Pediatric Exams for Children

The American Optometric Association recommends that pre-school children receive a complete vision exam at the ages of six months, three years and five years. It is particularly important that a child have a complete evaluation in the summer prior to entry into Kindergarten. While in school, yearly evaluations are recommended.

For more information on When Should Infants Have Their First Vision Exam?

The American Optometric Association (AOA) and The Vision Care Institute of Johnson & Johnson Vision Care, Inc., have partnered to support InfantSEE®, a no-cost public health program which provides professional eye care for infants nationwide. Through InfantSEE®, the optometrists at Lifetime Eye Care have volunteered to provide a one-time, comprehensive eye assessment to infants in their first year of life at no cost, offering early detection of potential eye and vision problems.

For more information on InfantSEE®, go to

Testing For More Than 20/20

20/20 just means that you can clearly see a certain letter on the standard eye chart (equivalent to what a person with normal vision should be able to see at 20 feet). There’s so much more to healthy vision than 20/20!

Our comprehensive vision exam goes beyond 20/20 to evaluate many important visual skills, such as:

  • Visual Acuity at Near
    Is vision clear and single up close? Clear sight at short distances is critical to reading, writing, close work, computer use, and much more.
  • Eye Teaming Skills
    Do the two eyes aim, move, and work together as a coordinated team? Weaknesses in binocular (two-eyed) vision and eye teaming skills can cause vision problems, including convergence insufficiency, eye strain headaches and poor depth perception.
  • Eye Focusing Skills
    Do the eyes maintain clear vision at all distances? Rapid, automatic eye focus adjustment is critical to learning, reading, writing, sports, etc. Deficiencies can cause visual fatigue, reduced reading comprehension, and avoidance of close work or other activities.
  • Eye Movement Skills
    Do eye movements show adequate coordinated muscle control for tracking, fixation, etc.? In the classroom and at work, normal eye movements allow rapid and accurate shifting of the eyes along a line of print or from book to desk to board or computer, etc. In sports, efficient eye movements contribute to eye-hand coordination, visual reaction time, and accurate tracking.

Above are just a few of the many visual skills evaluated during our comprehensive vision exam. And, of course, the health of your eyes inside and out is carefully evaluated for such problems as congenital cataracts, diabetes, pediatric glaucoma, juvenile macular degeneration, etc.

Could visual problems be contributing to your child’s frustration with reading or learning?

  • Does your child struggle with reading?
  • Does your child do well at first and then begin to make “careless”/confusing errors?
  • Is it difficult for your child to remember or comprehend what they read?
  • Does your child experience recurrent problems with fatigue, headaches, or blurred vision while studying?
  • Does your child just not seem to work up to potential?
  • Does your child have poor handwriting skills or seem clumsy or uncoordinated?

Do you treat or diagnose learning problems, disabilities, dyslexia?

We thoroughly evaluate the visual system and the impact vision has on one’s ability to learn. For example, vision problems can cause difficulties in reading (losing place, skipping words, unstable print, blurriness, headaches, fatigue, tired eyes, etc.), or writing (difficulty with spacing, staying on the line), or in sports (visual speed, reaction time, etc.).

Even if your child can see clearly, there may be other significant visual problems hindering their ability to learn. To thoroughly diagnose learning disabilities or dyslexia, a full developmental test battery should be completed to diagnose the underlying vision conditions which can impact performance.

Visual Information Processing (VIP) Testing

Visual Information Processing testing includes a series of tests that are designed to identify strengths and weaknesses in the following areas:

  • Visual motor integration and eye hand coordination
  • Visual perception including:
    • Visual memory
    • Form perception
    • Visual discrimination
    • Directionality
    • Laterality
    • Visual – auditory integration
  • Perceptual motor abilities
  • Motor screening

The Visagraph II Computerized Eye Movement Test uses goggles with infrared sensors to analyze and record eye movements while analyzing targets at near and during silent reading.  The number of times the eyes stop, how they move across the page and back, how many times they get lost or backtrack, and how they work together as a team will significantly impact reading efficiency.

We also provide a series of developmental tests, known as the Wachs Cognitive Battery, for younger children and those with special needs to evaluate visual identification, processing and visually directed movement.

Visual Information Processing testing usually requires 2 hours and is administered by our therapy staff.  Following analysis by the doctor, test results will be presented at a consultation with the doctor, the patient and/ or the parents.  Treatment options will be discussed including whether vision therapy may be helpful and if consultation with another professional would be appropriate.  A written summary report is also provided that is useful for patients, educators, doctors, and others working with the patient.

Children’s Vision Development

Video for Patients with Autism Spectrum Disorder

Vision Care for Children with Special Needs

Early diagnosis and treatment of vision and eye health problems before they interfere with development will enable your child to achieve their full potential.

Infant and Preschool Vision

Children’s Vision