Eye Doctor Apt Question


On our last visit to the Doctor for her 3 year old appointment I was told that at 3 they need to go see the dentist and eye doctor. Although I took her to see the dentist at 2 only because I thought that the earlier the better this way she would not be scared of the dentist. But the eye doctor , well we have an appt on Fri but they said that this apt will take up to 2 hours. Has any of you taken your child to the eye doctor? What should I expect? I know it has to be done and I am sure that it is safe but I am a little nervous about it and just look to hear about others experiences.

On Sep 27, 2007

Yes- Eye doctor appointments can take a long time because they may need to dilate your child's pupils. At our ophthalmologist's, the optician would take some measurements and then put in the dilating drops (child cooperative or screaming and trying to get away depending on personality). The drops take a while to work. About 1/2 to 1 hour later we would see the doctor for the exam. There was no issue with the drops being unsafe for FA, but I would check the label to be sure.

On Sep 27, 2007

You can also say no to the pupil dilation- depending how your 3yr does during the visit. Dilating the pupils allows for better examination of the retina (looking for signs of disease). Bring sunglasses (or you the office may have some for patients) because after dilation the eyes are sensitive to light. Longer appt time could be allowed for younger patients also, so the Dr has time to explain the machines and what the stpes of the exam are etc. I took my kids at 5.

On Sep 27, 2007

Sure you can say no to the eye dilation but they might miss something. MY dd always cried and I said no but the one time I did say yes they found out she badly needed glasses.

Most eye doctors know kids pretty well and can handle them. It can be made into a fun visit. And you can (Maybe, ask your MD first) get a bottle of some sort of eye drop like artificial tears and practice eye drops with your child before your appointment so it's not so scary.


On Sep 27, 2007

You can also find drs now that use a camera-type of device **instead of** the dialtion.

I can't remember what my children's eye appts were like at that age- they are teens now- and any info would be outdated anyhow. And it varies by office.

Maybe you should call them back and ask what the visit will entail so you can prepare your child (and yourself!).

I bet some of that time is filling out new patient forms (so bring something to keep dd busy!) and then they usually have a bunch of different kinds of devices for the child to look into- some with pictures on the other side that they are asked to describe, some with the doc looking in. They also do some of the test with the room darkened. They usually do the traditional "eye chart," but they use pictures or arrows instead of letters (unless the child knows their letters well!). And they have the child cover one eye and read/describe, then cover the other eye, and also do it with both eyes.

There will probably be a lot of waiting in between different tests.

Tara P

On Sep 27, 2007

I may be somewhat of an expert in the vision dept. My son was diagnosed with Amblyopia (Lazy Eye) at 2 years old and if they don't dilate the eyes then they can't give a proper exam. It only takes a second for the drops to go in and then you wait 30 minutes for the pupils to dilate and then they will do a # of tests to test for binocular vision, depth perception, etc. The kids usually think it's fun. Make sure that the dr. specializes in children though. They put things up on the wall like horses, dogs, etc. for the snellen chart. If you need anymore information you can go to my website at [url="http://www.bjortandcompany.com"]www.bjortandcompany.com[/url] and I have lots of stuff on my links page or email me and I can give you more information.

Every child should have an eye exam at 6 months and then again between 2-3 years old to detect vision problems. You can also go to [url="http://www.Infantsee.org"]www.Infantsee.org[/url] to get more info.

Sorry to get off track from food allergies.

------------------ Kelly H

On Sep 27, 2007

Like Kelly my son has Amblyopia and Strabismus (eyes are misaligned) this was diagnosed when he was 10 months old so he has practically grown up at the eye doctor

On Sep 27, 2007

I am an ophthalmologist. I don't specialize in children, but I do alot of kids, and almost all of the kids with amyblopia, etc, in our practice. Ninety five percent of kids do great during an exam. The other 5% that kick and scream will almost always do just fine a couple weeks later. Someone who is comfortable seeing children only needs a few minutes to do a complete exam. Speed is of the essence. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

An eye exam on a child, especially a screening/well child exam, is moderately worthless at best without dilating his/her eyes. The most common problem of childhood is refractive error (nearsighted, farsighted, etc), and that cannot be tested reliably in anyone under the age of 13-16 without being dilated. Children's focusing muscles work so well that they can give you completely wrong refractions (unknowingly) and/or be focusing thru huge prescriptions without realizing it. Being dilated will also allow a view to the back of the eyes, which is nice to have, although the likelihood of finding a problem in the back of a child's eye is very, very low.

Best case scenario, you find a problem you didn't know was there, and get it treated appropriately. Worst case, your dd is just fine and she won't need to go back for 2-4 years. Best or worst depending on your point of view on needing the exam, that is. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

My 2 cents.

On Sep 28, 2007

Ok well today was the day and I thank you all for the advise you have given. It went well until they had to put magic rain drops in her eyes... [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img] They needed to put 4 drops in each eye , we were ok with the first 2 but then she wanted mommy to do...they would not let me so I had to hold her on my lap like a baby so that the nurse could finish. After that the rest was cake [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] although she reminded them everytime there after no more drops...lol They did burn her eyes for a minute. The Dr was very receptive to her allergies and her conditions. I am wondering however how do we truly know what is in those drops? Are these drops universial? And the big question is how would you know if your child was having a reaction to them? Well anyway thanks again I look forward to hearing more for future visits [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

On Sep 28, 2007

Glad the visit went well.

I've never thought about what is in the drops, but since they are simply chemical, preservative, and water, I can't imagine there are any food derivatives in them. Not like oral meds with flavorings and fillers, or creams with oil, etc.

On Sep 28, 2007

When my kids were 3,7 & 8, I had the older2 in for eye checkups. I asked the DR. when I should bring in the 3yr old. He said 'now is good'. Turned out DS2 had moderately severe astigmatism. He was soon in glasses, DR. didn't want to wait until DS started school.

I remember when DS first put the glasses on, he spent ages just looking around - especially at the corners of walls and tables, counters etc!

There were no outward signs that I noticed, and I've been wearing glasses since I was about 10. I don't remember DS making any fuss, he used to absolutely flip out at the dentist. Even before he'd ever had any work done!

On Sep 28, 2007

LMW .... Thanks for the comment. I wanted to share that I think it would have went much better if the nurse would have went along with the game that Mommy do it and not have told her that I was not alound to. This obviuosly did not help the situtation. I also wanted to mention that she thought that my daughter was having a Drama Moment, Although I tend to have agreed with her that was not something that I wanted to hear while she is screaming and crying for mommy to do. I am glad that she does not have to go back till 5 yrs old. I think I would have prefered to take her for blood work they understand and and are so understanding. I am not going to base this one nurse's attitude on the next time and when the time comes I will request someone else, after all I have the right she is MINE! On a happier note the Dr. was AMAZING with my DD and when my DD saw her she was at ease and I felt very confident in her as well. I still think we need to find out what is in those drops. My daughter not only has food allergies but meds to so it is always nice to know..... [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]