Brief Answer:
Rule out refractive errors first

Detailed Answer:
Hello Rangoli
Welcome to Ask A Doctor service

I have gone through your query and understand your concern

In this scenario, two things I would like to rule out- firstly and most importantly, we have to rule out refractive errors, as it is common, easy to detect and can be corrected with spectacles.

Secondly, minor squinting or mal-alignment of eye balls can also cause this, even though less likely.

So kindly get these two things excluded first with an optometrist or ophthalmologist.

I hope this answer will help
Let me know if I can assist you further
Regards, Dr Aslam

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Brief Answer:
Cycloplegic refraction testing can be done

Detailed Answer:
Hi dear,
Sorry for the delay.

There are two options for testing refractive power of eyes:

1. Objective testing with visual chart(using numbers in older children and pictures/shapes in smaller children). The minimum age for this testing is 2.5-3 years. This is more accurate.

2. Cycloplegic refraction(Refraction testing after dilatation): Here pupils are dilated using eye drops, and refraction is assessed by examining through a lens. This can be done even in infants. But this need to be done by an experienced ophthalmologist in a hospital setup. This is difficult in an office practice.

So I would suggest you take him to a tertiary eye centre, where the said facility is available. Examining children needs a lot of patience, time and expertise.

Meanwhile, you can try to adjust the distance at which he watches TV and see whether there is any improvement- just a trial and error method.

I hope this answer will help
If you need further clarification, I will be happy to help; otherwise you can close the discussion and kindly rate the answer
Regards, Dr Aslam

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