Spectacles for children

When it comes to the fit of the frames, children’s faces are smaller and often have flatter bridge profiles. Frames should fit snugly without putting pressure on the nose or behind the ears. Designs with a larger splay angle and fixed silicone supports offer added comfort and stability.

Adjustable nose pads can aid the fit, while temples with incremental side length adjustments accommodate growth spurts. Temples should wrap comfortably behind the ears without being too long or pressing on the skin.

Durability is a key factor to consider as children are active and so their eyewear must withstand rough handling. Materials like TR90 or nylon are impact-resistant and flexible. Sprung hinges or flexible temples are beneficial to prevent breakage from twisting or bending.

Aesthetic appeal is also important because, while functionality is key, children are more likely to wear glasses they find visually appealing. Bright colours, patterns, and character-themed designs can increase enthusiasm.

Frames must match the child’s face shape and size to ensure comfort and lens alignment. Frames that sit too low or too flat can hinder lens performance or allow children to peer over them. A proper fit ensures optimal vision and prevents strain.

Accuracy is key

To ensure the optimal fit for children, taking accurate measurements is crucial. Pupillary distance should be taken precisely, especially considering children’s smaller and less defined facial features. It is essential to account for bridge position and face symmetry.  

For bifocal, progressive, myopia management, or other specialist lenses, accurate height measurements are crucial. These should be taken to align the lens with the wearer’s line of sight.  

The hardest part about taking measurements with children is getting cooperation. Sometimes you have to think outside of the box, find something to get their interest, to allow you to get some control. Failing that, I find pre-marking the lenses in steps can be a quick way to assess a measurement, especially if they won't keep them on for long. 

Lens options 

For spectacle lenses, basic is often the default option but not the only solution. With increasing screen use and closer working distances, lenses that support convergence and focus can help reduce eye strain. Myopia control is also a growing sector and it’s our duty to recommend suitable options where appropriate.  

In terms of lens materials, polycarbonate and Trivex are recommended for their lightweight and shatter-resistant properties, so try not to just offer CR39. In addition, anti-reflective, scratch resistant and UV coatings are essential and should be recommended.  

Promoting sun protection is also vital, as children often receive more sun exposure than adults. Photochromic can be ideal for active children. Parents don’t often think of the need for these, even if they wear these lenses themselves – and it’s often something we neglect to recommend.  

Keep it simple and positive

When communicating with young patients, keep it simple and relate glasses to what the child enjoys, for example: “These will help you see your iPad better.” 

I try to find out what they are into and use that as a basis to decide how to interact. I make sure I talk to them and not at them or just to the parents. I try to make it fun.  

Provide positive reinforcement, complimenting the appearance of their frames and showing excitement about their new glasses.  

Engage with the child, letting them choose frames, and explain the lens benefits in a fun way. Talk at their level, both physically and linguistically.  

Finally, involve both the parents and the child in education on maintenance, cleaning, fit, and when they should be wearing their spectacles.  

Paediatric dispensing demands a thoughtful, tailored approach. By selecting appropriate frames and lenses and using child-friendly communication, we can create a positive experience. Supporting children through each stage of their visual development not only enhances their quality of life but also sets the foundation for lifelong eye care.