Prescribing spectacles

Would refractive correction prevent future problems from developing For example, if a preschool-aged child is found to have moderate hyperopia, by prescribing spectacles the clinician may prevent the child from developing refractive/accommodative esotropia. 

Discontinue eye shield, if used Prescribe spectacles or contact lens if refraction stable... 

This chapter considers the indications, precautions, and contraindications associated with the use of cyclo-plegics in refraction.The chapter also discusses such clinical topics as selecting the appropriate cycloplegic agent, administration techniques, procedures for refraction, and general considerations for spectacle prescribing. 

A complete discussion of prescribing philosophies is outside the scope of this text. Numerous excellent resources discussing these topics are available elsewhere however, the following questions should be considered when making spectacle prescription decisions ... 

The use of DSE may indicate that reading spectacles are needed and the Regulations make provision for this. It is possible that any prescribed lenses may only be suitable for DSE work since they will be designed to give optimum clarity at the normal distance at which screens are viewed (50-60 cm). 

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