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Children considered to be at risk for the development of eye and vision problems may need additional testing or more frequent re-evaluation. Factors placing an infant, toddler, or child at significant risk for visual impairment include:

  • Prematurity, low birth weight, oxygen at birth, grade III or IV intraventricular hemorrhage
  • Family history of retinoblastoma, congenital cataracts, or metabolic or genetic disease
  • Infection of mother during pregnancy (e.g., rubella, toxoplasmosis, venereal disease, herpes, cytomegalovirus, or AIDS)
  • Difficult or assisted labor, which may be associated with fetal distress or low Apgar scores
  • High refractive error
  • Strabismus
  • Anisometropia
  • Known or suspected central nervous system dysfunction evidenced by developmental delay, cerebral palsy, dysmorphic features, seizures, or hydrocephalus

Patients at risk include those:

  • with diabetes, hypertension, or a family history of ocular disease (e.g., glaucoma, macular degeneration)
  • working in occupations that are highly demanding visually or eye hazardous
  • taking prescription or nonprescription drugs with ocular side effects
  • wearing contact lenses
  • who have had eye surgery
  • with other health concerns or conditions.

Reference: American Optometric Association http://www.aoa.org

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