Question 1

When should my child first get their eyes examined?

Accepted Answer

Approximately 80% of a child’s learning prior to the age of 12 is related to vision. Ideally, children should have an eye exam at around age 3. If a comprehensive exam is not done at age 3, the first exam should be no later than age 5 or 6 before they enter kindergarten or first grade.

If there is a family history of strabismus (crossed eyes), amblyopia, or other childhood eye disorder, toddlers should be evaluated for refractive error and eye health as early as 18 - 24 months of age by a pediatric eye care specialist. Annual or bi-annual comprehensive eye exams should be performed on all children when they reach the age of 5 or 6, or when they are starting kindergarten or first grade. The follow-up schedule depends on their exam findings and risk factors for future vision issues.

Question 2

How often should children get their eyes checked?

Accepted Answer

Annual comprehensive eye exams are recommended for all school-age children, even if your child does not have any eye complaints.  Unfortunately, parents and educators often incorrectly assume that if a child passes a school screening, then there is no vision problem.  However, many pediatrician and school vision screenings only test for distance visual acuity. A child who can see 20/20 can still have a vision problem.  In reality, the vision skills needed for successful reading and learning are much more complex.
 
Even if a child passes a vision screening, they should receive a comprehensive optometric examination if:
 • They show any signs or symptoms of a vision problem
 • They are not achieving up to their potential
 • They are minimally able to achieve, but have to use excessive time and effort to do so
 
Vision changes can occur without your child or you noticing them.  Therefore, your child should receive an eye examination every year, or more frequently if specific problems or risk factors exist.  The earlier a vision problem is detected and treated, the more likely treatment will be successful.
 
The following is a guideline for having your child receive a comprehensive eye exam:
 • 3 through 5 years: At least once between 3 and 5 years of age
 • 6 through 18 years: Before kindergarten or first grade and annually or bi-annually as recommended by your eye doctor.
 
Of course, if a child is complaining of any eye discomfort or change in their vision, they should be seen right away, regardless of when their eyes were last checked.
 
Schedule your child’s appointment (undefined)today.

Question 3

My family has a history of myopia (nearsightedness). Is my child at higher risk?

Accepted Answer

Yes. A child who has one myopic parent has a 3x higher risk of developing myopia. A child with two myopic parents has a 6x higher risk of developing myopia, often at an earlier age, with more rapid and greater progression. There are now treatments that can be implemented even before a child begins to struggle to see. A comprehensive myopia assessment can provide insights into how to delay the onset and minimize the progression.

Question 4

What makes a comprehensive pediatric eye exam different from a standard eye exam or vision screening?

Accepted Answer

Comprehensive pediatric eye exams are specifically designed to test not only for sight accuracy and eye health but how well your child’s eyes work together.  Eye-brain coordination symptoms can affect your child's reading and comprehension, cause concentration issues and often headaches. A complete eye health evaluation, refraction and consultation will be performed to rule out disease or other eye related problems.  Corrective lenses, other treatments or referral to other medical specialists will be recommended, if needed. A pediatric optometrist is specifically trained to assess a young child with a series of objective tests that can determine prescription, eye positioning and eye health without much response from the child.  Most parents are surprised to learn that pediatric optometrists can assess a child’s vision before they learn their letters, or even before they can respond verbally.
 
There are some vision conditions that do not have any symptoms and can only be detected through a comprehensive eye exam using dilating drops.  Children are sometimes able to mask an underlying condition that may lead to longer lasting vision issues if not caught and corrected at a young age.

Question 5

What should I expect at my child’s first eye exam?

Accepted Answer

You should expect to spend an hour or more in the office.  Your child will be asked a series of questions and given many simple, fun tasks to assess various components of their vision.  An eye health evaluation will be done, including dilation using eye drops.  After dilation, they will be light sensitive and their near vision will be blurry for a few hours. Please plan accordingly when scheduling appointments.

Question 6

What should I do to help my child prepare for their eye exam?

Accepted Answer

Less preparation is generally best!  You should expect your child to like their doctor and enjoy their visit.  Dr. Squeri has dedicated her career and practice to treating children and providing the best care as well as best experience during and after your child’s visit.
 
Here are some additional pointers:
 
 • Talk positively about your child’s visit and how they will enjoy seeing the eye doctor.
 • Make the appointment for a time of day that is good for your child.  They should be well rested and fed, and not over stimulated.
 • Please bring any previous eyeglasses or contacts to our office at the time of the visit and any reports from previous eye exams or other referring doctors.

Question 7

My child is having headaches when reading and doing school work.  What should I do?

Accepted Answer

If your child is having headaches and eye strain when reading and focusing on near tasks, they should first have a comprehensive eye exam to rule out any refractive error or ocular health issues. If your child’s recent exam done in our office or by another eye doctor does not reveal a problem, completing our Functional Vision Survey (https://form.jotform.com/pvceyes/functional-vision-survey)can help in determining if a Binocular Vision Evaluation is needed. If you think your child is struggling with the symptoms on this survey, we may be able to help. The binocular vision evaluation is best performed later in the day, ideally after a full day at school when their eyes are likely the most tired.

Question 8

My child was recently diagnosed with a Traumatic Brain Injury (concussion) and continues to have eye problems making it difficult to return to school and return to play.  What should I do?

Accepted Answer

If your child’s symptoms are visual in nature, such as the ones listed on our Concussion Survey,(https://form.jotform.com/pvceyes/concussion-survey) they may benefit from neuro-optometric therapy, prisms or special lenses.
 
To determine if any of these treatments may be of benefit, we recommend you schedule (undefined)a Comprehensive Eye Exam and Post-Concussion Consultation with Dr. Squeri.

Question 9

Does Dr. Squeri  see toddlers and children with special needs?

Accepted Answer

Yes. Dr. Squeri can examine toddlers and children with special needs who may be non-verbal or have difficulty verbalizing what they can see for refractive error, eye alignment and general ocular health.

Question 10

Does Dr. Squeri see adults?

Accepted Answer

Yes, for specialized cases. Dr. Squeri will see adults with a history of strabismus and/or a history of strabismus surgery who have binocular vision symptoms and may require prism glasses or vision therapy. She also sees adult patients who may be suffering with post-concussion syndrome accompanied by lingering ocular symptoms.

Question 11

Does Dr. Squeri accept insurance?

Accepted Answer

No, Dr. Squeri is not a participating provider with health insurance plans and does not file health insurance claims but will do her best to guide you.

The receipt provided at your visit will have a medical procedure and diagnosis code to be used for your insurance reimbursement submission. If you have out-of-network coverage, you can submit this receipt for reimbursement through the vision and/or medical portion of your insurance.
 
Payment is due at the time of the appointment by Cash, Credit/Debit Card, FSA/HSA Flexible/Health Spending Accounts, Zelle, or Venmo. All major credit cards are accepted, including Visa, Mastercard, Discover and American Express.
 
For questions, please email info@pvceyes.com.(mailto:info@pvceyes.com)

Question 12

Which forms of payment does Dr. Squeri accept?

Accepted Answer

We accept Cash, Credit/Debit Card, FSA/HSA Flexible/Health Spending Accounts, Zelle, or Venmo. All major credit cards are accepted, including Visa, Mastercard, Discover and American Express.
 
Payment is due at the time of the appointment.

Pediatric Optometry and Vision Care

Dr. Christine D. Squeri

1080 Fifth Ave #1C (89/90th), NY, NY 10128

info@pvceyes.com

212.410.1291

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