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The Importance of Eye Exams for Children

Last week, I assessed a 6 year old girl for recurrent falls. Her parents were concerned their daughter had a neurological condition that could be affecting her balance. The first test I sent her for was an eye exam and it was discovered that she was nearsighted and required glasses.

It is recommended that children should have at least one eye exam before they start school. I collaborated with the Alberta Association of Optometrists and here are some of the reasons we think eye exams are so important:

Poor vision can interfere with learning – early diagnosis sets kids up for success

The Alberta Association of Optometrists’ Eye See… Eye Learn™ program is designed to detect, diagnose and treat children with vision problems. The program provides kindergarten students with a comprehensive eye exam from a doctor of optometry, which has Alberta Health coverage. Eye See… Eye Learn™ also provides free eyeglasses to any kindergarten-aged child who requires a pair.

Vision issues can be difficult for parents to detect

It’s not uncommon for parents to believe they would know if their child has a vision problem as these issues can be hard to spot. A child may simply assume everyone sees the way they do and may disguise symptoms or compensate for poor vision by adapting their behaviour. 

Once a child reaches kindergarten they should have an annual eye exam. It is an opportunity to ensure they are ready for school. There is Alberta Health coverage available for children’s annual eye exams up to age 19.

One in four children in Alberta has a vision problem

Children with vision problems are often misdiagnosed as having learning or behavioural disabilities.Approximately 60 per cent of children who experience reading difficulties have an undiagnosed vision problem. Failing to identify and treat poor vision health early can interfere with a child’s ability to socialize and learn. If left untreated, some vision issues can result in permanent impairment.

Digital eye strain is an increasing problem among children

More children are experiencing digital eye strain from using electronics for extended periods of time, especially with the trend towards increased home schooling due to COVID-19. Research suggests too much screen time may put kids at risk of developing near-sightedness as well as eye strain, resulting in tired eyes, headaches, itchy eyes, blurred vision and increased sensitivity to light.

Warning signs of vision problems in kids

The following are signs and symptoms that could indicate a vision problem:

  • Consistently sitting too close to the TV or holding a book too close
  • Losing their place while reading or using a finger to guide their eyes when reading
  • Squinting or tilting the head to see better
  • Frequent eye rubbing
  • Sensitivity to light and/or excessive tearing
  • Closing one eye to read, watch TV or see better
  • Avoiding activities which require near vision, such as reading or distance vision, such as participating in sports or other recreational activities
  • Complaining of headaches or tired eyes
  • Avoiding using a computer, because it “hurts my eyes”

Comprehensive eye exams are part of a child’s health routine


One of the most effective ways to keep a child’s eyes healthy is to schedule an annual comprehensive eye exam with a doctor of optometry. An optometrist can check for vision problems that could interfere with learning performance and potentially affect safety. Just like annual doctor visits, eye exams should be scheduled once a year as part of a child’s health routine. 

The Alberta Association of Optometrists’ Eye See… Eye Learn™ program provides glasses free of charge to any kindergarten-aged child who requires a pair following a comprehensive eye exam by a doctor of optometry. More information about the program is available at www.optometrists.ab.ca/esel

This post was written in paid collaboration with The Alberta Association of Optometrists.

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