When Should My Child Have an Eye Test?

An age-by-age guide for parents

Many eye problems in children cause no pain and the child does not complain, so regular checks matter. Problems such as lazy eye (amblyopia) and squint respond best to treatment when found early.

AgeWhat should happen
NewbornRed reflex test to check for cataract and other problems at the back of the eye (done by the paediatrician)
Premature babiesBabies born early or small (in India, birth weight 2000 g or less, or born at 34 weeks or earlier) need ROP screening by an eye doctor, starting by 20–30 days of age
6–8 weeksBaby should look at faces and follow them
Up to 4–6 monthsEyes may drift occasionally; a constant squint at any age, or any drift after 4–6 months, needs an eye test
1 yearCheck if there is a family history of squint, lazy eye, high glasses power or childhood eye disease
3–4 yearsFirst full eye examination, even if no problem is noticed
5–6 years (before school)Vision check and glasses if needed
School yearsEvery year, especially if the child wears glasses or has short sight that is increasing

See an eye doctor sooner if you notice

  • A white or unusual reflex in the pupil in photographs, or a constant squint (an eye turning in, out, up or down)
  • Head tilting or turning, closing one eye in bright light
  • Sitting very close to the TV, holding books very close, or squinting to see
  • Frequent eye rubbing, watering, redness or headaches after reading
  • Falling behind at school or avoiding reading
  • Drooping eyelid, unusually large or cloudy eyes, or wobbling eyes

Protecting your child’s eyes

  • Outdoor time: about 2 hours a day outdoors in daylight helps prevent short sight (myopia).
  • Screens: limit recreational screen time, keep screens at arm’s length, and follow the 20-20-20 rule (every 20 minutes, look 20 feet away for 20 seconds).
  • If your child is short-sighted and the power is rising, ask about myopia control treatment.
  • Use protective eyewear for sports such as cricket and for festivals with fireworks.

Related: children’s eye check-ups at Sadbhaav, squint treatment, understanding myopia.

Questions?

Message us on WhatsApp or call the clinic. Clinic hours: Monday to Saturday, 10 am to 1 pm and 5 pm to 8 pm.

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Eye care by an AIIMS-trained ophthalmologist; dental care by an MDS endodontist — both dedicated specialists in their respective fields.

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Dr. Dhaval Patel brings 15+ years of clinical experience since starting his ophthalmology residency at AIIMS, New Delhi in 2011.

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