In Focus

Your child passed their school vision screening, but they still get headaches when they read. How much reassurance should that passing result give you? In this episode of In Focus, pediatric ophthalmologist and mom of three Dr. Rupa Wong breaks down what school vision screenings are designed to catch, why a child can pass a distance eye chart and still have trouble with close-up work, and what can get in the way of follow-up care after a failed screening. IN THIS EPISODE: 00:00 Can My Child Pass a Vision Screening and Still Have an Eye Problem? 02:51 What’s the Difference Between a Vision Screening and an Eye Exam? 03:38 Can a Vision Screening Catch Lazy Eye (Amblyopia)? 04:24 Do School Vision Screenings Really Miss 75% of Eye Problems? 06:18 What Do Schools Check During a Vision Screening? 07:25 At What Age Should Kids Start Getting Vision Screenings? 08:07 Does My Child Need an Annual Eye Exam If They Passed Their Screening? 09:04 Can a Child Be Farsighted and Still Pass an Eye Chart Test? 11:19 Could My Child’s Reading Struggles Be a Vision Problem? 12:15 Can Vision Problems and Dyslexia Overlap? 12:46 What Is Convergence Insufficiency? 13:40 My Child Failed Their School Vision Screening. What Happens Next? 16:45 What Are the Signs My Child Needs an Eye Exam? 17:25 Which Eye Symptoms in Kids Need Urgent Care? 17:43 Which Kids Need an Eye Exam Even If They Pass Their Screening? IN FOCUS WITH DR. RUPA WONG: YouTube: https://youtube.com/playlist?list=PLQ6yGQlJEBHouNHGZJgsAPspu4nJhrDRd&si=-G1WPggk3LzjHyz9  Apple Podcasts: https://podcasts.apple.com/us/podcast/in-focus/id1569697237  Spotify: https://open.spotify.com/show/3en4olHWr48cyWaUikrcje?si=c606ebf291294d03  HOST RESOURCES: Instagram: https://www.instagram.com/drrupawong  YouTube: https://www.youtube.com/@DrRupaWong  Newsletter: https://www.drrupawong.com/sign-up  Become a Patient: https://www.honolulueyeclinic.com  Earn FREE CE/CME Credits: https://learnatpinnacle.com This episode is brought to you by ⁠The Pinnacle Podcast Network⁠!  ABOUT DR. RUPA WONG: Rupa Wong, MD is an Ivy League trained board certified pediatric ophthalmologist and adult strabismus surgeon, wife, mom to 3 kids, entrepreneur, and the managing partner of Honolulu Eye Clinic for the past 15 years. She is passionate about helping the modern working mom focus on what matters most as she balances her ambition, her career, her family, and herself.  Disclaimer: Rupa Wong, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices

Your kid misses the shot, comes in last, or freezes at the start of a race, and then says the sentence that stops you cold: "I'm bad at this." The instinct is to reassure them. Two-time Olympian Shelley Oates-Wilding says the words kids repeat about themselves matter more, and she has a specific response when she hears it on the water. In this episode of the In Focus podcast, pediatric ophthalmologist Dr. Rupa Wong talks with Coach Shelley Oates-Wilding, a two-time Olympic kayaker for Australia and founder of Ikaika Hawaii. Shelley explains what she does when a young athlete puts themselves down, the label parents use that can stick for years, and why most people who drown can swim. She also shares how a kid's confidence can change in a single week, and why coming last is sometimes the best thing that can happen. IN THIS EPISODE: 00:00 What Can Kids Learn From Youth Sports? 02:14 Why Shelley Founded Ikaika Hawaii 03:57 Shelley's Journey to the Olympics 08:18 What Makes a Good Youth Sports Coach? 11:24 Water Safety for Kids: Is Swimming Enough? 14:33 How Do You Teach a Kid Not to Panic? 17:02 How Coaches Help Nervous Kids Build Confidence 19:48 How Do the Labels We Give Kids Affect Them? 22:03 What Is the Olympic Journey Really Like? 24:16 How to Help Kids With Negative Self-Talk 29:47 Is Competition Good for Kids? 31:37 Are Kids Following Their Passion or Their Parents'? 35:03 The ASPIRE Philosophy: Life Skills Through Sports 40:50 How Do You Help Kids Handle Disappointment? 44:22 What Shelley Wishes Parents Knew 47:17 Letting Kids Choose Their Own Path 50:23 Social Media and Comparison in Kids GUEST RESOURCES: Ikaika Hawaii: https://www.ikaikahawaii.com Instagram: https://www.instagram.com/ikaikahawaii IN FOCUS WITH DR. RUPA WONG: YouTube: https://youtube.com/playlist?list=PLQ6yGQlJEBHouNHGZJgsAPspu4nJhrDRd&si=-G1WPggk3LzjHyz9  Apple Podcasts: https://podcasts.apple.com/us/podcast/in-focus/id1569697237  Spotify: https://open.spotify.com/show/3en4olHWr48cyWaUikrcje?si=c606ebf291294d03  HOST RESOURCES: Instagram: https://www.instagram.com/drrupawong  YouTube: https://www.youtube.com/@DrRupaWong  Newsletter: https://www.drrupawong.com/sign-up  Become a Patient: https://www.honolulueyeclinic.com  Earn FREE CE/CME Credits: https://learnatpinnacle.com This episode is brought to you by ⁠The Pinnacle Podcast Network⁠!  ABOUT DR. RUPA WONG: Rupa Wong, MD is an Ivy League trained board certified pediatric ophthalmologist and adult strabismus surgeon, wife, mom to 3 kids, entrepreneur, and the managing partner of Honolulu Eye Clinic for the past 15 years. She is passionate about helping the modern working mom focus on what matters most as she balances her ambition, her career, her family, and herself.  Disclaimer: Rupa Wong, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices

