scot B.,Richerson Julia,Lehman Sharon S.,Granet David B.,Bradford Geoffrey E.,Rubin Steven E.,Siatkowski R. Michael,Suh Donny Won,Granet David B., , , ,
Abstract
Appropriate visual assessments help identify children who may benefit from early interventions to correct or improve vision. Examination of the eyes and visual system should begin in the nursery and continue throughout both childhood and adolescence during routine well-child visits in the medical home. Newborn infants should be examined using inspection and red reflex testing to detect structural ocular abnormalities, such as cataract, corneal opacity, and ptosis. Instrument-based screening, if available, should be first attempted between 12 months and 3 years of age and at annual well-child visits until acuity can be tested directly. Direct testing of visual acuity can often begin by 4 years of age, using age-appropriate symbols (optotypes). Children found to have an ocular abnormality or who fail a vision assessment should be referred to a pediatric ophthalmologist or an eye care specialist appropriately trained to treat pediatric patients.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology, and Child Health
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