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One of the most important screenings your preschooler needs for kindergarten is the vision screening. Kindergarten activities require a child to have the fine motor coordination to write and the hand eye coordination to begin learning physical tasks such as playing ball. On the surface, these activities seem less about vision and more about coordination. Parents may overlook the connection between good vision and physical activities. A preschooler with vision problems may be written off as clumsy when they are actually struggling with tasks requiring hand eye coordination.
Alert parents can pick up some clues that their preschool may be experiencing difficulty seeing. Behaviors that may indicate a preschooler is having difficulty seeing include:
Vision problems are described using various terms. Farsighted, nearsighted, astigmatism, strabismus are all terms related to vision problems. Parents should understand what these words mean.
Farsightedness occurs when the eye is too short. It is not unusual for a young child to be farsighted, children often squint or close one eye to accommodate for the blurry close vision. If your child is farsighted, they do not see as well up close. A farsighted child might have strabismus, or crossed eyes. Often the strabismus is corrected when the preschooler begins wearing glasses, although surgery may be needed if the strabismus is severe.
Nearsightedness causes foggy distance vision. Unlike nearsightedness, preschoolers can not make accommodations to improve distance vision. If your preschooler appears not to see distances well, make sure your eye practitioner tests for both close and distance vision.
Astigmatism occurs when the shape of the eye is not completely round. This results in blurry vision if the astigmatism is severe enough. Glasses can correct astigmatism and clear up blurry vision.
Most pediatricians or school nurses complete simple vision screenings. Simple vision screenings may catch some vision problems, but not all. A vision screening often only tests distance vision. It is possible to pass a screening and still not see well. If your child has passed a vision screening, but still has some of the warning signs, schedule a more thorough eye exam.
An eye exam should consist of several screenings. Screenings that most eye care practitioners use include screenings of near and distance vision, eye coordination and movement, focusing skills and hand eye coordination. Thorough eye examinations discover vision difficulties that a screening may miss.
If your preschooler has not had a thorough eye examination, schedule one prior to kindergarten entry. Many academic skills rely on adequate vision. Help your preschooler succeed in kindergarten and ensure good vision by having an eye exam soon.
Kindergarten curriculum has accelerated significantly over the past 20 years. Today's kindergarten expectations typically include: letter recognition and letter-sound correspondence, reading simple consonant-vowel-consonant words, writing first and last name, counting to 30+, understanding number concepts to 10β20, and basic addition/subtraction concepts. The emphasis on academic skills varies significantly by state, school, and classroom. The most important kindergarten readiness skills remain social-emotional (following directions, managing emotions, cooperating with peers) regardless of academic curriculum demands.
Related reading: See also our raising confident preschoolers and our fine motor skills guide for more ideas on this topic.