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Expert Q&A:
Will using a computer harm my 3- and 4-year-olds' eyesight?

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Suzanne Dixon
Answered by Suzanne Dixon M.D., M.P.H.
"There is nothing so amazing as the development of a child," says Suzanne Dixon, M.D., a behavioral and developmental pediatrician who was one of the founding members of the Pampers Parenting Network. "Every day is a new adventure when you have a child around you. I never get tired of learning from the children who have been a part of my life, professionally and personally."Suzanne Dixon, M.D., M.P.H., was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her pediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr. Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former U.S.S.R. Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in pediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education and is in its fourth edition. She is Editor in Chief of the Journal of Developmental and Behavioral Pediatrics, an international journal of high standing in the professional world. She also has served as an associate editor for Infant Mental Health and currently reviews for several major pediatric journals. Dr. Dixon is a fellow of the American Academy of Pediatrics and served in national positions in that organization. She is a member of the Society for Pediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Executive Council of the Society for Developmental and Behavioral Pediatrics. She serves as consultant to several national and international organizations and has received an award from Healthy Mothers, Healthy Babies.Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental pediatrics in Montana and works with local advocacy groups on education and women''s health. Dr. Dixon has been married for over 30 years and has three sons. She and her husband travel frequently, are outdoor enthusiasts, and enjoy being amateur anthropologists.
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Question


Will using a computer harm my 3- and 4-year-olds' eyesight?

Answer


Not about the eyesight issue, at least as far as we know at this time. Adults who need glasses to work for extended times on a computer have different issues than those of a child. An adult's eyes must work hard to take in the images on the screen, as their eyes don't adjust as readily as do the eyes of younger people. Like the body in general, the eyes become stiff as we age. This results in eye fatigue in the computer-using adult but not in the child. Adults who already have corrective lenses may need a prescription that is just for the distance from the screen to their eyes, to avoid neck strain and allow for correct posture while focusing on the screen.

Kids' eyes, with or without corrective lenses, are more flexible. Some companies are marketing computer glasses for kids, but the glasses seem to offer no benefits except to the stockholders of those companies. So don't buy these; instead, invest in a basketball hoop. Whether on computer monitors or TVs, video images actually put the eye at rest, just as they seem they seem to put the mind and the body at rest.

That's the problem with kids•they need to be active in mind and body, not zoned out in front of a screen. If your kids seem to be straining to see the screen or anything else, get them evaluated by an ophthalmologist who works well with young children. All kids should have a vision screening in the health care provider's office at the 4-year-old visit and some bright 3-year-olds may be able to have the screen as well. Don't skip any of those checkups and be sure to discuss any visual concerns with the provider.
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