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Choosing Wisely®

Asociación Española Fisioterapia (AEF)

Retinal imaging, such as taking a photograph or obtaining an ocular coherence tomography (OCT) image of the back of the eye, is useful for documenting or following retinal or optic nerve disease, but these imaging studies should not be obtained routinely for documentation of normal ocular anatomy in asymptomatic people.

Choosing Wisely®

American Association for Pediatric Ophthalmology and Strabismus

Many patients with double vision, or diplopia, request a CT scan or MRI fearing they have a brain tumor or other serious problem. Much of the time, results of a comprehensive eye evaluation determine that neither test is necessary. Other common causes of double vision are refractive error, dry eyes, cataract, and non-neurologic eye misalignment, all readily diagnosed by a complete exam, precluding the need for brain imaging. Only a minority of cases of diplopia result from problems within the ...

Choosing Wisely®

American Association for Pediatric Ophthalmology and Strabismus

Dyslexia is a language-based learning disability resulting in difficulties with written and oral language skills, particularly reading. Dyslexia is not due to a vision disorder. Children with dyslexia do not have any more visual problems than children without dyslexia. While it is important to rule out vision and eye problems, vision therapy is ineffective in the treatment of dyslexia because the eyes are not the cause of the reading problem.

Choosing Wisely®

American Association for Pediatric Ophthalmology and Strabismus

Early childhood vision screening done as part of routine well-child care accurately identifies most children with significant eye problems who are otherwise asymptomatic. Annual comprehensive eye examinations increase financial costs, a child’s absence from school and parental time away from work, with no evidence that the comprehensive eye exams detect asymptomatic vision problems better than timely, methodical and recurrent screening efforts. Comprehensive eye exams are appropriate for ...

Choosing Wisely®

American Association for Pediatric Ophthalmology and Strabismus

Low amounts of “farsightedness” is a normal finding in children. Most children can easily focus to see at near and distance because of their large accommodative (focusing) abilities, thereby making weak prescription glasses unnecessary – and often rejected by the child. Unless the eyes are crossing, a prescription of weak farsighted glasses is generally not necessary.