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At birth
your pediatrician will screen your baby's eyes in the nursery. If he sees
no problems then we recommend his/her first routine eye exam be at three
years of age. At three years your child should be able to sit on your lap
and name the images of toys at the end of the examination room. Thereafter
every several years a follow-up exam should be performed by a professional
physical even though the school system will usually provide screening exams. We have all heard of lazy eye. To an eye doctor this indicates poor vision usually related to a frequently crossed eye or a difference in the power (refractive state) between the eyes. The child's brain will use the easiest or straightest seeing eye and neglect developing the other eye. The old adage applies, if you don't use it you'll lose it. This poor vision, if not corrected, will become permanent typically after age 6 to 7 years.
Other common problems in young children can include blocked
tear ducts with recurrent infections and continuous tearing from birth.
This problem will often disappear in the first few months of life due to
your pediatrician's diligent use of antibiotics and suggestion to massage
over the tear sac. If the problem doesn't clear up then a simple hospital
procedure can be done by the ophthalmologist before age 6 months. The success
of this 'probe and irrigation' procedure dwindles after 6 months.
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