C. Complaints - Child's Statements
- Cannot see well. Letters or lines "run together" or "jump."
- Headaches, dizziness, or even nausea following close eye work.
- Double vision.
- Fatigue and listlessness after close eye work. "Eyes hurt."
Note: It must be recognized that many of these signs and symptoms occur transiently during colds and other illnesses, but any persistence of these complaints indicate the need for further evaluation (Prevent Blindness America, 2000). Some students may have difficulty with reading and comprehension despite having normal outcomes on the required eye screenings. These students may benefit from additional screening, such as Near Point of Convergence (NPC). NPC testing in the school vision screening program can be a valuable tool to help understand the cause of a student's visual complaints. NPC testing may be utilized by the school nurse if a student passes the school screenings but the parents, teachers, school nurse, etc. note performance problems. and screening procedure).
Victory Eye Care
Eye Exams, Glasses & Contact Lenses.
Signs of Possible Eye Trouble in Children-
"ABC Checklist for Vision"
Kids Welcome Here®
A. Appearance of External Eye
- Eyelids - any edema, ptosis, swelling, redness, discharge, excess tearing, condition of the eyelashes, and lack of or excessive blinking of the eye.
- Conjunctiva - any discharge, hemorrhage, allergic signs, or scars.
- Eyeball - size, shape, alignment.
- Cornea - any cloudiness, bulging, abrasions or ulcers.
- Sclera - any inflammation or unusual color, such as the bluish tint found in osteogenesis imperfecta, or the yellow of jaundice.
- Iris - color, any irregularities, cuts, or spots.
- Pupil - dilatation or constriction, anisocoria (difference in pupil size).
- Lens - clear or cloudy, any opacity.
B. Behavior of Child:
- Has difficulty reading or doing work requiring close vision. Skips words or lines, loses place, re-reads, or reads too slowly. Is inattentive during chalkboard, wall chart, or map lessons. Tends to reverse words or syllables, or confuses the following letters in reading or spelling: a and o; e and c; n and m; h, n and r; and f and t.
- Frowns, blinks excessively, scowls, squints or uses other facial distortions when reading.
- Holds books and objects either too close or too far, or avoids close work whenever possible. Makes frequent change in distance at which book is held.
- Rubs eyes frequently, or attempts to brush away blur.
- Shuts or covers one eye, tilts or thrusts head forward when looking at near or distant objects. Has poor hand-eye coordination.
- Has general fatigue or drowsiness while reading or doing close work. Has poor work performance. Loses place and/or attention while reading. Appears awkward or excessively daydreams.
- Stumbles or trips over small objects.
- Does not do well in games requiring distant vision.
- May be unduly sensitive to light, and poor in color detection.