parent’s checklist of vision problems can your child see … · parent’s checklist of vision...

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Parent’s Checklist of Vision Problems Children may not know that they have a vision problem. They can’t always tell you what they see. Yet, 1 out of 4 school-age children has a significant eye problem that can interfere with learning and development. BC Doctors of Optometry recommends children have their first eye exam between six and nine months, at least one eye exam between the ages of two and five, and yearly after starting school. DOES YOUR CHILD HAVE AN UNUSUAL EYE APPEARANCE? + One eye that looks turned in or out? + Bumps, styes, redness, swelling or crusting of eyelids? + Drooping eyelid? + Haziness or whitish appearance inside the pupil? + Frequently watery eyes? DOES YOUR CHILD BEHAVE IN A WAY THAT COULD SUGGEST A VISION PROBLEM? + Does not watch or follow an object? + Touches things to help recognize them? + Does not make eye contact? + Closes or covers one eye? + Squints or frowns when looking far or near? + Rubs or touches the eyes a lot? + Blinks more than usual? + Reacts strongly to light? + Turns or tilts head when viewing objects? + Holds objects very close to face? + Dislikes near tasks? + Loses interest quickly or becomes irritable with visual activities? + Has poor depth perception or trouble seeing 3D? + Trips, falls or bumps into things often? + Is uncoordinated for play activities and sports? DOES YOUR CHILD HAVE ANY DIFFICULTIES WITH LEARNING? + Has poor posture when reading/writing? + Has poor handwriting? + Moves ahead, loses place, skips lines when reading? + Uses more effort than normal to complete school work? + Works hard but is not achieving the expected level at school? IS YOUR CHILD AT RISK FOR VISION PROBLEMS? + Does a family member have a turned or lazy or blind eye? + Does a family member have glasses with high power? + Has any family member had early childhood cataracts or glaucoma? + Were there complications with the pregnancy or delivery? + Was your child premature at birth? + Does your child have a hearing loss? + Does your child have a health condition that can affect eyes, such as: + Autism + Attention deficit disorder (ADHD) + Developmental delay + Cerebral palsy + Juvenile arthritis + Down syndrome BC Doctors of Optometry wishes to acknowledge the Ontario Association of Optometrists (OAO) for providing content for this checklist. ® Used Under License Can your child see well? Get an Eye Exam and FREE Prescription Glasses for Your Child If your child was born in 2010 and is currently enrolled in kindergarten in a participating school district, he/she is eligible for a comprehensive eye exam and, if needed, one pair of FREE eyeglasses from a participating Doctor of Optometry through the Eye See…Eye Learn program. See reverse on how to participate.

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Page 1: Parent’s Checklist of Vision Problems Can your child see … · Parent’s Checklist of Vision Problems ... + Does not make eye contact? ... + Has poor posture when reading/writing?

Parent’s Checklist of Vision ProblemsChildren may not know that they have a vision problem. They can’t always tell you what they see. Yet, 1 out

of 4 school-age children has a significant eye problem that can interfere with learning and development.

BC Doctors of Optometry recommends children have their first eye exam between six and nine months,

at least one eye exam between the ages of two and five, and yearly after starting school.

DOES YOUR CHILD HAVE AN UNUSUAL

EYE APPEARANCE?

+ One eye that looks turned in or out?

+ Bumps, styes, redness, swelling or crusting of eyelids?

+ Drooping eyelid?

+ Haziness or whitish appearance inside the pupil?

+ Frequently watery eyes?

DOES YOUR CHILD BEHAVE IN A WAY THAT

COULD SUGGEST A VISION PROBLEM?

+ Does not watch or follow an object?

+ Touches things to help recognize them?

+ Does not make eye contact?

+ Closes or covers one eye?

+ Squints or frowns when looking far or near?

+ Rubs or touches the eyes a lot?

+ Blinks more than usual?

+ Reacts strongly to light?

+ Turns or tilts head when viewing objects?

+ Holds objects very close to face?

+ Dislikes near tasks?

+ Loses interest quickly or becomes irritable with

visual activities?

+ Has poor depth perception or trouble seeing 3D?

+ Trips, falls or bumps into things often?

+ Is uncoordinated for play activities and sports?

DOES YOUR CHILD HAVE ANY DIFFICULTIES

WITH LEARNING?

+ Has poor posture when reading/writing?

+ Has poor handwriting?

+ Moves ahead, loses place, skips lines when reading?

+ Uses more effort than normal to complete school work?

+ Works hard but is not achieving the expected level at school?

IS YOUR CHILD AT RISK FOR VISION PROBLEMS?

+ Does a family member have a turned or lazy or blind eye?

+ Does a family member have glasses with high power?

+ Has any family member had early childhood cataracts

or glaucoma?

+ Were there complications with the pregnancy or delivery?

+ Was your child premature at birth?

+ Does your child have a hearing loss?

+ Does your child have a health condition that can affect eyes,

such as:

+ Autism

+ Attention deficit disorder (ADHD)

+ Developmental delay

+ Cerebral palsy

+ Juvenile arthritis

+ Down syndrome

BC Doctors of Optometry wishes to acknowledge the Ontario Association

of Optometrists (OAO) for providing content for this checklist.

®Used Under License

Can your child see well?

Get an Eye Exam and FREE Prescription Glasses for Your Child If your child was born in 2010 and is currently enrolled in kindergarten in a participating school

district, he/she is eligible for a comprehensive eye exam and, if needed, one pair of FREE

eyeglasses from a participating Doctor of Optometry through the Eye See…Eye Learn program.

