


Children’s Eye Exams
A child’s vision develops rapidly during the first few years of life, making regular eye exams one of the most vital investments parents can make in their child’s future success and overall well-being. Many vision problems in children go undetected because young ones may not realize their vision is impaired or lack the vocabulary to describe what they’re experiencing. Without proper vision, children may struggle academically, socially, and developmentally in ways that could impact them for years to come.
At Vision Source Mandan, we understand the unique eye care needs of growing children and provide comprehensive pediatric eye exams designed to catch problems early when they’re most treatable. Our experienced team of optometrists uses child-friendly techniques and advanced diagnostic equipment to ensure your child receives thorough, comfortable care in a welcoming environment.
When Should Children Have Their First Eye Exam?
The American Optometric Association recommends that children have their first comprehensive eye exam between 6 and 12 months of age, followed by another exam between the ages of 3 and 5, and then annually once they begin school. These early exams are crucial because many serious eye conditions can develop without noticeable symptoms.
During infancy, we look for signs of congenital eye problems, proper eye movement, and normal visual development. As children grow, our focus shifts to detecting refractive errors, such as nearsightedness, farsightedness, and astigmatism, as well as checking for conditions like lazy eye or crossed eyes that can significantly impact their learning abilities.
Even if your child seems to see well, regular eye exams remain essential. Children are remarkably adaptable and often compensate for vision problems without parents realizing anything is wrong. By the time symptoms become apparent, valuable learning opportunities may have already been missed.






What to Expect During Your Child’s Eye Exam
We make pediatric eye exams comfortable and engaging for children of all ages. Our optometrists are skilled at working with young patients, using age-appropriate techniques and equipment to gather accurate information about your child’s vision and eye health.
For very young children who cannot yet read letters, we use picture charts, shapes, or other visual tests they can understand. We also perform objective tests that don’t require verbal responses, such as retinoscopy to refractive errors and assessments of how well the eyes work together.
What We Test For
Our pediatric eye exams evaluate several critical areas of vision and eye health. We assess visual acuity at both near and far distances, check how well the eyes focus and work together as a team, and examine eye movement abilities essential for reading and learning.
We also evaluate depth perception, color vision, and peripheral vision while conducting a thorough examination of the eye’s internal and external structures. This comprehensive approach helps us identify not only refractive errors but also eye diseases, developmental delays, and other conditions that could affect your child’s visual development.
Myopia Management for Children
One of the most significant concerns in pediatric eye care today is the dramatic increase in childhood myopia, also known as nearsightedness. Studies show that myopia rates have doubled in recent decades, with digital device usage and reduced outdoor time contributing to this epidemic.
At Vision Source Mandan, we offer advanced myopia management treatments specifically designed for children. These specialized approaches can slow the progression of nearsightedness, potentially preventing your child from developing high myopia later in life, which carries an increased risk of serious eye diseases.
Our myopia management options include specially designed contact lenses, Essilor Stellest eyeglass lenses, prescription eye drops, and lifestyle modifications tailored to each child’s specific needs. Early intervention is key, making regular eye exams even more critical for detecting myopia in its earliest stages.






Signs Your Child May Need an Eye Exam
While regular preventive eye exams are essential for all children, certain signs may indicate your child needs immediate attention. Watch for:
- Frequent eye rubbing
- Excessive tearing
- Unusual sensitivity to light
- Complaints of headaches, especially after reading or doing homework
Behavioral changes can also signal vision problems. If your child suddenly loses interest in reading, holds books unusually close or far away, covers one eye while reading, or has difficulty with hand-eye coordination activities, schedule an eye exam as soon as possible. Academic struggles, difficulty paying attention, or behavioral issues at school can sometimes stem from undiagnosed vision problems rather than learning disabilities.



