Has your child had a dilated eye exam? Did you choose the best lenses for your child’s glasses? Has your child’s vision been checked by an eye specialist? Have you ever given your child contact lenses? These questions may seem simple, but not every parent pays attention to them. We interviewed many children and parents with visual impairment and found it necessary to clarify some of the misconceptions about children’s glasses here: “Glasses” should avoid some misconceptions, to protect children’s eyesight must start from the details. Myth 1: “Children can get glasses without dilating their pupils” Once the holidays arrive, parents are busy, many parents hurry to arrange a variety of classes for their children, but the child’s eyesight is not good, with glasses need to go to the hospital dilated pupil examination, due to dilated pupils after the child can not participate in various classes, so some parents took the initiative Some parents take the initiative and choose computerized optometry for their children. This is very wrong. Clinically, children of low age must have their pupils dilated to reflect the true vision of the child’s eyes, and not by dilating the pupils and relying only on the results of the computer monitoring glasses will cause a lot of harm to the child’s eyes. The child’s farsightedness and high astigmatism will also make the computer examination feel “overwhelming”. The age at which we use atropine long-acting pupil diluent varies from hospital to hospital in China. Generally, children over the age of 7 who do not have combined strabismus, amblyopia or hyperopia can choose to have their pupils dilated with a fast pupil diluent. It does not affect the summer to participate in various study classes. Children with poor vision are first screened for childhood eye disease by means of an apparent optometry, and then the choice of whether to use a long-acting or short-acting pupil dilator is based on the refractive abnormalities present in the child, which is extremely convenient for children and their parents and friends. At the beginning of summer, the ophthalmology clinic receives 350 visits per day, of which more than 80/% of children come to the clinic because of poor vision. Myth 2: “expensive eye glasses must be the most suitable for children” There are many varieties of frames and lenses on the market today, and prices vary greatly. Many parents in the selection of lenses for children, the pursuit of expensive, that only the expensive glasses is the best, the most expensive glasses are suitable for the development of children’s eyes. The main premise of choosing eyeglasses for students is to fit yourself, don’t just go for fashion and choose rimless frames or perforated frames. children under 10 years old can choose soft-sided frames with protective nosepieces, and over 10 years old can choose full-frame frames. Children’s choice of lenses should first consider resin hardened glasses lenses, glass lenses are fragile, easy to cause damage to children’s eyes. Resin lenses mainly require precise astigmatism axis, the luminosity must be accurate, the lens can not have scratches, can not have bubbles and impurities, the prescription of children’s eyeglass lenses must comply with the quality testing standards promulgated by the state, the error of the diopter should be within the requirements of the national standards. Myth 3: “For the beauty of the child’s eyes can give the child wear contact lenses” Some parents believe that once the child wears frame glasses, the child’s eyes will protrude, affecting the beauty of the child’s eyes, so the child wears contact lenses. In the issue of contact lens wear Director Yu talked about his own views, he said: this is a cliché, he suggested, in choosing to wear contact lenses, to consider whether their children particularly need. There is no need for students to wear contact lenses at all, because the safety of contact lenses is relatively high when used, and some unscientific methods of use can bring serious damage to the cornea. Especially the younger children should not wear contact lenses, because they will not be well cared for, domestic wear contact lenses lead to severe keratitis cases are common. Myth 4: “Children’s glasses must emphasize the same degree of both eyes” Many parents are blindly pursuing the same degree of both eyes in order to achieve a beautiful corrective effect, which is not right. Summarizing years of clinical experience in dispensing glasses for children, we tell parents that the refractive power of each child’s eyes is not the same, clinically we call the child’s refractive power of more than 100 degrees – 150 degrees refractive error, of which more than 100 degrees of astigmatism and more than 150 degrees of spherical lens difference, may cause the child’s eyes image is not equal, resulting in a decline in visual quality, the hospital optometrist for the child’s optometry After the optometrist has examined the child, the pediatric ophthalmologist will try the glasses according to the child’s eye condition, and the degree of tolerance of each child to binocular refractive error is different. Beijing Children’s Hospital, based on years of clinical experience, believes that children with refractive error should be fitted with glasses as soon as possible, and experts emphasize that the difference between the child’s eyes can range up to 100-2000 degrees, and the younger the age, the better the degree of tolerance, the greater the degree of tolerance. Therefore, parents blindly pursue the same degree of binocular prescription is not right, which is not conducive to the child’s binocular visual development. Myth 5: “Children can only match glasses without eye examinations” Many parents find that their children’s vision is not good, often to save time, take the child to the street opticians with computerized optometry, the child hastily with glasses. Some parents think that their children’s glasses are just glasses and do not need to go to the hospital for eye examination. There are many reasons for students’ vision loss, and sometimes it is not always due to myopia or myopic astigmatism. Some fundus pathologies also manifest as vision loss. Therefore, a systematic eye examination should be conducted before optometry. Beijing Children’s Hospital receives nearly 20,000 cases of children with visual impairment every year, and the pre-optometry examination reveals that many of them have amblyopia, strabismus, congenital cataract, congenital glaucoma, congenital fundus disease, and congenital nystagmus. Many parents find that their children have poor vision and often mistake their children as suffering from “myopia”, and some children only discover these eye diseases when they go to the hospital for vision checkups, but they have already missed the best time for treatment. Parents also regret this. In this regard, ophthalmologists remind parents of children that once they find that their children have vision problems, they must go to the hospital ophthalmology department for a comprehensive examination, and then choose the right glasses according to the doctor’s opinion. Many small optical stores do not have the ability of scientific optometry, and often do not optometry or only optometry without dilated pupil when dispensing glasses for children, and a comprehensive examination of various fundus disorders can not be talked about, and a set of scientific standardized medical optometry requires at least 30 minutes or more. In order to avoid unnecessary errors when dispensing glasses and to enable children to wear a pair of accurate therapeutic glasses, experts suggest that parents should try to choose a large hospital dispensing center or a reputable optician to dispensing glasses for their children.