“The growing body of research in children’s vision correction continues to demonstrate that contact lenses provide significant benefits to children beyond simply correcting their vision. This three year, multi-site study showed considerable improvement for contact lens wearing children 10 years or older in areas of appearance, participation in activities, and satisfaction with vision correction, and it remained or improved over three years,” said Jeffrey J. Walline, O.D, Ph.D., of The Ohio State University College of Optometry and leader of the Adolescent and Child Health Initiative to Encourage Vision Empowerment (ACHIEVE) Study, the largest randomized trial of its kind.

Researchers note that the most surprising finding may be children’s reports of improved quality of life with regard to handling contact lenses compared with glasses, as it is often assumed that glasses are much easier to manage than contact lenses.

“Although contact lenses may require more adept handling, daily disposable contact lenses decrease this burden, and the fact that contact lenses may be lost or broken less often than glasses outweighs the slight increase in time spent inserting and removing contact lenses,” said Dr. Walline. “Many children remove their glasses multiple times per day during gym, recess or other activities, which increases the chances of loss or breakage.”, according to Dr. Henahan.

Four hundred eighty-four 8- to 11-year-old nearsighted children participated in the randomized, single-masked trial conducted from September 2003 to October 2007 at five clinical centers in the United States.

Children were randomly assigned to wear spectacles (n=237) or contact lenses (n=247) for three years. Children randomly assigned to wear contact lenses were provided the option of daily disposable or two-week disposable lenses, and they chose daily disposable contact lenses 93.3 percent of the time.

Researchers measured outcomes using the Pediatric Refractive Error Profile (PREP), an instrument used to compare the vision-specific quality of life between children affected only with refractive error.  The PREP survey consisted of 11 scales: activities, appearance, far vision, near vision, handling, peer perception, satisfaction, academics, symptoms, overall vision, and overall PREP.

Doctors will typically evaluate a child’s maturity and level of parental support in deciding whether a child is ready for contact lenses. Dr. Walline advises parents and eye care practitioners to look beyond the visual benefits when choosing the most appropriate vision correction modality for children requiring vision correction.

At Spectrum Eyecare in Peachtree City, Dr. John Henahan works with many children to fit contact lenses, as well as treating common eye conditions, such as pink eye.  To learn more, click here or contact the office at 770-487-0667.

At what age should my child have their first eye exam?

Most organizations, like the American Optometric Association feel that a child should have a first exam before age 1.  The problem with this is that finding an eye doctor who has the special equipment and training to evaluate infants is difficult.  In our area, the waiting time for an appointment with a pediatric ophthalmologist is more than six weeks.

If you (or your pediatrician) suspect any vision problems, have a family history of congenital vision problems, then it is advisable to have an infant eye exam with a pediatric specialist.

For most other children, a first eye exam around age 5 is ideal.  The child is old enough to allow for a very thorough eye exam that with great accuracy can determine if glasses are needed.  If no problems are found, repeat exams are recommended approximately every three years.

What is lazy eye?

Amblyopia, also known as lazy eye, affects just two to three percent of the population. But, if left uncorrected, this vision problem can have a very big impact. Central vision fails to develop properly, usually in one eye, which is called amblyopic.  Untreated amblyopia may lead to functional blindness in the affected eye. Although the amblyopic eye has the capability to see, the brain “turns off” this eye because vision is very blurred, and the brain elects to see only with the stronger eye.  Proper intervention, which may include glasses and eye exercises (vision therapy), can drastically improve vision in the affected eye of these children, especially if diagnosed before age 6.

Why does my child struggle in school?

There are many reasons for poor school performance.  Developmental and learning disabilities, AD/HD, Asperger’s and autism are just a few possible causes.  Even if your child is diagnosed with one of these conditions, an eye exam to rule out vision problems is essential.  Remember, approximately 80% of what a child learns comes through their visual system.  A complete eye exam with dilated pupils is a key way to determine if your child’s visual system is doing it’s part.

My child is complaining of difficulty seeing the board in school, what does that mean?

Myopia (nearsightedness) is a vision problem that manifests as difficulty seeing far away.  This condition can come on at any age, but most commonly arises in late elementary school or early middle school.  Correction of myopia is straightforward with glasses or contact lenses.

At what age can my child wear contact lenses?

Depending upon your child’s prescription and level of maturity, a good rule of thumb is around age eleven.  Dr. Henahan has fit younger children in contact lenses, but it is important for parents to carefully monitor the younger child’s actions to insure safe practices with respect to contact lens care.

Advances in contact lens care and materials have made them dramatically safer than five or ten years ago if the child cares for their contacts properly.

Can my child sleep in their contacts?

Sleeping in contact lenses is the single greatest cause of complications among those who wear lenses.  Even in the safest materials, contact lens over wear causes at least a tenfold increase in eye infection and other dangerous complications.  Teaching and reinforcing the dangers of contact lens overwear is one of Dr. Henahan’s top priorities.

How important is it to replace my child’s contact lenses on schedule?

Apart from sleeping in lenses, failure to replace contacts on schedule is the second biggest cause of complications that arise from the use of contact lenses.  Contact lenses should be replaced as directed by your eye doctor, or monthly at a minimum (this does not apply to patients wearing rigid or hard contact lenses).

Additionally, your child should get a new case with their contact lenses with each new bottle of solution.  Additionally, replacing the solution that your contacts soak in should be done daily.  The contact lens solution is not effective in cleaning or disinfecting a contact lens after the first night.  Each morning when the contact lenses are put on, the case should have the solution rinsed out of it and allowed to air dry (with the top off) during the day. Fresh solution should be used when taking the lenses out in the evening.

What type of contact lens is best for my child?

For most children, soft disposable lenses represent the best balance of comfort, easy care, clear vision and safety.  For some children, disposable lenses are not an option due to the nature of their prescription, but other lens options do exist which allow us to fit almost any child in contacts.

What about LASIK?

LASIK eye surgery is an excellent option for many people with glasses or contacts who wish to eliminate their dependence on glasses or contacts.  However, one must be at least 18 years of age to undergo LASIK.  Furthermore, it is important that the prescription is not changing.  Typically, most children continue to see prescription changes until they are in their early to mid 20’s.  Dr. Henahan advises against LASIK until your child’s prescription has been stable for two years.

Dr. John Henahan is a fellowship trained doctor of optometry practicing and living right here in Peachtree City with his wife and two sons.  You may call his office at (770) 487-0667 or request an appointment here.