Emergency Eye Care For Children
Children are naturally curious and active, which sometimes leads to eye injuries or sudden vision problems. Vision Source Mandan provides emergency eye care services when your child needs immediate attention for issues like foreign objects in the eye, chemical exposure, or trauma-related injuries.
Our experienced team knows how to handle pediatric emergencies with the calm, reassuring approach children need during stressful situations. We’re equipped to address urgent eye problems quickly while keeping both children and parents comfortable throughout the treatment process.
Trust Vision Source Mandan for Your Child’s Eye Care
Vision Source Mandan has been serving families in the Bismarck-Mandan area since 1950, building a legacy of exceptional eye care that spans multiple generations. Under the leadership of Dr. Brittany Schauer, along with Dr. Wayne Aberle and Dr. Danielle Dyke, we combine decades of experience with the most advanced pediatric eye care technologies available.
Our practice takes pride in the long-term relationships we build with families, often caring for multiple generations of patients. This continuity of care allows us to monitor your child’s visual development over time and make adjustments to their treatment plan as needed. We accept most insurance plans and work with families to ensure cost never becomes a barrier to essential eye care. To schedule your child’s comprehensive eye exam, call us at 701-663-0313 or contact us online today.
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Frequently Asked Questions About Children’s Eye Exams in Mandan
Is 20/50 vision bad for a child?
The significance of 20/50 vision depends on a child’s age. Normal visual development means infants start with poor vision that gradually improves. By age 3-4, children typically achieve 20/40 vision, and by age 5-6, most reach 20/20 or 20/25. A child with 20/50 vision sees at 20 feet what someone with normal vision sees at 50 feet. If your child is under age 4, 20/50 may be developmentally appropriate. For school-age children, 20/50 warrants further evaluation and likely indicates a need for glasses. Schedule a comprehensive eye exam to determine if correction is needed.
At what age should a child have their first eye exam?
The American Optometric Association recommends that children have their first comprehensive eye exam at 6 months old to check for proper visual development and eye health. A second exam should occur at age 3, then again before starting kindergarten, around age 5-6. After that, school-age children need eye exams every one to two years unless vision problems require more frequent monitoring. Early detection of conditions like amblyopia, strabismus, and significant refractive errors is crucial during the critical period of visual development. Don’t wait for school screenings, which miss many vision problems.
What signs suggest my child needs an eye exam?
Watch for signs including squinting, sitting too close to screens or books, frequent eye rubbing, head tilting while reading, complaints of headaches or tired eyes, difficulty with reading or schoolwork, and covering one eye. Younger children may show developmental delays, clumsiness, or a lack of interest in visually detailed activities. An eye turning inward or outward, even occasionally, requires prompt evaluation. Poor academic performance sometimes relates to undiagnosed vision problems. If teachers report attention issues or your child avoids reading and near work, schedule a comprehensive eye exam to rule out visual causes.
How do eye doctors examine children who can't read letters?
Pediatric eye exams use age-appropriate techniques that don’t require reading ability. For infants, optometrists observe visual behavior, eye alignment, and pupil responses. Toddlers identify shapes or pictures instead of letters. Preschoolers may match symbols or use the tumbling E chart, pointing which way the “legs” face. Retinoscopy measures refractive error by shining light into the eye and observing reflections – no verbal response needed. These objective techniques accurately assess vision even in non-verbal children. Our child-friendly exam rooms and experienced staff make the process comfortable and often fun for young patients.
Are school vision screenings enough for my child?
School vision screenings are helpful but insufficient substitutes for comprehensive eye exams. Screenings typically test distance vision only and miss many problems, including farsightedness, eye coordination issues, focusing problems, and eye health conditions. Studies show screenings miss up to 75% of children with vision problems. A comprehensive pediatric eye exam evaluates visual acuity at multiple distances, eye teaming, focusing ability, eye movement control, and internal eye health. Children who pass school screenings may still have vision problems affecting learning. Annual comprehensive exams provide the thorough evaluation children need for academic success.
Ready for Crystal-Clear Vision with Contact Lenses?
Don’t compromise on your vision or comfort. The eye care team at Vision Source Mandan is ready to help you find the perfect contact lens solution for your unique needs.