WEBVTT 1 00:00:00.125 --> 00:00:01.791 Hi, I'm Dr. Jenna O'Brien at the 2 00:00:01.791 --> 00:00:02.958 Children's Vision Center. 3 00:00:03.208 --> 00:00:04.500 Today I want to talk about our 4 00:00:04.500 --> 00:00:06.333 comprehensive eye exam for kids. 5 00:00:06.833 --> 00:00:09.000 For our comprehensive eye exam, we look 6 00:00:09.000 --> 00:00:10.125 at more than just if 7 00:00:10.125 --> 00:00:11.208 a child needs glasses 8 00:00:11.750 --> 00:00:13.791 and also the structural health of the 9 00:00:13.791 --> 00:00:16.291 eye. We are looking at how their eyes are 10 00:00:16.333 --> 00:00:18.000 functioning and how the brain is using 11 00:00:18.000 --> 00:00:19.750 them in visual development skills. 12 00:00:20.291 --> 00:00:21.583 Where this is most apparent 13 00:00:21.583 --> 00:00:23.625 with kids is vision and reading. 14 00:00:24.333 --> 00:00:27.208 And so with kids, and anybody with 15 00:00:27.208 --> 00:00:28.875 reading in general, our eyes have to do 16 00:00:28.875 --> 00:00:31.125 multiple processes. The first one is both 17 00:00:31.125 --> 00:00:32.541 eyes need to be working together. 18 00:00:32.541 --> 00:00:35.166 That's binocularity. And then both eyes 19 00:00:35.166 --> 00:00:36.291 need to be pointed at 20 00:00:36.291 --> 00:00:37.166 what you're looking at. 21 00:00:37.416 --> 00:00:39.291 So in reading case, we're both looking at 22 00:00:39.291 --> 00:00:41.125 one word and they have 23 00:00:41.125 --> 00:00:42.250 to turn in a little bit. 24 00:00:42.250 --> 00:00:43.333 That's the eye alignment 25 00:00:43.333 --> 00:00:45.041 and turning in as convergence. 26 00:00:45.833 --> 00:00:47.833 Once your eyes are looking at the word, 27 00:00:47.833 --> 00:00:49.291 then we need to get it into focus. 28 00:00:49.583 --> 00:00:51.333 And that's accommodation, making sure 29 00:00:51.333 --> 00:00:52.333 we're focusing at that 30 00:00:52.333 --> 00:00:53.458 appropriate distance. 31 00:00:54.125 --> 00:00:56.500 And then our eyes need to move word to 32 00:00:56.500 --> 00:00:58.250 word to word and repeat that process. 33 00:00:58.666 --> 00:00:59.708 But that process of 34 00:00:59.708 --> 00:01:01.500 moving is ocular motor control. 35 00:01:01.958 --> 00:01:03.833 If there is an issue with any of these 36 00:01:03.833 --> 00:01:05.708 processes, it can make 37 00:01:05.708 --> 00:01:07.000 it difficult for reading. 38 00:01:07.500 --> 00:01:09.666 With kids, it can look like moving or 39 00:01:09.666 --> 00:01:12.208 floating words, losing place or reading 40 00:01:12.208 --> 00:01:13.166 things out of order. 41 00:01:14.125 --> 00:01:15.500 Headaches, fatigue, 42 00:01:15.708 --> 00:01:16.958 just getting really tired. 43 00:01:16.958 --> 00:01:18.625 This can look like a hard blink as 44 00:01:18.625 --> 00:01:20.333 they're trying to reset their eyes. 45 00:01:21.000 --> 00:01:23.041 Inattention is a really big one where 46 00:01:23.041 --> 00:01:25.000 they just can't focus for very long and 47 00:01:25.000 --> 00:01:25.833 little distractions. 48 00:01:26.333 --> 00:01:28.666 They're going to get looking up 49 00:01:28.666 --> 00:01:30.541 constantly and not able to 50 00:01:30.541 --> 00:01:31.958 sit and focus for very long. 51 00:01:32.458 --> 00:01:35.333 And then fluctuating vision, which is not 52 00:01:35.333 --> 00:01:36.708 blurred vision all the time, 53 00:01:36.708 --> 00:01:38.625 but it kind of changes and fluctuates. 54 00:01:39.125 --> 00:01:40.500 And the kid can't really say like when 55 00:01:40.500 --> 00:01:42.166 it's blurry or when it's not blurry. 56 00:01:42.625 --> 00:01:44.625 We look at all these different processes 57 00:01:44.625 --> 00:01:46.125 in our comprehensive eye 58 00:01:46.125 --> 00:01:48.125 exam so that there is an issue. 59 00:01:48.500 --> 00:01:51.041 We can address it and help them so that 60 00:01:51.041 --> 00:01:52.541 they're not falling behind in school.