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Signs your child needs glasses — STOTTS. Journal

Children's Vision

Signs your child needs glasses

By The STOTTS. Clinical Team 5 min read Published 20 August 2026 Reviewed 20 August 2026 Reviewed by Phil Houston, Optometrist, BSc MCOptom

Children very rarely announce that they cannot see well — because to them, however they see is simply normal. That is why a vision problem so often shows up in behaviour rather than words. Knowing the signs helps you catch it early, when it is most easily helped.

Signs to watch for

  • Sitting very close to the television, or holding books and screens close to their face
  • Squinting or screwing up their eyes to see
  • Tilting or turning their head to look at things
  • Frequent eye-rubbing, or covering or closing one eye
  • Headaches or tired eyes, especially after school or reading
  • Losing their place when reading, or using a finger to follow the line
  • Struggling or losing interest at school, or seeming clumsy and knocking into things
  • A turning or wandering eye (a squint), which should always be checked promptly

Why acting early matters

A child’s visual system is still developing, and the brain learns to see during these early years. If one eye is not focusing properly, it can lead to a lazy eye (amblyopia) — and this is far more treatable when caught young than left until later. A children’s eye test can pick up these things long before they become a problem.

When should a child have their first eye test?

You can bring a child for an eye test at any age — around three to four is a common time for a first check, but sooner is absolutely right if you have any concern or there is a family history of eye problems. You do not need to wait until they can read or even talk; we have child-friendly ways to test vision at every age.

Children’s eye tests are free on the NHS

NHS-funded sight tests are available for all children under 16, and under 19s in full-time education — so cost is never a reason to wait. (You can read more about who qualifies for a free NHS eye test.) It is also worth knowing that school vision screening, where it happens, is a quick check rather than a full eye examination.

What a children’s eye test involves

Our tests are relaxed and child-friendly — often more like a game than an exam. As well as checking whether glasses would help, we look at eye health and how the eyes work together, and can advise on slowing the progression of short-sightedness where relevant. The aim is simple: to make sure your child can see clearly and comfortably as they learn and grow.

Children do not know what they are meant to see, so they rarely complain. Watching for the signs — and a simple, friendly eye test — is how we catch it early.
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Frequently asked questions

At what age should a child have their first eye test?

Around three to four is a common age for a first test, but you can bring a child sooner — and should if you have any concern or there is a family history. Early checks catch issues while they are most easily treated.

Can my child have an eye test if they cannot read yet?

Yes. We use child-friendly methods that do not rely on reading letters, so we can assess vision in babies and young children as well as older ones. There is nothing they need to prepare.

Are children’s eye tests free?

Yes. NHS-funded sight tests are available for all children under 16, and under 19s in full-time education, at every STOTTS. practice. Cost is never a reason to delay.

What is a lazy eye (amblyopia)?

It is when vision in one eye does not develop fully, often because it is not focusing as well as the other. Caught young it is very treatable, which is why early eye tests matter so much.

My child passed a school screening — do they still need an eye test?

School screening is a helpful quick check, but it is not a full eye examination. A proper sight test is more thorough, so it is still worth booking one, particularly if you have noticed any of the signs.

Care that starts with a conversation.

Have a question we have not answered here? Our team is always happy to help.

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