Paediatric Vision Screening Every Child should have an Eye Exam by age 3 years. HAS YOUR CHILD? Vision Screening Recommendations Age Tests Referral Criteria Comments Newborn to 12 months Ocular history Vision assessment External inspection of the eyes and lids Ocular motility assessment Pupil examination Red reflex examination Infants who do not track well after 3 months of age. Infants with white reflex or history of retinoblastoma in a parent or sibling. Infants with chronic tearing or discharge. 12 to 36 months All of the above plus Visual acuity testing Ophthalmoscopy All of the above plus Infants with strabismus (squint), shaking eyes Infants with family history of high refractive error. 36 months to 5 years Same as above Visual acuity thresholds Ages 36-47 months: Must correctly identify majority of the optotypes on the 20/50 (6/15) line to pass. Ages 48-59 months: Must correctly identify majority of the optotypes on the 20/40 (6/12) line to pass. Refer children who fail this. 5 years and older* *Repeat screening every 1-2 years after age 5. Same as above Refer children who cannot read at least 20/32 (6/9) with either eye.