In this video presentation from the 2013 Pediatric Ophthalmology Subspecialty Day, Sophia Chung addresses complaints of "spots" and "dots" elicited from children who have completely normal exams. Common complaints of photopsias given by children are often explained by normal physiologic mechanisms, but some might reflect pathologic conditions. Dr. Chung provides a guide for the practicing ophthalmologist to establish the correct diagnosis and evaluation.