Noticing an eye turn, a persistent head tilt, or a white pupil in a flash photo can leave parents unsure how urgently to act. Which signs should you bring to your pediatrician, and when is a comprehensive eye exam needed instead of routine screening? In this episode of the In Focus podcast, pediatric ophthalmologist Dr. Rupa Wong answers four parent questions about baby and toddler eye health. She explains what screenings look for, when an eye turn may need specialist assessment, why patching or surgery is not automatic, and why redness or tearing should be evaluated before treating a toddler with artificial tears. IN THIS EPISODE: 00:00 Ask Dr. Rupa: Baby Vision Q&A 01:04 What Are the Warning Signs of Vision Problems in Babies? 06:04 Is a Vision Screening Enough, or Does Your Child Need a Comprehensive Eye Exam? 12:35 Does an Eye Turn at 18 Months Always Need Treatment? 15:23 Can Toddlers Use Artificial Tears? 17:54 When Should You Ask Your Pediatrician About Your Child’s Vision? IN FOCUS WITH DR. RUPA WONG: YouTube: https://youtube.com/playlist?list=PLQ6yGQlJEBHouNHGZJgsAPspu4nJhrDRd&si=-G1WPggk3LzjHyz9  Apple Podcasts: https://podcasts.apple.com/us/podcast/in-focus/id1569697237  Spotify: https://open.spotify.com/show/3en4olHWr48cyWaUikrcje?si=c606ebf291294d03  HOST RESOURCES: Instagram: https://www.instagram.com/drrupawong  YouTube: https://www.youtube.com/@DrRupaWong  Newsletter: https://www.drrupawong.com/sign-up  Become a Patient: https://www.honolulueyeclinic.com  Earn FREE CE/CME Credits: https://learnatpinnacle.com This episode is brought to you by ⁠The Pinnacle Podcast Network⁠!  ABOUT DR. RUPA WONG: Rupa Wong, MD is an Ivy League trained board certified pediatric ophthalmologist and adult strabismus surgeon, wife, mom to 3 kids, entrepreneur, and the managing partner of Honolulu Eye Clinic for the past 15 years. She is passionate about helping the modern working mom focus on what matters most as she balances her ambition, her career, her family, and herself.  Disclaimer: Rupa Wong, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices

