Psychological factors in pediatric optometry.

There are many special considerations and unique approaches applicable in the optometric care of children. In pursuing diagnostic procedures, the behavioral adjustment and responsiveness of the child during the examination proceedings may be optimally managed through an appropriate atmosphere and demeanor. Malingering and other interrelationships of behavioral anomalies and visual disorders may be understood and analyzed in relevant contexts. In pursuing procedures in treatment, approaches in prescribing lenses may be associated with resistance on the part of the child or parent, and may relate to personality characteristics and changes. The application of thoughtful techniques may facilitate maximal progress in a therapy program of visual training. Furthermore, complex psychological problems may coexist with visual disorders in learning disabilities, where broad aspects of development are of concern. Finally, the effective care of routine cases or of learning disabled children requires careful communication and counseling with parents.