Posted 3/15/01 Our children depend on us for normal vision development by Michael Eichler, M.D. Ophthalmologist, Fairview Lakes Regional Health Care Vision is often felt to be our most important sense. At birth, our visual system begins a long course of development. In fact, our vision does not completely develop until roughly age 9. It is during these early years of life that we, as parents, teachers, and health care providers, must ensure normal development of vision in all children. All too often this window of opportunity is missed, resulting in lifelong impairment of vision in one or both eyes. Children typically do not complain of, or are unaware of, vision problems. Many vision problems develop slowly or may have no physical signs to alert caregivers. Thatís why it is so critical to know that nearly all visual problems detected within this period of development can be treated, resulting in normal or near-normal lifelong vision. Our childrenís vision needs to be screened. This begins with our family practitioner or pediatrician. During newborn exams, physicians will assess the vision, alignment, and anatomy of the eyes. Children with a family history of eye problems should generally be seen by an eye care specialist at age six to 12 months. By age 31/2 to 4 years, our children should have their vision tested by their physician using an acuity chart. If your child hasnít had this done, ask that it be done. All children must have their vision screened before entering kindergarten, and it is recommended that vision be rechecked every other year. Any child who fails a screening exam should be referred to an eye care specialist accustomed to seeing children. After referral to an eye care specialist, a thorough examination will be done. This typically requires at least an hour of time and eye drops need to be given to complete the exam. Three of the most common conditions detected are: amblyopia, strabismus, and myopia. Amblyopia, or ìlazy eyeî is the lack of normal development of vision. The vision centers of the brain never develop their full potential. Often there are no physical signs of amblyopia, making screening exams crucial. The younger the child is when treatment is started, the better the results. Strabismus, or misalignment of the eyes, (crossed eyes, wandering eye), may be a cause of amblyopia. After the amblyopia is treated, the strabismus may be corrected with glasses or surgery. Fortunately, myopia, or near-sightedness (poor distance vision) is correctable with glasses. Injuries are an unfortunate frequent cause of poor vision. Eye protection is too often overlooked. Children should not be near power tools, lawn mowers, chair saws or other machinery. Airguns, BB-guns, paintball guns, and fireworks are high risk items. If these are in the hands of children, it goes without saying that adult supervision is critical. As adults we appreciate the value of our eyesight. This is especially true if we have ever suffered an injury or ailment affecting our vision. Our children depend upon us to ensure normal development of their vision. ©Post Review