• Amanda R. Zeller Manley, OD, FCOVD

More Reasons Your Child Needs an Eye Exam, Not a Vision Screening

Updated: Oct 12

The most recent Review of Optometry has three news items emphasizing the importance of infant and child eye and vision evaluation– not just a screening done by the pediatrician or school nurse.

The first describes how retinoblastoma, a rare but potentially fatal eye cancer found in children, can be detected by the appearance of a white pupil in baby photos. It used to be thought that early stage eye cancer couldn’t be detected this way, but a recent study found that early disease in a child as young as 12 days can be visible as a white pupil.


When treated early, retinoblastoma is often curable.

Next, a new study shows that in children with autism, changes in visual behavior can be


Using eye-tracking technology, researchers found that infants later diagnosed with autism showed a decline in attention to others’ eyes by two to six months of age.


detected in the first few months of life. The children that were later diagnosed with autism started out showing normal eye contact with caregivers, but over the next several months their eye contact decreased. Decrease in eye contact began somewhere between two and six months of age. Since the social interaction (eye contact) started out intact, it suggests that there may be another opportunity for early intervention in autism.

Finally, researchers in Sweden discovered that children born before 32 weeks gestational age had a much higher– up to 19 times– risk for retinal detachment by adolescence or young adulthood. The

If you have any concerns about your child’s developing vision, the first step is a comprehensive eye and vision evaluation. The American Optometric Association sponsors a public health initiative called InfantSEE, which provides no-cost examinations to children between 6 and 12 months of age. Infantsee.org can help you find a participating provider in your area. Yearly eye examinations are also now covered by all insurances as an essential benefit for children under 19 as a part of the Affordable Care Act.

At the Vision & Conceptual Development Center, we provide evaluation and non-invasive, non-surgical treatment for a variety of vision disorders, including Convergence Insufficiency, Strabismus (eye turn), Amblyopia (lazy eye), problems with tracking, Visual Perceptual disorders, and visual anomalies secondary to developmental delay, autism, concussion, stroke, or brain injury. We are also InfantSEE providers.


adolescence or young adulthood. The If you have any concerns about your child’s developing vision, the first step is a comprehensive eye and vision evaluation. The American Optometric Association sponsors a public health initiative called InfantSEE, which provides no-cost examinations to children between 6 and 12 months of age. Infantsee.org can help you find a participating provider in your area. Yearly eye examinations are also now covered by all insurances as an essential benefit for children under 19 as a part of the Affordable Care Act.At the Vision & Conceptual Development Center, we provide evaluation and non-invasive, non-surgical treatment for a variety of vision disorders, including Convergence Insufficiency, Strabismus (eye turn), Amblyopia (lazy eye), problems with tracking, Visual Perceptual disorders, and visual anomalies secondary to developmental delay, autism, concussion, stroke, or brain injury. We are also InfantSEE providers.#AutismSpectrum #children #convergenceexcess #AmandaZeller #infantsee #stroke #eyeturn #concussion #visualspatial #visiontherapy #eyeexaminations #Health #premature #lazyeye #developmentaldelay #prematurity #ocularmotility #convergence #braininjury #AutismSpectrumDisorder #ASD #convergenceinsufficiency #vision #visionproblem #AmandaZellerManley #eyes #Binocularvision #autism #eyetracking #eyecancer #optometry #retinoblastoma #eyeexam #strabismus #blindness #retinaldetachment #eyecontact #preemie #developmentaloptometry #visiontest #covd #amblyopia #visualperceptual #pediatricoptometrist #childrensvision #blind #MehrnazGreen #visionscreening#children #convergenceexcess #AmandaZeller #infantsee #stroke #eyeturn #concussion #visualspatial #visiontherapy #eyeexaminations #Health #premature #lazyeye #developmentaldelay #prematurity #ocularmotility #convergence #braininjury #AutismSpectrumDisorder #ASD #convergenceinsufficiency #vision #visionproblem #AmandaZellerManley #eyes #Binocularvision #autism #eyetracking #eyecancer #optometry #retinoblastoma #eyeexam #strabismus #blindness #retinaldetachment #eyecontact #preemie #developmentaloptometry #visiontest #covd #amblyopia #visualperceptual #pediatricoptometrist #childrensvision #blind #MehrnazGreen #visionscreening

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