How do you set screen time limits when the iPad feels like the only thing that keeps your child calm? For parents of children with autism or ADHD, knowing when screens provide a helpful break and when they’re getting in the way isn’t always straightforward. In this episode of the In Focus podcast, Dr. Rupa Wong, a mom of two neurodivergent children, welcomes clinical psychologist and board-certified behavior analyst Dr. Gabie Izralson. Dr. Izralson explains why stopping screen time can be difficult, why content choices matter, and how to set boundaries and prepare children for what comes next. She shares realistic ways to start making changes and explains when meltdowns become a cause for concern. IN THIS EPISODE: 00:00 Screen Time and Neurodivergent Kids 02:06 Meet Dr. Gabie Izralson 04:56 When Should You Ask About Developmental Delays? 07:08 What Are the Signs of Autism in Children? 10:00 What Are the Signs of ADHD in Children? 10:35 Why Is Ending Screen Time So Hard for Neurodivergent Kids? 12:42 When Does Screen Time Become a Problem? 13:53 Can Screen Time Help Autistic Children Regulate Their Emotions? 14:56 How Does Screen Time Affect Kids’ Attention? 16:09 What Can Kids Do Instead of Screen Time? 17:08 How Do You Set Screen Time Limits for Neurodivergent Kids? 18:18 How Can You Help Your Child Transition Off Screens? 19:39 How Do You Stay Consistent With Screen Time Limits? 21:20 When Should You Seek Help for Your Child’s Meltdowns? 22:47 How Can You Reduce Screen Time Without Changing Everything at Once? 24:26 Connect With Dr. Gabie Izralson GUEST RESOURCES: Website: https://drgabie.com/ Instagram: https://www.instagram.com/drgabiepsychology/ IN FOCUS WITH DR. RUPA WONG: YouTube: https://youtube.com/playlist?list=PLQ6yGQlJEBHouNHGZJgsAPspu4nJhrDRd&si=-G1WPggk3LzjHyz9  Apple Podcasts: https://podcasts.apple.com/us/podcast/in-focus/id1569697237  Spotify: https://open.spotify.com/show/3en4olHWr48cyWaUikrcje?si=c606ebf291294d03  HOST RESOURCES: Instagram: https://www.instagram.com/drrupawong  YouTube: https://www.youtube.com/@DrRupaWong  Newsletter: https://www.drrupawong.com/sign-up  Become a Patient: https://www.honolulueyeclinic.com  Earn FREE CE/CME Credits: https://learnatpinnacle.com This episode is brought to you by ⁠The Pinnacle Podcast Network⁠!  ABOUT DR. RUPA WONG: Rupa Wong, MD is an Ivy League trained board certified pediatric ophthalmologist and adult strabismus surgeon, wife, mom to 3 kids, entrepreneur, and the managing partner of Honolulu Eye Clinic for the past 15 years. She is passionate about helping the modern working mom focus on what matters most as she balances her ambition, her career, her family, and herself.  Disclaimer: Rupa Wong, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices

Can Ozempic cause blindness, and what does the research actually show? If you take Ozempic, Wegovy, or another GLP 1 medication, headlines about vision loss can be unsettling. How big is the risk, who may be more vulnerable, and what should you do if your vision suddenly changes? In this episode of the In Focus podcast, board certified ophthalmologist Dr. Rupa Wong reviews the evidence linking semaglutide to NAION, a rare optic nerve condition that can cause sudden, painless vision loss. She explains what the studies do and do not show, how relative risk differs from absolute risk, and why recommendations may differ for people with type 2 diabetes versus those taking semaglutide for weight loss. You will also learn what to discuss with your prescriber and eye doctor before changing treatment and which symptoms require urgent evaluation. IN THIS EPISODE: 00:00 Can Ozempic Cause Blindness? 02:18 What Is NAION? 03:42 How Rare Is NAION? 04:01 Can Diabetes Cause Optic Nerve Damage? 05:20 Is Ozempic Linked to Vision Loss? 06:38 What Do Eye Doctors Say About Ozempic? 08:35 What Are the Chances of Vision Loss With Ozempic? 11:16 Can Blood Sugar Changes Affect Your Vision? 12:49 Should I Stop Taking Ozempic? 13:39 Should I Tell My Eye Doctor I Take Ozempic? 15:00 Do I Need an Eye Exam Before Starting Ozempic? 16:04 What Should I Do If I Suddenly Lose Vision in One Eye? 16:46 Taking Ozempic for Diabetes vs. Weight Loss 18:43 How Can I Protect My Eyes While Taking Ozempic? 19:28 Ozempic and Vision Loss: What Should I Know? IN FOCUS WITH DR. RUPA WONG: YouTube: https://youtube.com/playlist?list=PLQ6yGQlJEBHouNHGZJgsAPspu4nJhrDRd&si=-G1WPggk3LzjHyz9  Apple Podcasts: https://podcasts.apple.com/us/podcast/in-focus/id1569697237  Spotify: https://open.spotify.com/show/3en4olHWr48cyWaUikrcje?si=c606ebf291294d03  HOST RESOURCES: Instagram: https://www.instagram.com/drrupawong  YouTube: https://www.youtube.com/@DrRupaWong  Newsletter: https://www.drrupawong.com/sign-up  Become a Patient: https://www.honolulueyeclinic.com  Earn FREE CE/CME Credits: https://learnatpinnacle.com This episode is brought to you by ⁠The Pinnacle Podcast Network⁠!  ABOUT DR. RUPA WONG: Rupa Wong, MD is an Ivy League trained board certified pediatric ophthalmologist and adult strabismus surgeon, wife, mom to 3 kids, entrepreneur, and the managing partner of Honolulu Eye Clinic for the past 15 years. She is passionate about helping the modern working mom focus on what matters most as she balances her ambition, her career, her family, and herself.  Disclaimer: Rupa Wong, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices