Children's Eye Health and Safety

Vision assessment is an important component of the routine care of all children.

By Matthew Sattler, M.D.
PGY-2 Resident, Baylor College of Medicine
The Children’s Hospital of San Antonio

Vision assessment is an important component of the routine care of all children. Most children are able to participate in a formal vision screen at their well-child visit when they are 4 years old. Between five and ten percent of preschool children have an undetected problem with their vision. Here are some warning signs that your child may have difficulty seeing:

  • Wandering or crossed eyes
  • A family history of childhood vision problems
  • Disinterest in reading or viewing distant objects
  • Squinting or turning the head in an unusual manner
  • Eyes that flutter quickly from side to side or up and down
  • White or grayish-white color in the pupil

Discuss any concerns about your child’s vision with his or her pediatrician as your child may need to be referred to an eye doctor (ophthalmologist) for treatment. You can read more about common eye problems at, a website approved by the American Academy of Pediatrics.

Taking care of your child’s eyes also means keeping them safe from injury. Did you know there are more than 19,000 children treated in emergency rooms for eye injuries every year? Most eye injuries in children are the result of sports injury, especially basketball, baseball or softball, and non-powder guns (e.g. paintball, BB guns). The American Academy of Pediatrics and the American Academy of Ophthalmology recommend the following for each sport:

  • Basketball: protective eyewear with polycarbonate lenses
  • Baseball or softball: facemask attached to batting helmet when batting, polycarbonate faceguard for fielders
  • Non-powder gun: Eye protection meeting ASTM standard F1766

Another way to prevent eye injuries in children who are too young to play sports is to ensure that all toys are age-appropriate and do not contain sharp edges that could damage the eye.

As always, if you have any questions or concerns about the health of your child’s eyes, please schedule an appointment to talk with your child’s pediatrician. If your child experiences a serious eye injury or eye infection, visit one of our 24/7 emergency centers in San Antonio:

  • The Children’s Hospital of San Antonio, 333 N. Santa Rosa Street
  • The Children’s Hospital of San Antonio Emergency Center – Stone Oak, 1434 E. Sonterra Blvd.
  • The Children’s Hospital of San Antonio Emergency Center – Westover Hills, 11130 CHRISTUS Hills, Medical Plaza 3, First Floor