Updated AOA Pediatric Eye and Vision Examination Guideline Opens for Peer and Public Review

St. Louis, Mo., July 6, 2026 — The American Optometric Association (AOA) has opened the 30-day peer and public review period for the second edition of its evidence-based Comprehensive Pediatric Eye and Vision Examination clinical practice guideline. Comments will be accepted through Aug. 5, 2026. 

The updated guideline supports the AOA's ongoing advocacy to ensure every child has access to timely, comprehensive eye care by providing clinicians with the latest evidence to inform high-quality pediatric care. With an estimated one in 10 preschool-aged children experiencing a vision problem, children's eye health and vision remain a significant public health concern. Early detection through routine comprehensive eye exams by doctors of optometry is essential to identifying vision conditions that can affect a child's visual development, learning and overall well-being. 

Developed by the AOA Evidence-based Optometry Guideline Development Group in accordance with the National Academies of Sciences, Engineering, and Medicine standards, the guideline undergoes external review by doctors of optometry, other health care professionals, researchers, agencies, industry representatives and members of the public before final publication. 

"The AOA's pediatric care guidance must be grounded in a rigorous, standardized review of the best available scientific evidence so that health care providers, families, educators and the public can have confidence in the recommendations that support children's eye health and vision care," said Michelle Welch, O.D., AOA Evidence-based Optometry Committee member and pediatric guideline project lead. 

"Participation in the 30-day peer and public review period is an important opportunity for doctors of optometry and others to share their expertise, strengthen the guideline and help ensure it reflects the full range of perspectives across pediatric eye care," Dr. Welch said. 

“Building on the original edition published in 2017, key updates include expanded guidance on patient history, including congenital and developmental factors that may affect a child’s eye health and vision, as well as revised recommendations for evaluating low-risk newborns, children with intellectual and developmental disabilities, patients who have experienced concussion, and suspected cases of abusive head trauma. The guideline also adds new sections on myopia development and progression and reviews emerging evidence on digital device use, including its potential effects on eye strain, visual development and overall child development,” said Glen Steele, O.D. AOA Evidence-based Optometry Committee stakeholder expert. 

The peer and public review period runs through Aug. 5, 2026. Doctors of optometry, health care professionals, researchers and members of the public are invited to review the draft guideline and submit feedback through the AOA's online peer and public review form. The final guideline is expected to be published later in 2026. 

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About the American Optometric Association 

The American Optometric Association (AOA) represents more than 50,000 doctors of optometry, students and professionals who provide the majority of eye health and vision care in over 10,000 U.S. communities. As the leading voice for quality eye care, the AOA advances the profession through cutting-edge education, practice-changing resources, singular advocacy, and public education about the profession, ensuring patients nationwide have trusted access to essential, in-person eye health and vision care with member doctors of optometry.