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it can be difficult to diagnose a vision problem in a child under age 3 because of communication barriers but a new policy statement from the American Academy of Pediatrics says automated vision screening is a reliable tool dr. Paul rich Walski did not take part in the study but as a pediatric ophthalmologist at Cleveland Clinic's coleye Institute there's a number of different devices some are called photo screeners and it's simply shining light into the eye and looking at the reflection and the quality of the reflection back and those are film based and those are excellent tools physicians can reliably diagnose vision problems in older children with an eye chart but it's much more difficult to do for kids under 3 or for an older child who can't communicate what he or she is seeing on the chart the AAP says using instrument based vision screening either photo screening or handheld auto refraction on children aged six months to three years is helpful they say it's useful in detecting co

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