OPT218 Pediatric Optometry Exam
Questions And Answers
PSST
Pediatrics+ Smile + Silly = triumphant - - -
correct answer ✅Pediatrics pneumonic
1. Birth to 12 months
2. 12 to 35 months
3. 3 years to 5 years and 11 months
4. 6 years to 18 years - - -
correct answer ✅Ages for each group:
1. Infants
2. Toddlers
3. Preschoolers
4. School-aged
They aren't comprehensive enough
Really only check pupils and not much more than that
Maybe EOMs - - -
correct answer ✅What is the problem with eye exams at
pediatricians?
,OPT218 Pediatric Optometry Exam
Questions And Answers
Vision plan is included in health plans, covered through age 18
Comprehensive exams every year or every 2 years (depends on
state)
Problem is every state defines these differently - - -
correct answer ✅What is the pediatric benefit of the affordable
care act?
Vision disorders are the 4th most common disability in the US and
is the most prevalent handicapping condition in childhood - - -
correct answer ✅Why should people get eye exams?
Made it mandatory for all children entering kindergarten to have an
exam by an optometrist or ophthalmologist - - -
correct answer ✅What did KY Law 2000 make mandatory?
Risk free: 6 months, 3 years, before 1st grade and every 2 years
thereafter from 6-18 years old
At risk: By 6 months or as recommended, At 3 years or as
recommended, annually or as recommended from 6-18 years old - -
-
correct answer ✅What are the recommended ages for eye exams
,OPT218 Pediatric Optometry Exam
Questions And Answers
for risk free kids? At risk kids (prematurity, low birth weight, family
history of eye disease, etc.)?
Visual acuity - - -
correct answer ✅Measured at every examination
Used to guide the examination (determine if something is wrong)
Poor attention may result in poor measured values of this
Many different ways of testing this
1. Minimum visible/detection acuity - can you see it, similar to
visual fields
2. Minimum separable/resolution acuity - Teller cards
3. Vernier acuity - detecting smallest discontinuity
4. Recognition acuity - Snellen, HOTV
(clinically use 2 and 4) - - -
correct answer ✅Types of visual acuity (which ones are used
clinically)
1. Retinal/cortical immaturities
2. Cognitive immaturities
, OPT218 Pediatric Optometry Exam
Questions And Answers
3. Letter knowledge - don't know them
4. Boredom/attention span - - -
correct answer ✅What limits are there in visual acuity testing in
pediatrics?
Start out short/stubby and reach adult length by 4 years
Density reaches adult levels around 3-4 years
Foveal cones reach density and size maturity around 4 years - - -
correct answer ✅What is the development stages of foveal cones?
Incomplete myelination of optic pathways at birth
Most myelination completed within first 2 years - - -
correct answer ✅Cortical maturity: Is the optic pathway
completely myelinated at birth? If no, when does it reach complete
myelination
Teller acuity cards/Forced preferential looking - - -
correct answer ✅Use forced choice preferential looking
Square wave grating on one side and plain gray on the other side
If child cannot see the lines, both sides will look equally gray
Questions And Answers
PSST
Pediatrics+ Smile + Silly = triumphant - - -
correct answer ✅Pediatrics pneumonic
1. Birth to 12 months
2. 12 to 35 months
3. 3 years to 5 years and 11 months
4. 6 years to 18 years - - -
correct answer ✅Ages for each group:
1. Infants
2. Toddlers
3. Preschoolers
4. School-aged
They aren't comprehensive enough
Really only check pupils and not much more than that
Maybe EOMs - - -
correct answer ✅What is the problem with eye exams at
pediatricians?
,OPT218 Pediatric Optometry Exam
Questions And Answers
Vision plan is included in health plans, covered through age 18
Comprehensive exams every year or every 2 years (depends on
state)
Problem is every state defines these differently - - -
correct answer ✅What is the pediatric benefit of the affordable
care act?
Vision disorders are the 4th most common disability in the US and
is the most prevalent handicapping condition in childhood - - -
correct answer ✅Why should people get eye exams?
Made it mandatory for all children entering kindergarten to have an
exam by an optometrist or ophthalmologist - - -
correct answer ✅What did KY Law 2000 make mandatory?
Risk free: 6 months, 3 years, before 1st grade and every 2 years
thereafter from 6-18 years old
At risk: By 6 months or as recommended, At 3 years or as
recommended, annually or as recommended from 6-18 years old - -
-
correct answer ✅What are the recommended ages for eye exams
,OPT218 Pediatric Optometry Exam
Questions And Answers
for risk free kids? At risk kids (prematurity, low birth weight, family
history of eye disease, etc.)?
Visual acuity - - -
correct answer ✅Measured at every examination
Used to guide the examination (determine if something is wrong)
Poor attention may result in poor measured values of this
Many different ways of testing this
1. Minimum visible/detection acuity - can you see it, similar to
visual fields
2. Minimum separable/resolution acuity - Teller cards
3. Vernier acuity - detecting smallest discontinuity
4. Recognition acuity - Snellen, HOTV
(clinically use 2 and 4) - - -
correct answer ✅Types of visual acuity (which ones are used
clinically)
1. Retinal/cortical immaturities
2. Cognitive immaturities
, OPT218 Pediatric Optometry Exam
Questions And Answers
3. Letter knowledge - don't know them
4. Boredom/attention span - - -
correct answer ✅What limits are there in visual acuity testing in
pediatrics?
Start out short/stubby and reach adult length by 4 years
Density reaches adult levels around 3-4 years
Foveal cones reach density and size maturity around 4 years - - -
correct answer ✅What is the development stages of foveal cones?
Incomplete myelination of optic pathways at birth
Most myelination completed within first 2 years - - -
correct answer ✅Cortical maturity: Is the optic pathway
completely myelinated at birth? If no, when does it reach complete
myelination
Teller acuity cards/Forced preferential looking - - -
correct answer ✅Use forced choice preferential looking
Square wave grating on one side and plain gray on the other side
If child cannot see the lines, both sides will look equally gray
