Skip to Content

Health Library

Medical History and Physical Exam for Nearsightedness

Topic Overview

During an exam for nearsightedness, your doctor will ask questions about your health, lifestyle, medicines you are taking, and past eye problems. Answers to questions about your family members can help determine whether you may have inherited eye problems.

When a child is too young to be aware of blurred vision (younger than age 7 or 8), the doctor commonly asks the parents questions such as those listed below. The answers may help the doctor know whether the child is nearsighted.

  • Is there a family history of nearsightedness? Are the child's parents or siblings nearsighted? (Most nearsightedness is inherited.)
  • Was the child born prematurely? (Premature birth is a risk factor for nearsightedness.)
  • Where does the child sit in classrooms or movies? (A nearsighted child may have difficulty seeing the board or screen from the back of the room and so may prefer to sit near the front.)
  • How far from his or her face does the child hold books to read? [A child with severe nearsightedness will hold books less than 6 in. (15 cm) from the face.]
  • Does the child enjoy sports and games? (Nearsightedness makes it harder to enjoy playing sports and games.)
  • Does the child squint or frown frequently? (Squinting changes the way light enters the eye and improves vision.)
  • How is the child's general health? (A number of diseases may be associated with nearsightedness.)

After about age 8, most children can usually describe the blurred vision caused by the start of nearsightedness, so these questions may not be needed as much.

Physical exam

The doctor inspects the eyelids and other external parts of the eye for signs of disease. Nearsightedness rarely has external signs.

To look for problems with the muscles that control movement of the eyeball, the doctor will ask the person to look in different directions (such as up and down). In a child, severe nearsightedness in one eye can sometimes cause amblyopia (lazy eye).

Jerky movements of the eyes (nystagmus) may be seen in children who have poor vision.

Related Information

Credits

By Healthwise Staff
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer Christopher J. Rudnisky, MD, MPH, FRCSC - Ophthalmology
Last Revised June 11, 2013

This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

© 1995-2013 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

Decision Points

Our interactive Decision Points guide you through making key health decisions by combining medical information with your personal information.

You'll find Decision Points to help you answer questions about:

Interactive Tools

Get started learning more about your health!

Our Interactive Tools can help you make smart decisions for a healthier life. You'll find personal calculators and tools for health and fitness, lifestyle checkups, and pregnancy.

Symptom Checker

Feeling under the weather?

Use our interactive symptom checker to evaluate your symptoms and determine appropriate action or treatment.

Connect With CentraCare