Posts for: June, 2020
By Belkis R. Cepero, MD
June 18, 2020
Category: Child Health
Tags: Vision Test
Parents want nothing more than their children to be healthy and happy. This applies to every element of their well-being, including their eyes! Your pediatrician recommends that all children receive a comprehensive eye exam by the age of one. These tests detect any problems that require correction. Prolonging an exam can damage your child’s eyes for life.
When Should My Child’s Vision Be Tested?
Your child should have had several tests done by the age of five. This confirms for your pediatrician that they are developing normally. Follow this recommended time-table:
- At birth: this is performed right away on your child, as part of the newborn physical assessment.
- 6 months: your pediatrician evaluates your child’s eyes at their regular appointment.
- 3.5 years old: at your child’s appointment, the pediatrician tests their eyes and also their visual acuity.
- 5 years old: a standard assessment performed at a pediatric appointment.
After this, eye screenings are implemented at your discretion. Your pediatrician will check your child’s eyes at their annual checkup. If your child fails an eye exam, you need to schedule a full pediatric eye evaluation right away.
Another reason you should get your child’s eyes checked is if you have a family history of eye conditions. This is especially true if you have other children that have vision problems.
Why Does My Child Need an Eye Exam If They Passed the Vision Screening?
There are certain circumstances where your pediatrician refers your child for a full eye examination. This is common for infants that show signs of a lazy eye or crossed eyes. Other possible red flags in infants are problems tracking objects or a strangely colored pupil.
Is your child struggling in school? Don’t jump to conclusions without an eye examination from your pediatrician. If a child can’t see the board or follow along with lessons, their performance will suffer. Corrective eyewear and other treatment options can help. Eye examinations are even more important for children with learning disabilities. Eye problems can make coping with a learning disorder much harder.
What to Expect at Your Child’s Eye Examination
Your child has nothing to be worried about at their appointment. There is nothing scary or painful! The pediatrician will ask you about your family history, especially anything related to eye health. From there, they check your child’s pupil and muscle function, along with sharpness.
In certain cases, your pediatrician will dilate the eyes. This is performed by placing special drops in the eyes. After about forty minutes, the pediatrician can examine the major structures.
By Belkis R. Cepero, MD
June 04, 2020
Category: Child Health
Autism Spectrum Disorder (ASD) is a developmental condition that affects how a person views and interacts with the world around them, including other people. In most cases, differences become apparent by the time your child reaches 24 months. Mainly, parents notice behavioral differences and language delays. If you suspect that your child has ASD, schedule an appointment with your local pediatric office. We work with you to figure out what to do next.
Signs of ASD
Every child with ASD is different. Not everyone will have the same symptoms or experiences. With that in mind, here are some summaries on social, communication, and behavioral differences.
- Your child doesn’t keep or make eye contact
- They don’t respond to your facial expressions or smiles
- Does not reciprocate facial expressions or have the appropriate ones
- Doesn’t respond to parent’s pointing
- Has problems making friends
- Shows a lack of concern for others
- Your child hasn’t spoken by 16 months
- Repeats or parrots what others say
- Doesn’t feel the need or want to communicate
- Starts missing language and social milestones after 15 months
- Doesn’t pretend play but does have a good memory for numbers, songs, and letters
- Has an affinity for routines and schedules and does not like altering them
- Likes to twirl their fingers, sway, rock, or spin
- Has strange activities that they enjoy doing repeatedly
- They are sensitive to sounds, lights, touch, textures, and smells
- They are more interested in the parts of a toy instead of the whole thing
Don’t feel overwhelmed by the information listed above. As mentioned, a child can have a mixture of any of these behaviors. There are a few other common examples that your pediatrician sees. These give you insight into how a neurotypical child reacts in certain situations versus a child with ASD.
By the age of 12 months, your child should turn their head when they hear their name. A child with ASD won’t respond even if their name is called multiple times.
By 18 months, a child with speech delays finds accommodations through gestures, facial expressions, or pointing. Children with ASD find no reason to compensate for speech.
After 24 months, many children enjoy bringing their parents objects or toys to look at or play with. A child with ASD may bring their parent an object but will not play with their parent or respond to their reaction.