As a parent, knowing when to schedule your child’s first eye exam can be confusing. Should you wait until they start school? Do they need to know their letters? Is screen time really a problem?
At True Vision, we get these questions every day from families in Lancaster. Here’s what you need to know to confidently take the first step in protecting your child’s vision.
When Should a Child Have Their First Eye Exam?
According to the American Optometric Association (AOA), children should have their first comprehensive eye exam between 6 and 12 months of age.
At True Vision, we typically begin exams around 9 months, and sometimes as early as 6 months, depending on the child’s development and comfort level.
Many parents are surprised by this recommendation, but early exams help detect:
- Delays in vision development
- Eye alignment issues
- Early signs of conditions like amblyopia (lazy eye)
If your child is already 2 or 3 years old and hasn’t had an eye exam, it’s not too late. As long as they’re cooperative, we can usually complete a full and comfortable exam.
How Often Should Children Get Eye Exams?
If your child’s vision and eye health are normal during their first exam, we recommend exams every two years.
However, if we notice any concerns or if your child is at risk for vision issues, we’ll recommend annual eye exams to closely monitor their development.
Regular exams are essential for identifying changes early—especially as children grow and take on new visual demands in school and activities.
Can Toddlers Have an Eye Exam If They Can’t Read?
Yes. Children do not need to know letters or numbers to be tested.
Our office uses age-appropriate tools and techniques, including:
- Visual tracking assessments
- Symbol charts or picture-based tests
- Light and movement tools to assess eye function
Reading ability has no effect on our ability to evaluate vision in toddlers and preschoolers.
Will My Child Need Glasses If I Wear Them?
Not necessarily. While genetics can influence eye health, every child’s vision is unique. Some children with parents who wear glasses may not need corrective lenses at all.
That said, routine exams are important to detect:
- Refractive errors (nearsightedness, farsightedness, astigmatism)
- Eye focusing and tracking problems
- Signs of amblyopia or other treatable conditions
Early detection allows for simpler, more effective treatment options.
Does Screen Time Affect Children’s Vision?
There’s no direct scientific proof that screen time causes nearsightedness, but studies do show a link between increased time indoors and higher rates of vision issues in children.
We recommend:
- Encouraging outdoor play daily
- Setting limits on screen time
- Reminding children to take breaks from close-up tasks
Balanced screen habits support healthier vision and overall well-being.
Final Thoughts: Start Eye Exams Early for Long-Term Vision Health
Early and consistent vision care is one of the best ways to support your child’s growth, learning, and confidence. At True Vision, we specialize in children’s eye health and make exams comfortable and stress-free for every age.
Still unsure about when or how to get started? Call our friendly team in Lancaster—we’re happy to answer your questions and help you schedule your child’s first exam with ease.
Frequently Asked Questions
When should my child have their first eye exam?
Between 6–12 months, per AOA guidelines.
Is it too late if my child is already a toddler?
No. Children can begin exams at any age, especially before they start school.
Can kids be tested if they can’t read letters yet?
Yes. We use kid-friendly tools that don’t require reading.
How often do children need eye exams?
Every two years if their vision is normal; yearly if there are concerns.
Does screen time harm kids’ vision?
Too much screen time may strain the eyes. Encourage outdoor play and regular breaks.