A pediatric eye exam checks a child’s vision, eye alignment and eye health. Early detection matters most for amblyopia (lazy eye) and strabismus, which respond best to treatment in early childhood. For adult exams, see our main eye exam guide.
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Key takeaways
- Newborns get a red reflex check, and vision screening continues at well-child visits.
- A school screening is not a comprehensive eye exam.
- Watch for squinting, head tilting, eye rubbing or a drifting eye.
- The ACA covers pediatric vision as an essential health benefit, and Medicaid covers it through EPSDT.
USA Pediatric Eye Exam: Quick Facts
- Newborn
- Red reflex check
- Ages 1–5
- Instrument-based screening
- School age
- Acuity screening; full exam if failed
- Free infant check
- InfantSEE (6–12 months)
When Should Kids Get an Eye Exam?
| Age | What’s done |
|---|---|
| Newborn–6 months | Red reflex and eye health checks by the pediatrician |
| 6–12 months | Optional InfantSEE assessment (free) |
| 1–5 years | Instrument-based vision screening, then acuity charts |
| School age | Regular screening; comprehensive exam if failed or symptomatic |
What to Expect at a Pediatric Eye Exam
Pediatric optometrists and ophthalmologists use picture charts, light reflexes and cover tests. They often dilate the pupils (cycloplegic drops) to measure the true prescription. Contact lenses for teens need a separate fitting; see the contact lens exam.
More on What to Expect at a Pediatric Eye Exam →Free practice test
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Go to the USA Pediatric Eye Exam practice test →USA Pediatric Eye Exam FAQs
At what age should a child have their first eye exam?
Vision screening starts at birth with pediatrician visits. A comprehensive exam is recommended if screening is failed or there are symptoms or risk factors.
Full answer →Is a school vision screening enough?
No. Screenings can miss problems. Follow up with a full eye exam if there are concerns.
Full answer →Does insurance cover pediatric eye exams?
ACA plans include pediatric vision as an essential health benefit, and Medicaid covers exams through EPSDT.
Full answer →Official sources
Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.