Authored by JoannaRasmuson

Back to School Eye Health

August 21, 2019 | Ophthalmology

When you think about getting your kids ready to go back to school, you probably think of buying new school clothes, meeting their teacher and going on a shopping spree for school supplies. But what about checking your child’s eye health? Studies show that when childhood vision disorders go unchecked, they can hinder a child’s self-esteem, development, school performance and social interactions well into adulthood. 

A better understanding of the importance of annual vision screenings, symptoms of vision problems and how best to address them and the effect that the increasing use of electronics is having on children’s eye health will help your child succeed.


The Importance of Vision Screening


There are many different eye conditions and diseases that can affect your child’s vision. Early diagnosis and treatment are crucial, especially in the first six years of your child’s life in which he or she is most susceptible to vision changes. Although schools do perform vision screenings, they are not the most effective at finding and helping treat vision problems. School vision screenings can miss up to 75% of children with vision problems, and 61% of the children found to have problems never visit the doctor or get help.

The American Optometric Association (AOA) recommends that children get a comprehensive eye exam on a regular schedule starting in infancy. This includes:

  1. A comprehensive eye exam between the ages of 6 and 12 months to establish a baseline.
  2. At least one comprehensive eye exam between the ages of 3 and 5 to check for any conditions that may have long-term effects.
  3. An annual, comprehensive eye exam starting before first grade.  

It is also helpful to know and share your family eye health history with your doctor.


Common Focus and Alignment Disorders 


While the AOA recommends that children receive screenings at least once a year, it is also good practice for parents to know and be able to recognize the signs of common vision disorders. The following list will help you know what to look for. 


Amblyopia: More commonly known as a “lazy eye,” this condition refers to poor vision in an eye that has not developed normal sight. Amblyopia is a common condition, affecting two to three of every 100 people in the U.S. Your child may have amblyopia if one eye looks straight ahead while the other turns in, out, up or down. 

Ptosis: Ptosis describes a drooping upper eyelid that covers the eye partially or entirely, causing vision blockage

Cloudy Eyes: This is when the surface of the eye appears cloudy instead of clear. This may be an indication of a cataract.

Myopia: This is also called nearsightedness. This condition causes far away objects to look blurred and occurs when the eye is too long or the cornea is too steep. 

Hyperopia: Also known as farsightedness, hyperopia occurs when the eye is shorter than normal and makes up-close tasks, such as reading, more difficult. 

Astigmatism: This condition occurs when the cornea, usually round in shape, is longer on one side and looks more like a football. This distorts and blurs vision for objects that are both close and far away. 


Use of Electronic Devices and Eye Health 


The use of computers and smart devices has become common in the classroom and is all but vital to completing homework assignments. Students may even use e-books instead of a hard-copy textbook. Dr. Kimberly Friedman, a spokesperson for the AOA, said, “When children stare at screens for hours each day, it may cause visual discomfort that can interfere with their ability to focus and learn.” While continued use of computers and electronics will not damage a child’s vision, regular and lengthy use of technology at home or school can lead to a temporary condition called computer vision syndrome (CVS). Symptoms of CVS include eye strain, headaches, fatigue, burning or tired eyes, loss of focus, blurred vision, double vision, and head and neck pain. The AOA suggests parents adopt a 20-20-20 rule to prevent CVS: after 20 minutes of screen time, your child should take a 20-second break and view something 20 feet away.

Technology use may also increase as your child moves through the different stages of their education. Parents should look for signs and symptoms of CVS or undiagnosed vision problems that may require an eye exam.

The AOA suggests that parents of preschool and kindergarten-aged children should limit tech time to two hours or less each day and increase font size when possible. Parents of elementary school-aged children should encourage their children to position all devices half an arm’s length away from the eye, take frequent breaks and change positions often when working on a computer. Parents of middle and high school-aged students should encourage the same principles for elementary school-aged students as well as lowering the brightness levels of their electronic devices.


What Signs Should Parents Look For?


Parents should also ask themselves the following questions:

  1. Are my child’s eyes aligned properly or does one or both eyes turn inward or outward?
  2. Does my child frequently rub his or her eyes or blink excessively when reading, studying (doing homework, writing), computer use/playing video games or watching TV?
  3. Does my child lose their place frequently when reading?
  4. Does my child experience frequent headaches during the school week or while performing close-up visual work?
  5. Are my child’s grades high in non-visual classes and lower in other, more visually-focused classes like math or reading?
  6. How long can my child read before they need to take a visual break?
  7. Does my child perform with a lowered level of comprehension or efficiency?
  8. Does my child experience discomfort, fatigue or have a short attention span? 
  9. Does my child squint while reading or watching television?

Your child’s eyes are some of the most important tools they have, and unaddressed vision problems can affect your child for years to come. If you think your child may have a vision or eye issue, talk to your eye doctor.


Revere Health Ophthalmology offers patients the best in eye care from the treatment of eye-related diseases and conditions to prescribing glasses and contacts.




“Childhood Eye Diseases and Conditions.” American Academy of Ophthalmology.


“Four Tips to Make Sure Kids’ Eyes and Vision Are ‘Grade A’ This School Year.” American Academy of Ophthalmology.


“Back-to-School Checklist: Backpack, Computer, Wireless Access…and a Comprehensive Eye Exam.” American Optometric Association.


“Championing Children’s Eye Care.” American Optometric Association.


“School Performance bridled by Poor Vision, Visual Disorders.” American Optometric Association.


“Refractive Errors in Children.” American Academy of Ophthalmology.

The Live Better Team


The Live Better Team

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This information is not intended to replace the advice of a medical professional. You should always consult your doctor before making decisions about your health.