Pediatric patients can become shy when having an eye exam due to the unfamiliar surroundings. This can make your subjective visual acuity readings fairly difficult. To help alleviate their shyness, a few simple things can be done:
-Have the parent get involved. This can be done by asking the patient to tell Mommy or Daddy which shape is on the screen. Usually, the parents understand the test by this point and will directly ask the child what they see.
-If the patient is still having trouble giving verbal responses, have them play a matching game with the Lea symbols. Do this by giving the child an oversized sheet of Lea symbols or puzzle pieces to point at and match what they see at distance.