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Pediatric Eye Exams: When Should They Start?

Pediatric Eye Exams: When Should They Start?

The early years of a child’s life are full of discovery—but poor vision can interfere with their ability to learn, grow, and thrive. Many parents wait until their child can read or begins school to think about eye care, but early exams are key to identifying problems before they affect development. Let’s explore when to schedule your child’s first eye exam and why it matters for their future.

Start at Six Months: What the Experts Recommend

According to Dr. Haley Backus, children should have their first eye exam at six months old. This initial visit allows your optometrist to check for early signs of prescription needs, eye alignment issues, and overall ocular health—even if your baby can’t communicate with words.

If any concerns arise earlier, such as unusual eye movements or family history of eye issues, a visit even sooner is recommended.

The Importance of Yearly Eye Exams

After that first visit, your child should see the eye doctor at least once a year. Kids grow quickly, and their vision can change just as fast. Regular eye exams help detect changes in vision and allow your optometrist to monitor eye development and catch any conditions early.

Dr. Backus notes that even children with no symptoms can benefit: “There are things that can change over time. If they were able to focus or accommodate when they were younger, that can sometimes shift in middle grade years or as they grow.”

Eye Exams for Toddlers Who Can’t Read Yet?

Yes, absolutely! Even if your child hasn’t started reading, a comprehensive exam is still vital. Using specialized equipment and techniques, optometrists can assess:

  1. Whether a prescription is needed
  2. How well the eyes are working together
  3. Any signs of eye alignment issues
  4. The overall health of the eyes

Many of these checks don’t require verbal communication from your child—making exams effective even for toddlers.

Family History Matters

If you or your partner wears glasses, your child may be more likely to need them too. Genetics play a strong role in vision development.

“There is definitely a higher likelihood your child would need glasses if you or your spouse wears them,” Dr. Backus explains. “That’s even more reason to assess early and monitor regularly.”

Are Vision Screenings at School or the Pediatrician Enough?

In short, no. While school or pediatrician vision screenings are helpful, they are not a substitute for a full eye exam with an optometrist.

These screenings typically assess only distance vision and may miss subtle issues like eye coordination problems or minor prescriptions. They also don’t check ocular health. As Dr. Backus puts it, “Pediatricians don’t have the equipment we have. Many just refer directly to us because they know it’s not a full eye checkup.”

Schedule Your Child’s First Eye Exam in Port Colborne

Eye health is part of your child’s overall well-being—and early exams make a big difference. At Lakeside Vision Centre, we take a proactive, gentle approach to pediatric vision care that supports your child’s development and comfort from day one.

If your child is due for their first eye exam, or if it’s been a while since their last visit, we’re here to help. Call Lakeside Vision Centre or visit us at Port Colborne, Ontario to request your appointment today.

Frequently Asked Questions

Q: At what age should my child have their first eye exam?

A: Six months old is the recommended age for a first exam. Sooner if you have any concerns.

Q: My child isn’t talking yet—can you still test their vision?

A: Yes. Optometrists can assess eye health, prescription needs, and alignment without verbal responses.

Q: If my child had a screening at school, do they still need a full exam?

A: Yes. School screenings are limited and don’t replace a comprehensive eye exam.

Q: What if my child doesn’t seem to have any issues?

A: Children often don’t realize they have vision problems. Regular exams ensure any changes are caught early.