23.7.2024
Lesezeit:
10 minutes

Preventive care for children

Children must see an ophthalmologist so that their dreams of the future do not fail due to poor eyesight

Dr. Valéry Vinzent Wittwer

Preventive care for preschool age

The eyes play a central role in child development. Poor vision can severely affect this. Since young children are not yet able to communicate and do not know what normal vision feels like, they are particularly at risk of missing out on an eye problem. This often leads to permanent weak-sightedness, which can no longer be treated later in life.

What is weak-sightedness?

Low-sightedness or amblyopia occurs when vision loss prevents the normal development of vision in the brain. The earlier vision is corrected, the greater the chance that the eye will achieve normal vision.

What is considered when it comes to preventive care for children?

Defective vision (nearsightedness, farsightedness, astigmatism) and strabismus (squinting) are most commonly detected by an ophthalmologist. Eye problems such as retinal diseases, congenital cataracts, retinal tumours, congenital glaucoma and diseases of the lacrimal ducts can also be ruled out by ophthalmologists. Early treatment of these eye diseases can effectively prevent the development of weak-sightedness.

From what age do eye checks make sense?

Severe forms of visual impairment, such as congenital cataracts, are identified by the pediatrician as early as the first year of life and referred for ophthalmological treatment. From the age of 3, children should be examined by an ophthalmologist every two years.

Which children should go to eye checks even earlier?
  • Children with siblings or parents who squint
  • premature babies
  • When eye diseases are known in the family
  • If development is generally lagging behind
What are typical signs of an eye problem?
  • Blink more often
  • to hold or cover an eye
  • View objects up close
  • Squinting
When do I have to get my child checked by a specialist immediately?
  • eye injuries (bruises, burns, etc.)
  • eyelid swelling or redness
  • Unnatural eye movements
  • Comparing different pupil sizes
  • eye pain or vision impairment

School-age prevention

Can children become short-sighted and what can be done about it?

As soon as the children enter school, there is another risk to eye health, known as school myopia or school myopia. This is caused by close work (reading and writing) and can deteriorate rapidly, which can later lead to retinal detachment, macular disease, glaucoma and even cataracts.
In the case of the so-called myopia control The eyes are measured at regular intervals using special devices. The measurement values are documented and checked for progression of myopia so that treatment can be initiated at an early stage if necessary.

Increasing astigmatism during puberty

If corneal curvature changes during adolescence, this is often associated with corneal disease. In so-called keratoconus, the cornea bulges ever further forward, which can lead to the need for a corneal transplant. If this disease is detected early enough, easier treatment can stop its progression without the need for a transplant. (Crosslinking)

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