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PEEK!: Preschool Eye Exams are Key is a national program developed to raise awareness among parents and educators about the critical need for children to receive a comprehensive vision examination by age 5 or before entering school and to provide tools they both can use to achieve that goal. PEEK! is a Sears Optical program in partnership with the Vision Council of America and in association with the National Association of Child Care Professionals and Children’s World Learning Centers.

This guide, part of the PEEK!™: Preschool Eye Exams are Key program, offers parents and teachers valuable information and facts on why it’s crucial for all preschoolers to get a comprehensive eye exam by a qualified eye care professional prior to entering school.

Kid's Vision Facts

Vision disorders are the fourth most common disability in the United States and the most prevalent handicap in children. (Current Ophthalmology)
Research indicates that among the 20 percent of school-age children who have a learning disability in reading, 70 percent of them have some form of visual impairment… that may be interfering with their reading skills. (Optometry)
Several studies examining the link between learning disabilities, delinquency, and vision have found that significant numbers of juvenile offenders had one or more visual deficiencies. (Journal of Behavioral Optometry)
Vision problems are associated with developmental delays and the need for special educational, vocational, and social services, often beyond childhood and into adulthood. (National Eye Institute)
Studies indicate that the earlier a vision problem is diagnosed and corrected, the less the potential negative impact it may have on a child’s development. (American Optometric Association)
Ruling out simple refractive errors is the first step, but they’re not the cause of all learning problems. There are other vision-related problems — having to do with the way the eye functions and how the brain processes visual information — that can make learning difficult. (allaboutvision.com)
(We) believe it is in the best interest of children entering school to receive a comprehensive eye examination. (Ohio Legislature Task Force on Better Vision)
Studies find that primary care physicians are not consistently conducting pediatric vision screenings during clinical visits. (American Family Physician)
Most parents inherently don’t understand the difference between a screening and comprehensive exam. They mistakenly assume their children’s vision is free from all problems if they pass the screening and may defer getting their child the full exam. (Optometric Management)
In Kentucky — the first state to require children to obtain a comprehensive eye exam prior to entering school — nearly 18 percent of 3-6 year olds that received an eye exam were diagnosed with an uncorrected vision problem while only 6 percent of children tested by a certified vision screener were targeted for follow-up care. (Vision Council of America)

 Help Vision Problems Early

Observe Discomfort. Visible discomfort can mean an eye problem. For example, eye rubbing, blinking or squinting may mean difficulty focusing. Light sensitivity, keeping eyes closed too much and complaining of headaches or tired eyes may also be signs of a vision problem.
Watch Behavior. The behavior of children with vision problems is often misunderstood. While they are simply frustrated since they can’t see well, they may be considered hyperactive, slow learners, lazy or even as having attention deficit disorder (ADD).
Notice “Visual Performance” Skills. By age five or so, preschoolers should have some basic “visual performance” skills. These include using eyes and hands together well and with improving skill, drawing names and pictures, copying simple forms and some letters, placing small objects in small openings and moving/rolling eyes in an expressive way.
Eye the Eyes. Look into a child’s eyes for signs of possible vision problems. These include unusual redness of eyes and/or lids, lid droopiness, crusted eyelids, styes or sores, tearing, and eye direction.
Get Comprehensive Exams. A simple vision screening is not good enough. A comprehensive eye exam by an eye doctor can check for complete eye health to ensure the eyes are performing the best they can and early, accurate detection of eye problems such as amblyopia (lazy eye), strabismus (crossed eyes), and others.

Even if a child does not show any symptoms, he or she may still have a vision problem. That’s why it’s so important for a child to get a comprehensive eye exam before entering school.

More about your children's eyes...