At this visit that we can perform more accurate vision testing, and again check for any sign of lazy eye. If a lazy eye is detected at this visit, the chances for effective treatment are still very good. If you are scheduling an appointment for a child of this age please inform the receptionist of the child’s age so that we can schedule appropriately.

Same as 12 month check-up PLUS:

• Visual acuities with pictures or broken wheel test.
  
• Check eye alignment with cover test.
  
• Attempt depth perception test.
  
• Retinal health exam with dilating eye-drops. 

It is critical to be sure your child is seeing properly when school starts because nearly 90% of what they learn comes through vision. Unfortunately, about 10% of children who pass the pediatrician's vision screening or the school vision screening do in fact have a vision problem that needs to be corrected. The age 5 exam is most likely the last chance to detect lazy eye with any reasonable chance for successful treatment.

Same as 3-year check-up PLUS:

• Auto-refractor: This gives us a very good estimate of prescription without any response required.
• Visual acuities with letter chart.
• Refine prescription by child's ability to read letters on each line of the chart.
• Microscopic external eye health exam.
• Measure intraocular pressures for glaucoma.
• Optomap retinal scan or dilated retinal exam. 

Further examinations for children are recommended every one to two years, or as needed, based on individual exam findings and family history. The procedures for examinations for teenagers are very similar to an adult exam.