Hey there, I’m the sleepSEE Clinical Team, FIAOMC. As an optometrist here in Fayetteville for over 15 years, I’ve had the privilege of caring for the eyes of so many kids in our community. From toddlers getting their first pair of glasses to high schoolers getting ready for college, I’ve seen it all. And I’ve had countless conversations with parents, many of them anxious about their child’s vision. It’s a conversation Many patients have almost every single day. A mom or dad, worried because they’ve noticed their child squinting, or a teacher calls to say their student is having trouble seeing the board. It’s a common story, and it’s one that I’m on a mission to change, one family at a time.
Here's the thing: nearsightedness, or myopia, is so much more than just a simple vision problem that can be fixed with a pair of glasses. It’s a progressive condition, a genuine epidemic, and it’s putting our kids at a higher risk for serious, sight-threatening eye diseases down the road. But how can you, For parents, know if your child is developing myopia? What are the subtle clues you should be looking for? Let me break it down for you, parent to parent.
In This Article
- 1. Squinting to See Distant Objects
- 2. Sitting Too Close to the TV or Holding Devices Close
- 3. Frequent Headaches or Eye Strain
- 4. A Sudden Drop in Grades
- 5. A Family History of Nearsightedness
- What to Do if You Notice These Signs
- The Childhood Myopia Epidemic is Real, and It’s Here in Fayetteville
- Frequently Asked Questions
- Take Control of Your Child's Vision and Their Future
1. Squinting to See Distant Objects
Have you ever been driving and noticed your child in the backseat, squinting to read a road sign? Or maybe you’ve seen them at the park, squinting to see a friend across the field. It might seem like a small thing, but it’s a big deal. Squinting is a natural reflex; it’s the eye’s way of trying to create a pinhole effect to focus light more clearly on the retina. But if you’re seeing it happen consistently, it’s one of the most common red flags for myopia.
Many parents remember a young patient Studies show a few months ago, a bright 8-year-old girl. Her mom brought her in because her teacher had noticed she was squinting at the board. During the exam, Many parents discover she had a significant amount of myopia. After we fitted her with her sleepSEE lenses, her mom told me that she had no idea how much her daughter had been struggling. The little girl was so excited to be able to see the leaves on the trees clearly for the first time. It’s moments like that that remind me why I do what I do.

Think of it like this: when a child has myopia, their eyeball is slightly elongated, a little more oval than round. This change in shape causes the light entering the eye to focus in front of the retina, instead of directly on it. The result? Blurry distance vision. Squinting is their unconscious attempt to compensate for this blur.
2. Sitting Too Close to the TV or Holding Devices Close
It’s a classic image, isn’t it? The kid with their nose practically touching the TV screen. We’ve all seen it. While it might seem like a harmless, quirky habit, it can be another tell-tale sign of myopia. If your child is consistently moving closer to see things, whether it’s the TV, a book, or a tablet, it’s because their distance vision is blurry. They’re trying to make the image appear larger and clearer, to bring it into their limited range of clear focus.
With so many of our kids in Cumberland County schools now using digital devices like tablets and laptops for their schoolwork, this is a trend I’m seeing more and more in my practice. It’s not just about the amount of screen time, although that is a factor. It’s about the proximity. The closer they hold the device, the harder their eyes have to work. This can not only be a sign of existing myopia but can also contribute to its progression.
3. Frequent Headaches or Eye Strain
Myopia can be a real headache. Literally. When your child’s eyes are constantly straining to focus on distant objects, the tiny muscles in their eyes become overworked. This constant effort can lead to tension headaches, eye fatigue, and a general feeling of discomfort. They might complain that their eyes feel tired, sore, or achy, especially after a long day at school or after doing homework.
These are symptoms that are all too easy to dismiss as just being tired. But they can be a clear indication that your child’s visual system is under stress. It’s their body’s way of telling them that something is wrong. Don’t ignore these complaints. They are often the first signs of an underlying vision problem.

4. A Sudden Drop in Grades
If your bright, engaged child suddenly starts struggling in school, it might not be a lack of effort or understanding. It could be that they simply can’t see. Imagine trying to learn algebra when you can’t even read the equations on the board. It’s an impossible task. A sudden drop in grades is a huge red flag that should prompt an immediate visit to the eye doctor.
I’ve had so many parents come into my office, completely baffled by their child’s declining school performance. They’ve tried tutors, extra help, everything they can think of. And then, we discover the root of the problem: uncorrected myopia. It’s a simple, but often overlooked, connection. That’s why I’m such a huge advocate for regular, comprehensive eye exams. We can catch these problems early, before they start to impact your child’s academic success and, just as importantly, their self-esteem.

5. A Family History of Nearsightedness
Genetics play a significant role in myopia. If you or your spouse are nearsighted, there’s a much higher probability that your child will be too. In fact, a 2023 study published in the prestigious journal Optometry and Vision Science found that children with two myopic parents are more than three times as likely to develop myopia themselves. It’s a powerful genetic link.
This doesn’t mean that your child is destined to wear glasses for the rest of their life. But it does mean that we need to be extra vigilant. Proactive screening and early intervention are absolutely key. Think of it like any other inherited health condition. If you have a family history of heart disease, you take steps to protect your heart. The same should be true for your child’s vision.

What to Do if You Notice These Signs
If you’ve noticed any of these warning signs in your child, the very first step is to schedule a comprehensive eye exam. And I don’t mean the quick vision screening at the pediatrician’s office or the school nurse. I mean a thorough, in-depth exam with an optometrist who specializes in children’s vision and myopia control.
Here at my practice in Fayetteville,
Free Download: Myopia Risk Checklist for Parents
Is your child's vision at risk? Get the 10-point checklist used by ortho-k specialists.
- 10 warning signs myopia is progressing
- Questions to ask your eye doctor
- How to evaluate ortho-k candidacy
- What to expect in the first 30 days
Myopia Risk Checklist
For Parents — Free PDF Guide
Dr. James Singletary, OD, FIAOMC
Dr. James Singletary, OD, FIAOMC is a licensed optometrist and orthokeratology specialist with over 15 years of clinical experience in myopia control, myopia management, orthokeratology, and nonsurgical vision correction. He is the founder of Eye Medics Optometry in Fayetteville, NC and the creator of the sleepSEE ortho-k program.
Medical Disclaimer
This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified eye care professional for diagnosis and treatment of eye conditions. The information provided here should not be used as a substitute for professional medical advice.



