Back-to-school means a lot of things: new clothes, a new backpack, and a new teacher. It means time spent sitting in classrooms, completing homework, and researching on the computer.\nOne essential item that\u2019s left off many back-to-school checklists? Routine eye care.\nHaving unclear or unbalanced vision between your eyes can make school work an even bigger challenge. When vision isn\u2019t clear, or both eyes don\u2019t work as a team, school tasks such as reading the chalk board or completing homework can lead to visual (eye) strain, headaches, and double vision.\nEach year, school nurses conduct basic health screenings for students, including vision screenings. These screenings serve as indicators of severe vision problems; however, developing vision problems can sometimes go undetected because they have no outward symptoms. Scott Drexler, OD, an American Optometric Association member, warns that one in four children have an undiagnosed vision problem simply because they may not recognize that their eyesight isn\u2019t optimal or is changing.\n\u201cComprehensive eye exams are one of the most important back to school preparations a parent can schedule to help maximize their child\u2019s education, contribute to overall health and well-being, and make the back to school transition as smooth as possible. Some vision problems may not have warning signs and parents and educators often incorrectly assume that if a child passes a school screening, their vision is fine.\u201d\nIf you have older school-aged children they should be able to let you know if they are having difficulty seeing. Younger children, however, often aren\u2019t aware that there is an issue with their vision. You can help detect potential visual problems by looking for:\n\nRubbing of the eyes\nExcessive blinking\nReading slowly\nUsing fingers as a place holder while reading\nPoor hand-eye coordination\n\nIt\u2019s important to catch vision problems early. Most learning is presented visually, and not addressing visual problems may result in lower grades, reading difficulty, behavior problems, and low self-esteem.\nUncorrected vision doesn\u2019t just contribute to academic difficulties. It can also lead to problems in athletics. Student athletes with unclear vision often have coordination issues as well as difficulty seeing the ball, teammates, or goal, ultimately leading to increased frustration and embarrassment.\nWhile some academic and performance difficulties may be attributed to a larger issue it\u2019s important to rule out vision issues first. With an exam, an eye doctor may be able to prescribe glasses or lenses that may be able to ease the problem.\nPink Eye Symptoms and Prevention\nBack-to-school season is also when eye doctors see an increased number of cases of conjunctivitis, or pink eye. Spread through physical contact, pink eye is the most common eye condition for school-aged children. Lasting approximately one week, pink eye symptoms can include:\n\nRedness\nItching\nInflammation\nTearing or mucous discharge\n\nPink eye can be treated by antibiotics, and once students have been on medication for about 24 hours they are usually permitted to return to school.\nTo help prevent initial infection, encourage your children to:\n\nWash their hands frequently\nAvoid touching their eyes\nNever share makeup\nChange pillowcase\nDon\u2019t share towels\n\nTo help your child start back to school on the right foot, schedule an appointment with one of the eye doctors at the UPMC Eye Center by calling 412-647-2200. Visit the UPMC Eye Center online to learn more about eye care and eye health.