Parent Questionnaire©  |  Objective Vision Testing  |  Scoring Guidance©  |  Results & Next Steps©

Scoring Guidance©: Objective Vision Testing

Document the results of the four Objective Vision Tests - fixation, tracking, pupillary reflex, and corneal light reflection. These tests can spot common eye issues or significant vision differences early on.
If the child is unable to participate, document this and recommend rescreening during a subsequent follow-up meeting, such as the initial Individualized Family Service Plan (IFSP) meeting or the first visit with a provider.

Objective Vision Testing Concerns

If a child fails any of the four tests, this indicates a concern that warrants a non-urgent follow-up with a pediatric eye specialist, either an ophthalmologist or an optometrist.
  • Fixation concerns: Child does not fixate on object or fixates with 1 eye only. Eye drifting is abnormal.
  • Tracking concerns: Eyes do not follow in unison or tracking is jerky or not present.
  • Pupillary reflex concerns: Absent or sluggish response to light in either eye or either pupil is not round/black/equal in size.
  • Corneal light reflection concerns: Reflected light appears to be near the center of the pupil of one eye and displaced nasally, outward, or upward from the pupil in the second eye.
"No" or Fail indicates non-urgent concern.

Objective Vision Testing - Summary Result for Scoring Rubric©

Choose the appropriate summary result to carry forward to the Scoring Rubric©.
No Concerns.
Non-Urgent Concerns.
Unable to Test.

A Shared Vision: Partners in Pediatric Blindness & Visual Impairment

EIN 81-4227664