Newborn infants are able to see, but as they use their eyes during the first months of life, vision improves. During early childhood years, the visual system changes quickly and vision continues to develop. If a child cannot use his or her eyes normally, vision does not develop properly and may even decrease.
By 9 years of age, the visual system is usually fully developed and usually cannot be changed. For this reason, it is important to see someone who specializes in pediatric ophthalmology. Through a thorough eye exam, we can detect reduced visual acuity, misalignment of the eyes, medical disorders such as amblyopia, strabismus, glaucoma, cataracts and blocked tear ducts to name a few. When an early diagnosis can be made, the child has a much better chance of achieving a better visual outcome.
SThe first recommended eye exam for your child is between the
ages of 3-5 years. However, a complete eye exam can be performed on
even a newborn child. Visual acuity can be assessed as young as
three months of age by fixation patterns. Often visual acuity can
be assessed as young as two years of age.
Prescriptions for glasses can also be measured in even the youngest
and most uncooperative child by using a special instrument called a
retinoscope, which analyzes light reflected through the pupil from
the back of the eye.
If you have any suspicion that your child is having visual
problems, he/she should be seen right away.
Our pediatric team includes trained pediatric medical
assistants, a certified orthoptist and a pediatric
ophthalmologist.
Our orthoptist is Zainib Dinani and was trained at the famous Eye
Institute at Moorfield Hospital in London, England. She has
received four years of formal education and does have the training
to see patients and provide therapy on her own. An orthoptist is
trained to measure visual acuity, muscle alignment and provide
therapy for weak muscles and reading disorders.
Our pediatric ophthalmologist is Sergul Erzurum, MD, FACS and she
received her ophthalmology training at Northwestern University in
Chicago and her pediatric ophthalmology training at Children’s
Memorial Hospital in Chicago. She has been in practice since 1993
and is the only pediatric ophthalmologist available in the
tri-county area. A pediatric ophthalmologist is a physician who has
completed medical school and then received specialty training in
the medical and surgical treatment of the pediatric eye.
Most lenses today, especially for children, are made of plastic,
which is stronger and lighter than glass. Since children are
usually rough with glasses, it’s a good idea to get a
scratch-resistant coating on plastic lenses.
Frames come in all shapes and sizes. Choose one that fits
comfortably but securely. Devices that keep glasses in place are a
good idea for active children and young children with flat nasal
bridges. Cable temples, which wrap around the back of the ears, are
good for toddlers. Infants may require a strap across the top and
back of the head instead of earpieces. Flexible hinges allow the
glasses to “grow” with the child, and prevent the side arms from
being broken.
Children may not like their glasses although the prescription is
correct when they first wear them. Distraction and positive
reinforcement help children get in the habit of wearing their
glasses. Most important is a comfortable frame. If all else fails,
your ophthalmologist can prescribe an eye drop that blurs vision
when the glasses are not in place. This often overcomes the child’s
initial resistance by wearing glasses.