See reverse on how to participate.

Page 2: Parent’s Checklist of Vision Problems Can your child see … · Parent’s Checklist of Vision Problems ... + Does not make eye contact? ... + Has poor posture when reading/writing?

CORPORATE PARTNERS:

Eye See … Eye Learn®

For all Kindergarten Studentsin Your School DistrictIn collaboration with your school district, BC Doctors of Optometry is providing an eye examination and FREE prescription eyeglass program called Eye See … Eye Learn® (ESEL) for kindergarten children.

MESSAGE TO PARENTS AND GUARDIANS:

Good eye health and vision are essential for academic

and developmental success during children’s early learning

years. Statistics show that 1 in 4 school-age children

has an underlying vision problem that can interfere with

learning and development.

If your child was born in 2010 and is currently enrolled

in kindergarten in a participating school district, he/she

is eligible for a comprehensive eye exam and, if needed,

one pair of FREE eyeglasses from a participating

Doctor of Optometry.

PARTICIPATING SCHOOL DISTRICTS:

Abbotsford • Burnaby • Central Okanagan • Chilliwack

Coquitlam • Cowichan Valley • Delta • Greater Victoria

Maple Ridge & Pitt Meadows • Mission • Nanaimo-Ladysmith

New Westminster • Prince George • Saanich • Surrey

HOW TO PARTICIPATE:

Contact an ESEL clinic to book your child's eye exam

by visiting bcesel.ca. There will be no cost to you

for this service.

Detach the bottom part of this letter and bring

it to your appointment. This will cover your child's

prescription eyeglasses if correction is needed.

PARENT/GUARDIAN AUTHORIZATION:

As a participant in the Eye See … Eye Learn® program, I consent to clinical information regarding my child being released to the participating lab, eyewear provider and BC Doctors of Optometry.

Detach form and bring to your appointment.

THIS LETTER IS VALID UNTIL AUGUST 31, 2016

Student Name

Parent/Guardian Signature

School Name

Personal Health No Date

“Eye See … Eye Learn®” and “Fribbit” are registered trade-marks of the Alberta

Association of Optometrists

1

2

Visit bcesel.ca for details and to find a

participating Doctor of Optometry near you

Page 3: Parent’s Checklist of Vision Problems Can your child see … · Parent’s Checklist of Vision Problems ... + Does not make eye contact? ... + Has poor posture when reading/writing?

Eye See … Eye Learn® Participating Doctors of Optometry (Lower Mainland) – continued

May 11 2016 3 | P a g e

PORT COQUITLAM (continued)

Eye exams only (no eyeglasses available)

Dr. Tommy Tseng Infocus Optometry 2150 Hawkins Street 604-472-1267

RICHMOND

Eye exams only (no eyeglasses available)

Dr. Lucia Li Dr. Alison She Dr. Sharon Wong WestCoast Doctors of Optometry 9151 Bridgeport Road 604-278-9895

SURREY

Eye exams and eyeglasses

Dr. Mona Sandhu Clayton Heights Optometry 103A – 19151 Fraser Hwy 604-372-4030

Dr. Anisa Nurani Dr. Ashifa Nurani Cloverdale Optometry 5718 176A Street 604-574-4527

Dr. Luna Mangat Dr. Luna Mangat Optometrist 162 – 8120 128th Street 604-507-2166

Dr. Anisha Bhagat Dr. Angela Hern Dr. Sandeep Sidhu Dr. Kimberly Tsang Dr. Yin Li FYidoctors – Surrey 101 – 6398 120 Street 604-591-3377

Dr. Avi Sahota Dr. Karen Sahota Insight Eyecare – Doctors of Optometry 50 – 2285 160th Street 604-535-8118

Dr. Nancy Selinger Morgan Creek Optometry 102 – 15252 32 Avenue 604-542-9400

Dr. Sandy Johal Dr. Jeremy Larson Dr. Alison Leung Panorama Optometry 111 – 15161 Highway 10 604-576-6588

Dr. Michelle Elliott Dr. Liseann Head Spectrum Optometry 670 – 15355 24th Avenue 604-536-2050

Eye exams only (no eyeglasses available)

Dr. Natasha Grewal Dr. Andy Deol Active Eyes Optometry 105 – 15122 72nd Avenue 604-593-5355

Dr. Lindsay Kamachi Boardwalk Optometry – Guildford A3 – 10160 152nd Street 604-589-7311

Dr. Ravinder Sarai Dr. John Stuart Dr. John Stuart Jr. Optometric Corp. Surrey Eye Care Centre 13490 104th Avenue 604-951-8575

Dr. Priya Vohora Dr. Priya Vohora, Optometrist 102 - 18640 Fraser Highway 604-372-3930

VANCOUVER

Eye exams and eyeglasses

Dr. Helen Mach Dr. Karen Wong Coastal Eye Clinic Doctors of Optometry 1681 Manitoba Street 604-876-3636

Dr. Jessica Chang Dr. Cheryl Chen Dr. Sharon Lam Dr. Maxine Law South Vancouver Optometry Clinic 6645 Victoria Drive 604-322-5520

Dr. Manbir Randhawa Vision Source Dr. M.K. Randhawa, Optometrist 2625 East 49th Avenue 604-435-3931

Eye exams only (no eyeglasses available)

Dr. Charlene Chu Dr. Maria Wang Dr. Vivian Yeung WestCoast Doctors of Optometry 605 Expo Blvd 604-682-5800