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Children Who Should By-Pass Vision Screening

Vision Screening for Children 36 to <72 Months: Recommended Practice

Recommendation Summary

Children at high risk for vision disorders and those with readily recognized eye abnormalities such as strabismus or ptosis should be referred directly, and in a timely manner, to an appropriate eye care professional. This includes children with the following:

  • Readily observable ocular abnormalities
  • Neurodevelopmental disorders
  • Systemic conditions that have associated ocular abnormalities
  • First-degree relatives with strabismus or amblyopia
  • A history of prematurity (<32 completed weeks)
  • Parents who believe their child has a vision problem

These children should be referred directly to an ophthalmologist or optometrist for a comprehensive eye examination. Children who have received an eye examination from an eye care professional within the prior 12 months do not need to be screened, but should be referred back to their eye care provider if follow up is needed.