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| guidelines_for_prescribing_glasses_in_children [2015/12/28 18:56] – Scott Larson | guidelines_for_prescribing_glasses_in_children [2025/12/01 19:26] (current) – Scott Larson | ||
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| ====== Guidelines for Prescribing Glasses in Children ====== | ====== Guidelines for Prescribing Glasses in Children ====== | ||
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| + | ===== Preschool-Aged Children ===== | ||
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| ^ Condition | ^ Condition | ||
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| ♦ Defined as >15 degrees from 90 or 180 meridian\\ | ♦ Defined as >15 degrees from 90 or 180 meridian\\ | ||
| - | * These values are based on consensus of expert opinion | + | * These values are based on consensus of expert opinion |
| * For children 4 years and older: prescriptions should be based on visual acuity measurements and visual functioning when at all possible | * For children 4 years and older: prescriptions should be based on visual acuity measurements and visual functioning when at all possible | ||
| + | |||
| + | ===== School-Aged Children ===== | ||
| + | |||
| + | ==== General guidelines: ==== | ||
| + | |||
| + | - Glasses should be prescribed based on visual acuity testing at distance and near. | ||
| + | - An appropriate screening history should include questions about difficulty with near reading vision and distance vision | ||
| + | |||
| + | ==== Myopia: ==== | ||
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| + | Prescribe glasses for children with distance vision worse than 20/30 | ||
| + | |||
| + | ==== Astigmatism: | ||
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| + | Prescribe glasses for children with distance or near vision worse than 20/30 | ||
| + | |||
| + | ==== Hyperopia without Esotropia: ==== | ||
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| + | - Prescribe glasses for children with vision worse than 20/30 at near or distance | ||
| + | - Prescribing glasses for children with 20/20 vision may be appropriate if vision is worse at near viewing or significant reading difficulty that appears to be related to poor accommodative effort. | ||
| + | - Glasses should have less than the full amount of hyperopia. | ||
| + | - The amount of under-correction can be based on the amount of hyperopia that improves vision | ||
| + | - The amount of under-correction can be from 1 to 3 diopters to help encourage glasses wear. | ||
| + | |||
| + | ==== Hyperopia with Esotropia: ==== | ||
| + | |||
| + | Prescribe full cycloplegic refraction | ||
| + | |||
| + | ==== Anisometropia: | ||
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| + | - Correct the difference between the two eyes to within 1 diopter | ||
| + | - If one eye is hyperopic and one is myopic it may be appropriate to undercorrect the hyperopic eye by 0.5 to 1 diopter. | ||
| + | - When the child has reached visual maturity, glasses may be discontinued if desired by the family. | ||
| ===== Sources ===== | ===== Sources ===== | ||
| - | * Adapted from AAO Preferred Practice Pattern 2012, Pediatric Eye Evaluations p. 19 [[http:// | + | * Preschool-Aged children information: |
| + | * School-Aged Children is consensus from the Pediatric Ophthalmology Section, Department of Ophthalmology and Visual Sciences, University of Iowa | ||
| - | {{tag> | + | {{tag> |