Pediatric Vision Care Bill Takeshita, O.D.,F.A.A.O., F.C.O.V.D.

Questionnaire Pre-natal history Peri-natal complications Developmental history Signs and symptoms check list Authorization to release information

Make Your Office Fun Photograph of the play area in waiting room

Begin with Something Fun Photo of child looking at OKN

Eye Movement Testing Fixation: Ability to keep eyes steady on the target. Nystagmus is the uncontrollable shaking of the eyes. Versions or pursuits: Ability to follow a moving target (Parietal lobe of brain) Saccades: Ability to shift the eyes from one target to another, such as when reading. (Front lobe of brain). Eye-hand coordination testing

Convergence Testing Convergence is the ability to cross or bring both eyes together when reading. Poor convergence is a leading cause of the inability to read Double vision Headaches Loss of place when reading

Binocular Vision Photograph of left esotropia Photograph of right exotropia

Pseudo-esotropia Photo of pseudo esotropia

Depth Perception Photograph of stereo test

Color Vision Photo of color vision test

Peripheral Vision Testing Photo of Humphrey Test of finger confrontation

Teller Acuity Photo of Teller Photo of Lea Symbol cards

Lea Symbols Photograph of lea symbols

Photo of M and S System

Distance Acuity Photo of ETDRS Photo of Feinbloom

Pinhole Test photograph of pinhole

Refraction Illustration of perspective with e on macula

Retinoscopy Spot retinoscope versus streak Dry and wet retinoscopy Make spectacles with various powers 10-foot retinoscopy

Reading Acuity test Photo of Game Card Photo of continuous text

Ocular Examination Inspect internal structures to determine the most usable regions of the eye to enhance vision Rule out active eye disease that must be treated medically Photograph of doctor examining patient with slit lamp

Hand Held Slit Lamp Photo of Kowa hand held

Developmental Eye Movement Test Photograph of Test C

Gardner Test of Visual Perception, Revised Edition TVPS

DTVP-2 Photograph of DTVP-2

Prescribing Suggestions

Enhanced Vision Acrobat Photograph of woman putting on make up