A topic I want to discuss is prescribing bifocals for kids. If a kid needs reading glasses, chances are the prescription will blur the distance. Even if the child has perfect distance vision we might want to prescribe a bifocal so the child can look up from their book and still have clear vision. Sometimes, however, the bifocal could be counterproductive in the child is gazing at a desktop (eye level) computer.

Quite often, when a child complains of distance vision, the child is prescribed glasses for distance. Sometimes the prescription for distance will be the same as it is for near. Sometimes, though, it is not. In fact, sometimes the prescription for distance could make reading worse.

Of course there are ways to actually measure this. It could have a significant effect on a child's ability to perform in school.