At Prevent Blindness North Carolina, we believe that every child and youth deserves the best possible vision to thrive in school and life. Yet, those with special health care needs face unique challenges in accessing appropriate vision care. Research shows they are more likely to experience vision problems, yet conventional screenings may not always be suitable due to cognitive, sensory, or developmental differences.
Why Specialized Vision Care Matters
The National Center for Children’s Vision and Eye Health recommends that children and youth with neurodevelopmental disorders receive direct referrals for comprehensive eye exams rather than relying solely on standard screenings. Unfortunately, many experience delays in diagnosis—13% receive late diagnoses, and 31% have unmet spectacle correction needs. These delays can significantly impact their ability to learn, engage, and reach their full potential.
Supporting Families in Their Vision Care Journey
Parents and caregivers play a vital role in their child’s healthcare. When seeking vision care for a child or youth with special health care needs, consider these important questions for your eye doctor:
- What is the diagnosis responsible for my child’s visual impairment?
- How might this impact their success in the classroom?
- Will my child need glasses, and if so, for what activities?
- Are there resources available to support my child’s vision development?
- Is there a risk of their vision worsening over time?
Finding the right eye care provider is crucial. Parents should look for professionals with experience in working with children and youth with special health care needs and seek recommendations from other families. Scheduling quieter examination times can also improve the experience for those who may be sensitive to overstimulating environments.
Adapting to Glasses: A Journey of Patience and Support 
For many children and youth with neurodevelopmental disorders, adjusting to wearing glasses can take up to 16 weeks—much longer than for their neurotypical peers. This adjustment period requires patience, encouragement, and collaboration between parents, teachers, and healthcare professionals. By fostering a supportive environment, we can help them feel comfortable and confident in their vision care journey.
