Visual problems in children

Visual health is a fundamental aspect of children’s development. From birth, the sense of sight begins to play a key role in their ability to learn and relate to the world around them. For this reason, it is important for parents to be attentive to any signs of vision problems in their children and to see an ophthalmologist when any symptoms of poor vision appear for diagnosis and treatment. In this article, we will talk about how to detect and treat vision problems in children, and how we can adapt the treatments to their needs.

How to detect vision problems in children?

Children can often have vision problems that go unnoticed. Symptoms can range from focusing problems to more serious problems that can affect their quality of life. That’s why parents should watch for any signs that their child may have vision problems. Here are some common symptoms that may indicate a child has vision problems:

  • Rubbing eyes frequently
  • Blinking too much
  • Getting too close to the television or book
  • Leaning forward to see something- Having frequent headaches
  • Having difficulty reading or seeing the chalkboard in the classroom
  • Having trouble judging distance when playing sports
  • Having crossed or squinted eyes

If a child has any of these symptoms, it is important for parents to take the child to a pediatric ophthalmologist for evaluation.

How are eye problems diagnosed in children?

To diagnose vision problems in children, the child usually first passes through the hands of a pediatric optometrist who will perform an initial assessment. This will include a visual acuity test and a physical examination of the child’s eyes. Additional tests may be performed, such as an evaluation of the child’s ability to focus and coordinate his or her eyes.

If an eye problem is detected, the optometrist will refer the child to an ophthalmologist who will perform a more thorough examination and assess the various treatment options that may be necessary. Treatment will depend on the specific vision problem and the child’s age and health. In some cases, medical or surgical treatment may be necessary, while in other cases, adjustments to the child’s glasses or contact lenses may simply be needed.

How is the treatment adapted to children?

Treatment of vision problems in children should be tailored to their age and developmental level. Children do not always understand the purpose of treatment or why they must comply with certain restrictions or activities, which can hinder treatment success. For these reasons, pediatric ophthalmologists use strategies to tailor the treatment and improve the child’s cooperation.

Communicating effectively with children is key to any ophthalmic treatment. Ophthalmologists should clearly explain procedures and vision problems to children, using age-appropriate language and avoiding complicated medical terms. It is also important to allow children to ask questions and express their concerns during consultations.

For example, at Castanera Clinic, both optometrists and pediatric ophthalmologists use a holistic approach to treating vision problems in children. They strive to create a warm and welcoming environment that encourages cooperation and comfort for the child during the examination and treatment.

The child’s cooperation

Child cooperation is essential in any ophthalmologic treatment. To achieve this, practitioners often use distraction techniques, such as games or stories, to help children remain calm and attentive during consultations.

In addition, parents and caregivers also play an important role in the child’s cooperation during treatment. They can help explain the treatment to the child and ensure that the child follows the instructions and takes the medication as prescribed.

 What are the most common diseases in children?

Eye diseases are common in childhood and can seriously affect children’s visual health. Here are some of the most common eye diseases in children:


Also known as “pink eye,” conjunctivitis is an inflammation of the conjunctiva, the clear membrane that covers the white part of the eye and the inside of the eyelids. Symptoms include redness, itching, burning and eye discharge. Conjunctivitis can be caused by bacteria, viruses, allergies or irritants.Myopia:Myopia is a refractive disorder in which the image is focused in front of the retina instead of on it, resulting in blurred vision of distant objects.


Myopia can be inherited and is usually detected in childhood or adolescence. Children who engage in activities that require close visual effort, such as reading or using electronic devices, may be at increased risk of developing myopia.


Strabismus is a condition in which the eyes are not aligned correctly and point in different directions. The brain may ignore the image of the misaligned eye, which can result in amblyopia or “lazy eye,” a condition in which the brain completely ignores the image of the affected eye. Strabismus can be caused by muscular, nerve or refractive problems.


Amblyopia is a decrease in vision in one or both eyes due to a lack of use in childhood. This can be caused by strabismus, a significant difference in eye prescription, or a partial obstruction of vision in one eye. Amblyopia should be treated as soon as possible to prevent permanent vision loss.

Congenital cataracts:

Cataracts are a clouding of the lens of the eye that causes decreased vision. Congenital cataracts are cataracts that are present at birth or develop shortly after birth. Congenital cataracts can be inherited or associated with other eye conditions.

As mentioned above, it is most important for parents to be alert to any symptoms of an eye condition in their children and seek medical attention as soon as possible to prevent long-term vision problems.

What technology do we use at Castanera?

At Castanera Ophthalmology Clinic, specialized techniques and technologies are used for the evaluation and treatment of vision problems in children. For example, they use the retinoscopy technique to measure eye effraction and the lazy eye test to evaluate amblyopia, a condition in which vision in one eye is weaker than in the other.

The clinic also has state-of-the-art technologies, such as a pediatric auto-refractometer that captures children’s attention using lights and sounds. These visual and acoustic signals allow children to focus their gaze while the device performs a visual acuity measurement.

Other widely used diagnostic devices include optical coherence tomography (OCT) and corneal topography, which allow for a more accurate and detailed evaluation of the structure of the eye. These technologies are especially useful for the diagnosis and treatment of more complex eye problems that require a more in-depth examination.

In summary, early detection and proper treatment of vision problems in children are critical to ensure healthy visual development and optimal academic performance. At Castanera Ophthalmology Clinic, highly trained pediatric optometrists and ophthalmologists use specialized techniques and technologies to provide accurate diagnosis and personalized treatment for each child, putting the child’s comfort first and foremost so that he or she can collaborate properly.