II. Indications
- Decreased Visual Acuity in children
- Differentiates Refractive Error from other defects
- Example: Amblyopia
III. Technique
- Check vision initially with eye charts per age
- See Pediatric Vision Screening for appropriate tests
- Perform Pinhole Test if vision <20/20
- Test each eye individually
- Child repeats eye chart while looking through pinhole
IV. Interpretation
- Pinhole significantly improves vision
- Suggests Refractive Error
- Pinhole does not improve vision
- Suggests Amblyopia or other non-refractive cause
