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Does My Child Need Glasses?

We all want our children to be healthy and to have the best chance for success, especially once they start school. Of course, your child must be getting regular vision screenings with their pediatricians. After all, vision is critical to your child’s ability to learn, communicate, and understand, and vision problems can impact your child’s school performance and quality of life. Could your child need glasses? Here are some telltale signs.

You Catch Them Squinting When Reading

When your eyes have trouble focusing on an image, squinting may actually help your child see or focus better. Your child may squint when reading anything far away such as a menu behind a restaurant counter or when reading the chalkboard at school. Your child’s teacher may even let you know that your child needed to move closer to the front to see what was written on the chalkboard. This is a telltale sign that your child needs to have their vision evaluated by their pediatrician.

Sitting Close to the TV

Another sign that your child may have trouble with their vision is if they put phones and other electronic devices close to their face to see it. Your child may also sit really close to the TV. These could be signs of nearsightedness.

Nightly Headaches

If your child’s eyes have been overworked and straining all day your child might complain of frequent headaches, particularly in the evening.

Difficulties in School

When parents and teachers notice that their child is having trouble focusing on work they may immediately think that they have ADHD, but sometimes bad vision is actually the culprit. If your child can’t properly see the board, it’s no surprise that their attention focuses on other things. This is when you should talk to your child and find out if they are having trouble seeing the board. It might not be behavioral issues, it might just mean that they need to get an eye exam.

If you are noticing changes in your child’s vision, or if your child mentions having blurry vision or trouble seeing, you must schedule an appointment with your child’s pediatrician as soon as possible. While your pediatrician does have the tools necessary for hearing and vision screenings, they can also refer your child to a pediatric optometrist who can provide further and specialized vision testing and fit them with glasses, if necessary.

Cathy Alvarez, MSN, CPNP-PC

Family Practice

Cathy Alvarez, MSN, CPNP-PC, is a board-certified Pediatric Nurse Practitioner with over two decades of experience dedicated to nurturing the health and well-being of children from birth through adolescence. Known for her warm, individualized approach to care, Cathy is passionate about building lasting relationships with her patients and their families—many of whom she’s supported through every milestone of childhood.

Cathy began her nursing career after earning her Bachelor of Science in Nursing from the University of Illinois at Chicago in 1999. She gained valuable experience working on the inpatient pediatric unit at Advocate Lutheran Children’s Hospital in Aurora. Driven to deepen her impact, she returned to UIC to complete the Pediatric Nurse Practitioner program, earning her Master of Science in Nursing in 2005. She is certified by the Pediatric Nursing Certification Board (PNCB) and has since devoted her career to providing expert care to diverse pediatric populations.

She is an active member of the National Association of Pediatric Nurse Practitioners and the American Cleft Palate-Craniofacial Association, always staying at the forefront of pediatric healthcare.
Fluent in English and Polish, with conversational Spanish skills, Cathy connects seamlessly with families from many cultural backgrounds.

Outside of work, you can find her cheering on her son at soccer games, exploring new destinations, and enjoying quality time with her family. Her caring spirit and clinical excellence make her a trusted partner in every child’s healthcare journey.” 

Marixa Alvarez, ARN, MSN, FNP-BC

Family Practice

Marixa Alvarez, ARN, MSN, FNP-BC, is a dedicated and compassionate Family Nurse Practitioner, board certified by the American Nurses Credentialing Center. She earned her Master of Science in Nursing from Lewis University, where she cultivated her passion for holistic, patient-centered care.

Fluent in both English and Spanish, Marixa connects deeply with diverse communities, ensuring every patient feels heard and supported. Outside of the clinic, you’ll likely find her in the kitchen—cooking, baking, and bringing people together over a homemade meal. A fun fact? Marixa has a knack for solving puzzles and putting things together—whether it’s a 1,000-piece jigsaw or helping patients piece together their path to better health.

Carlos Sian, PA

Physician Assistant

Carlos is a board-certified Physician Assistant who joined the IWS Family Health team in January 2024. He was born and raised in Antigua, Guatemala and is fluent in both English and Spanish.

His academic journey began at Saint Michael’s College, where he earned a Bachelor of Science in Biology alongside minors in Chemistry and Religious Studies. Driven by a commitment to service, he devoted a year to volunteering as a medical assistant at a health clinic in Albuquerque, NM, through the Jesuit Volunteer Corps. This experience solidified his interest in medicine, inspiring him to delve deeper into healthcare and ultimately leading Carlos to pursue a Master of Public Health in Community Health Sciences and Infectious Diseases from Boston University School of Public Health.

Following his MPH, Carlos dedicated several years to the public health sector, primarily serving as a linkage to care coordinator,  clinical research coordinator, and COVID-19 contact tracer. Moved by a need to help his community during the 2020 pandemic, he secured admission to and completed the Northwestern University Feinberg School of Medicine PA program, earning his Master of Medical Science degree.

Carlos aims to integrate his public health training with his medical practice to bring culturally competent and inclusive medical services to all his patients, but specially the Hispanic/Latino and LGTBQ+ communities he serves. In his downtime, Carlos enjoys cooking, collecting plants, fostering dogs, playing video games, watching reality TV shows, and adding more stamps to his passport!

Dr. Tara Ioffe

Family Practice

Dr. Tara Ioffe is a dedicated and compassionate Board-Certified Family Medicine physician with a strong commitment to providing excellent care to her patients. She obtained her medical degree from Avalon University in Curacao and went on to complete her Family Medicine Residency at the University of Oklahoma. She has worked at the University of Chicago and most recently NorthShore University. She has since returned to Chicago and is thrilled to join the IWS Family Health team in 2023, where she will continue to provide excellent care to her patients.

Throughout her career, Dr. Ioffe has gained experience in diverse medical fields, such as immediate and urgent care medicine while working at NorthShore Immediate Care. She did clinical research at the University of Chicago. Dr. Ioffe strives to foster a secure and inclusive environment for all her patients. She believes in an integrated approach to medicine, dedicating her time to understand each patient’s unique needs.

During her leisure time, Dr. Ioffe indulges in reading a variety of books for pleasure, plays boardgames, and loves to explore Chicago with her spouse and young child.