1. BABY WATCH EARLY INTERVENTION VISION SCREENING TRAINING BABY WATCH EARLY INTERVENTION VISION SCREENING TRAINING Section IV. Section IV. Child Resists Eye Occlusion Child Resists Eye Occlusion  Developed by: Darla Fowers, R.N., M. Ed.

2. Child Resists Attempt to Cover an Eye A child who is seeing better out of one eye than the other may resist any effort to cover his or her better eye A child who is seeing better out of one eye than the other may resist any effort to cover his or her better eye

3. Child Resists Attempt to Cover an Eye The child/baby may demonstrate resistance to your attempts to cover one of his or her eyes by any of the following: the baby may cry, roll, try to wiggle away, turn her/his head, try to move your hand out of the way, etc.

4. Child Resists Eye Covering Continued … Get the baby/child to attend to: Get the baby/child to attend to: your face, your face, your hand, your hand, a toy, a toy, some other visually exciting item some other visually exciting item

5. Child Resists Eye Covering Continued … Once eye contact is established … Once eye contact is established … Hold your hand in front of the child’s right eye. This is done in an attempt to block the baby’s ability to see you, the toy or other item which is being held midline, about 8”-12” from the face. Hold your hand in front of the child’s right eye. This is done in an attempt to block the baby’s ability to see you, the toy or other item which is being held midline, about 8”-12” from the face.

6. Child Resists Eye Covering Continued … With the above in mind, hold your hand close enough to block vision from the right eye, but far enough away to avoid touching the face. With the above in mind, hold your hand close enough to block vision from the right eye, but far enough away to avoid touching the face.

7. Child Resists Eye Covering Continued … Shake the toy, talk, sing or make noises to keep the child engaged on the visual image. Shake the toy, talk, sing or make noises to keep the child engaged on the visual image.

8. Child Resists Eye Covering Continued … With your hand in place, notice if the child makes an attempt to move away from your hand by moving the head or body, becoming agitated, crying, or attempting to move your hand away from him/her.

9. Child Resists Eye Covering Continued … Repeat the activity, this time covering the child’s left eye

10. Child Resists Eye Covering Continued … Any resistance to having visual input, to either eye, temporarily blocked may indicate there is better vision/acuity in one eye

11. Child Resists Eye Covering Continued … Any attempt to block vision to the better eye is usually met with behaviors similar to those noted above.

12. Child Resists Eye Covering Continued … Have the parent(s) observe the child at various times during a 2- week period

13. Child Resists Eye Covering Continued … If the child consistently exhibits the resistive behaviors noted above, refer to PIP