What is a Paediatric Optometrist and how do they help babies and children?
SAOA Optometrists, through their clinical education, training and experience have the means to provide effective primary eye and vision services to children. Vision care and regular eye examinations are essential for children, the earlier the better. According to the South African Optometric Association (SAOA) early detection of visual problems followed by early intervention in vision care is crucial to achieve normal vision in infants and young children with visual anomalies.
Paediatric comprehensive eye examination is advised as follows:
• 6 months
• 3 years
• 5-6 years , just before they enter the first grade
Your baby has a whole lifetime to see and learn. But did you know your baby also has to learn to see? As a parent, there are many things that you can do to help your baby’s vision develop. First, proper prenatal care and nutrition can help your baby’s eyes develop even before birth. At birth, your baby’s eyes should be examined for signs of congenital eye problems. These are rare, but early diagnosis and treatment are important to your child’s development.
At about age 6 months, you should take your baby to a SAOA optometrist for his or her first thorough eye examination. Things that the optometrist will test for include excessive or unequal amounts of near-sightedness, farsightedness, or astigmatism and eye movement ability as well as eye health problems. These problems are not common, but it is important to identify children who have them at this stage. Vision development and eye health problems can be more easily corrected if treatment is begun early.
Unless you notice a need, or your optometrist advises you otherwise, your child’s next examination should be around age 3, and then again before he or she enters school.
Between birth and age 3, when many of your baby’s vision skills will develop, there are ways that you can help.
During the first 4 months of life, your baby should begin to follow moving objects with the eyes and reach for things, first by chance and later more accurately, as hand-eye coordination and depth perception begin to develop.
To help, use a nightlight or other dim lamp in your baby’s room; change the crib’s position frequently and your child’s position in it; keep reach-and-touch toys within your baby’s focus, about eight to twelve inches; talk to your baby as you walk around the room; alternate right and left sides with each feeding; and hang a mobile above and outside the crib.
Between 4 and 8 months, your baby should begin to turn from side to side and use his or her arms and legs. Eye movement and eye/body coordination skills should develop further and both eyes should focus equally.
You should enable your baby to explore different shapes and textures with his or her fingers; give your baby the freedom to crawl and explore; hang objects across the crib; and play “patty cake “and “peek-a-boo” with your baby.
From 8 to 12 months, your baby should be mobile now, crawling and pulling himself or herself up. He or she will begin to use both eyes together and judge distances and grasp and throw objects with greater precision. To support development don’t encourage early walking – crawling is important in developing eye-hand-foot-body coordination; give your baby stacking and take-apart toys; and provide objects your baby can touch, hold and see at the same time.
From 1 to 2 years, your child’s eye-hand coordination and depth perception will continue to develop and he or she will begin to understand abstract terms. Things you can do are encourage walking; provide building blocks, simple puzzles and balls; and provide opportunities to climb and explore indoors and out.
There are many other affectionate and loving ways in which you can aid your baby’s vision development. Use your creativity and imagination. Ask your SAOA optometrist to suggest other specific activities.
This article was kindly supplied by the South African Optometric Association – an association for clinically competent optometrists, upholding high clinical standards.
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Fax: 011 805 3882
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