The eye chart showed the big 'E', and your child guessed it was a 'cat'.  Either somebody needs to get the cat out of the exam room, or your little one may need glasses.  What's the best plan of attack, not only to help now but to also help slow down the rate of degradation later on?  After all, the number one fear I hear from patients is "I don't want to end up having glasses like Bubbles" ( I am not joking).