Mumbai Eye Care offers comprehensive vision services for pediatric patients and adults with strabismus. Our ophthalmology department has close relations with pediatric specialists, providing a continuity of care for any child with issues related to eyes and vision. Our physicians and staff are trained well to handle children of all age group and are child-friendly. Our up-to-date diagnostic equipment and surgical techniques, and state-of-the-art facilities all help us in our mission to provide excellent care for your child.

When is the right time for Eye Examination?
Birth to 24 months
Baby’s visual system develops in their initial months of life with other milestones like crawling, walking and hand-eye coordination. To ensure infant’s growth, first comprehensive eye exam can be scheduled at 6 months of age. Since there is a higher risk of eye and vision problems if your infant was born premature or is showing signs of developmental delay, your eye doctor may require more frequent visits to keep watch on his or her progress.

Age 2-5 years
During preschool age fine motor skills are developed and school prepares them to read and write, so they need to develop hand and eye movement. Children take part in activities like drawing, painting, sculpting. This is the time when parents need to look for conditions like Lazy eye (amblyopia) and squinting.

School Age 6-18 years vision
Children with visual impairment may show symptoms like:

Short attention span
Headaches with lack of focus
Frequent blinking and dryness of eye
Avoiding reading
Tilting the head to one side
Losing their place often while reading
Double vision
Poor reading comprehension
Without an expert opinion it is difficult to understand sometimes, that why child is lacking academically and socially, there might be an underlying visual defect.

Eye Examination
Often we hear that eye screening camps are organized at school, but its not enough, as we have to understand that screening and comprehensive eye examination differs a lot.

Screening usually helps in identifying major issues, while comprehensive eye exams diagnoses eye problems at early stages and beneficial for children growth.

What’s the difference between vision screening and a comprehensive eye exam?
A comprehensive eye exam diagnoses eye disease. Eye drops are used to dilate (widen) the pupil during the exam. This gives your ophthalmologist a fuller view inside the eyes. With dilation and other special testing, signs of eye disease are more evident. The American Academy of Ophthalmology advises parents to seek a comprehensive eye exam if:

Vision screening is inconclusive or cannot be done
Referred by a pediatrician or school nurse
Children with medical conditions (such as Down syndrome, prematurity, juvenile idiopathic arthritis, neurofibromatosis) or a family history of amblyopia, strabismus, retinoblastoma, congenital cataracts or glaucoma are at higher risk for developing pediatric eye problems.
Eye doctor look for all the visual activities like:
Distance and near vision
refractive errors
Binocular vision: how the eyes work together as a team
Eyelids drooping
Peripheral Vision
Color Vision
Steriopsis – ability to see in 3 dimensions
Hand-eye Coordination
The doctor will also examine the area around the eye and inside the eye to check for any eye diseases or health conditions. This would also be the time to address any concerns or issues your child has that might indicate a vision problem.

Visual Trouble Signs
Symptoms that require immediate attention from an eye doctor:

A white pupil
Sudden swelling or drooping of a lid, accompanied by a red eye
Enlarged cornea in one or both eyes
Other conditions, which are not as urgent but still, require attention by a specialist:

One or both eyes turning in or out
Tearing, redness, or discharge that lasts for several days
One pupil that appears larger than the other
An early diagnosis or attention to small eye problem not only save child from complex procedures in future but also helps in achieving age milestones.

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Author's Bio: 

Dr. Jatin Ashar is an Ophthalmologist / Eye Surgeon / Cornea Specialist / Eye Specialist in Ghatkopar East and West. Dr. Jatin Ashar is a Cataract, Cornea and Refractive surgery specialist In Ghatkopar, Mumbai. He performed corneal transplants even in infants as young as one month old.