Eye Care for Kids

3703 Taylorsville Rd.
Suite 120
Louisville, KY 40220
(502)451-5437

Office Hours:
Monday - Thursday
8:30 a.m. - 4:30 p.m.

Friday
8:30a.m. - 12:30 p.m

Your Child's Eye Exam

It is our goal to see our patient's in a timely manner making certain all of your concerns are addressed. However, in attempts to meet all of our patient's needs we may run behind schedule. As this is your first appointment we ask that you allow for 2 to 2 1/2 hours in our office. For subsequent visits please allow 1 to 1 1/2 hours.

After the check in process our technician will conduct a brief assessment. At this point eye drops and/or spray will be used. Eye drops are necessary for the ophthalmologist or optometrist to conduct their evaluation and formulate their treatment plan. Upon completion of the evaluation the doctor will discuss their findings and propose a treatment plan. At this time any questions you have will be answered.

Due to the nature of our practice all minors must be accompanied by an adult to all appointments.

New patient exams generally include the following:

Visual Acuity

Quantifying visual acuity is possible in even pre-verbal infants and toddlers by using age-appropriate testing methods that are refined for children.

Evaluation of Eye Alignment, Eye Movement, and Binocular Vision

When the eyes are misaligned and point in different directions, this is termed strabismus. Misaligned eyes are a true cause for concern. If left untreated, strabismus may lead to poor visual development and even permanent loss in visual acuity. We will also check how well your child's eyes move, track, and work together to send signals to the brain such that the signals are blended or fused into one 3-dimensional image.

Exam of Eye Lids

Examination of the eye lids and the internal anatomic structures of the eye can detect abnormalities such as foreign bodies and other injuries, media opacities, and congenital eye abnormalities. Common conditions such as excessive tearing in children can result from subtle abnormalities of the tear drainage system, which begins in the eye lid.

Refraction

This part of the exam measures the focusing power of each eye and checks for the presence of nearsightedness, farsightedness, and astigmatism. This will determine if a child needs glasses. Drops will be placed into each eye to temporarily enlarge (dilate) your child's pupils. This will ensure a more complete and accurate exam.
Policy Statement from AAPOS regarding refractions

Examination of the Retina and Optic Nerve

With special lenses, we will look into the back of a child's eyes and check the health of the retina, blood vessels, and optic nerve. The optic nerve is a part of the brain that is visible by this type of exam.

At the conclusion of the exam, Dr. Fishman or Dr. Borgman will discuss with you your child's findings, whether or not corrective lenses are necessary, and the best treatment options for your child.

A comprehensive pediatric eye exam takes more time than a routine well child visit. Please allow 2 to 2 1/2 hours for each new patient eye exam. If your child has previously worn glasses or contact lenses, please bring these with you on your visit.

Examination of Existing Eye Conditions of Children with Systemic Disorders

• Juvenile Diabetes
• Juvenile Arthritis
• Developmental Delay and Autism
• Hydrocephalus
• Head Trauma
• Premature Birth (ROP)