Why early eye examinations matter
As parents, we naturally keep an eye on our children’s health and development, but vision is one area where problems can be easy to miss. Children rarely realise that their sight isn’t normal, and many visual issues cause no obvious symptoms early on.
Good vision plays a vital role in a child’s learning, coordination, and social development. While most children have healthy eyes, some develop sight problems early in life. If these are not detected and treated promptly, they can sometimes lead to permanent reduced vision in one or both eyes.
The good news is that early detection makes a real difference. Many childhood eye conditions are very treatable when caught early, which is why regular eye examinations are so important.
Do children have routine eye screening?
In the UK, most children are offered vision screening at school between the ages of four and five. While this is an important safety net, it is not a full eye examination and may not detect all eye or vision problems.
If you have any concerns about your child’s eyes or vision, it’s best not to wait for school screening. A full sight test with an optometrist can be carried out much earlier and is more comprehensive.
When should a child have their first sight test?
When should a child have their first sight test?
There is no minimum age for a sight test. Children do not need to be able to read or talk for their eyes to be examined.
As a general guide:
- Babies: Eyes develop rapidly in the first few months of life. By around six weeks, babies should begin to follow faces or objects with their eyes. If their eyes constantly turn or don’t seem to track movement, an early eye examination is recommended.
- Toddlers and pre-school children: If there is a family history of eye problems, we recommend booking a sight test well before they start school. If you notice anything unusual with your child’s eyes or vision, it’s sensible to arrange a sight test as soon as you have concerns.
- School-age children: All children should have their eyes tested around the time they start school, and regularly thereafter, especially if they need glasses or if their vision is changing.
Which children should be tested earlier?
You should consider booking an eye examination sooner if your child:
- Has special educational needs or developmental delays
- Has a family history of squint (strabismus), lazy eye (amblyopia), or strong glasses in childhood
- Was born prematurely
- Has any medical conditions that may affect vision
Even if none of these apply, routine eye examinations remain important for all children.
Signs your child may need a sight test
Children don’t always complain about their vision, but some signs to watch for include:
- One eye turning in or out, up or down.
- Frequent eye rubbing (outside of tiredness).
- Sitting very close to the TV or holding books close.
- Poor coordination or appearing clumsy.
- Avoiding drawing, reading, or close work.
- Screwing up their eyes or frowning.
- Headaches or complaints of blurred or double vision.
- Difficulties with concentration or schoolwork.
You might also notice something unusual in photographs, such as a white reflection in the pupil or red eye appearing in only one eye. If so, seek advice promptly.
What happens during a child’s sight test?
A children’s eye examination is gentle, engaging, and adapted to your child’s age. It may include:
- Checking how well the eyes work together
- Measuring vision using pictures, shapes, or games
- Assessing eye health
- Checking whether glasses are needed
Sometimes eye drops are used to relax focusing, particularly in younger children. These help ensure an accurate result and wear off after a few hours.
Is a child’s eye test free?
Yes. In the UK, NHS Sight Tests are free for all children under 16, and for those aged 16–18 in full-time education. If glasses are needed, NHS vouchers are available towards the cost.
Our advice to parents
If in doubt, book a sight test. You do not need a referral, and you do not need to wait for school screening. Early reassurance is just as valuable as early treatment.
At Linklater & Warren Opticians, we’re experienced in examining children of all ages and aim to make every visit relaxed, friendly, and positive.
If you have any concerns about your child’s vision or eye health, we’re always happy to advise.
Contact us
Bexleyheath Branch – 120 Broadway, Bexleyheath, DA6 7DQ | 020 8303 4014
Chislehurst Branch – 30a High Street, Chislehurst, BR7 5AN | 020 8295 5131
Sevenoaks Branch – 82 High Street, Sevenoaks, TN13 1LP | 01732 452135