Category Archives: Difficulty reading

My child has “20/20” eyesight but still has trouble copying off the board at school. What could cause that?

You probably remember struggling from time to time to see the blackboard in school when you were a child. Maybe you sat in the back of the classroom, behind the tall kid, or someone with big hair sat in front of you. Perhaps you needed your first pair of glasses before you could easily make out the letters and numbers on the board without squinting.

If you remember those brief periods of frustration, you understand how some children with certain vision problems feel throughout the day while struggling to copy from the board, even with 20/20 eyesight.

Modern classrooms include whiteboards, ActivBoards, and Promethean Boards. Students spend a lot of time looking at boards, and then back at their desks, during a school day. If a child has a vision problem, it may be difficult for the child to copy off the board and follow the lesson.

A child may have “20/20” clear eyesight but may also lack the ability to refocus from near to far and from far to near. As the child looks down at his paper to read or write, he may see clearly. After he is looking at the board for some time, he can see clearly too. However, looking up and down, back and forth, from the board to the paper might be where the difficulty comes into play.

The focus mechanism in the child’s eyes might be weak, slowing down the adjustment period as he looks from one point of site to the other. In functional optometry, focusing is called “accommodation.” A full functional vision exam tests “accommodative facility,” which is the ability to sustain clear vision and to shift focus.

Weak accomodative facility (focusing) is not detected during most normal vision screenings.

Another vision problem that would make it difficult for your child to copy from the board at school is poor eye teaming. Eye teaming, known in functional optometry as “binocular vision skills,” refers to the ability for the two eyes to work together as a team. If both eyes are not moving at the same time in the same direction, a child will struggle to look up at the board, down at her paper, and back again without experiencing visual fatigue and tiring quickly.

Your child could also have poor eye movements, such as tracking and pursuits. Tracking eye movement skills help the child “locate” the words on the board and then locate the space on the paper where they are to place their print. A child with poor tracking skills loses her place often, and getting lost frequently is frustrating and tiring.

Poor teaming and tracking skills are not detected during most normal vision screenings.

If your child has been complaining that he is having trouble copying from the board, or your child’s teacher complains that he is not copying down the lessons or assignments as instructed, a vision problem could be to blame.

Even if a school vision screening or visit to your family vision care clinic indicated that your child has 20/20 eyesight, problems with focus, eye teaming, or eye tracking might be interfering with his or her ability to copy from the board and learn efficiently alongside his classmates.

Find an optometrist in your area who specializes in developmental or functional vision care. If you live near Olney or Silver Spring, Maryland, schedule an appointment with Dr. Nicholson’s Visual Learning Center for a full visual analysis.

The good news is intensive vision therapy can improve eye teaming, eye tracking, and focusing skills. Within the next few months, your child could experience significant improvement, and copying from the board can become easier.

eye with earth reflection

How are “Visual Skills” related to learning?

Discovering that your child is struggling to learn, not because of a learning disability or lack of classroom skills, but instead a problem with their “visual skills” can be confusing for parents.

If a school screening or an eye doctor’s exam indicates that your child has no trouble with her eyesight, it can be even more confusing. You might ask yourself, “If my child can see just fine, how can there be something wrong with her vision?”

You might wonder how a child with 20/20 eyesight can also have a vision problem that is so significant that her learning is delayed or disrupted.

Most people think that vision is the same as sight. So if that’s what you thought too, you’re not alone.

However, sight simply provides the input for a child’s learning, while vision represents a complex system. When a child’s vision system is working efficiently, that child can process, understand, and relate new information to knowledge he or she already has.

On the other hand, when a child’s visual system is not working as it should, visual skills deficiencies can contribute to learning problems. If children experience a lag in their ability to recognize what they see, and relate it to what they already know, and then use this information as a basis for future understanding, the learning process can become frustrating.

For the learning process to work as it should, your child must first be able to see, then use what he sees to understand. The ability to see letters on a chart for an eye exam is not enough — 20/20 vision is not enough.

What developmental optometrists know is that there is a very important relationship between vision and the brain. The two work together so closely that vision and intelligence and understanding are almost synonymous

Sound complicated? It is. But the good news is, many children with low visual skills are often quite bright, or they may have little enduring learning problems with proper vision therapy. Also known as vision training, vision therapy can improve visual skills significantly and quickly.

A child’s ability to perform visual tasks (such as reading and studying) depends on the ability to synchronize thinking and seeing. The processes of thinking and seeing work together to give a perceptual and conceptual understanding of the material. The full spectrum of seeing and thinking needs to run smoothly for a child to gain meaning from what is taught.

Vision therapy exercises improve the integration of seeing and thinking.

Visual skills such as focusing, following moving objects, aiming, turning the eyes together as a team, visual processing and other abilities can be inefficient or poorly integrated, which can put great strain on a child.

Vision training allows a child to practice and strengthen vision skills, lessening the strain and effort they will have to put forth.

Experts have found that when anyone’s attention is spread between a number of tasks, it reduces the efficiency of the tasks. Think of the last time you tried to do two things at once. Was it easy? Did you do both as well as you wanted to? Or did one (or both) tasks suffer

When a child’s attention and efforts are spread between trying to make the visual system work physically and understanding the material, attempting to learn anything new that requires visual skills can be discouraging. A child who does not have deficiencies in visual processing can simply focus on understanding the material, without the interference of trying to get their system to function as it should.

Vision therapy serves to help children strengthen the link between vision and intelligence. Once visual skills are improved through vision therapy, it frees up energy and focus for actual learning. The less stressed mind is freed to focus on the task at hand.

Vision therapy in Olney, MD, and convenient to Silver Spring, MD, is provided by Dr. Philip Nicholson, O.D. and his staff at the Visual Learning Center. Call 301-570-4611 for a comprehensive assessment and to see if your child might significantly benefit from vision training.

girl reading

How will vision therapy help my child in reading?

 

Although it may not seem apparent at first, reading can be extremely difficult for a child with visual problems. When learning-related vision problems go undetected, a child might seem to be picking up on words and demonstrating comprehension initially, but overall performance and literacy will suffer.

Studies have revealed that the greater the amount of effort a child must put forth to read, the lower the child’s overall reading performance and comprehension will be. Reading requires prolonged fixation on reading materials, so the effort necessary to read is particularly challenging if the child has visual deficiencies, such as oculomotor and binocular weakness.

For a person to read, it is necessary for the two eyes to be properly aimed at text, so the eyes must turn inward. For some children, the eyes will naturally turn outward; and this deviation — even if slight and unnoticeable to parents or teachers — means that the child must use excess effort and energy to maintain fixation on the reading material.

If a child is unable to aim his or her eyes inwardly easily, he or she may not see every word in sequential order.  Instead, the child’s eyes may skip words or phrases, bounce around the text, and land at words sporadically.

A parent or teacher might notice that a student omits or adds words to make sense of a sentence, without actually seeing those words.

A child may be seeing double due to overlapping vision and experiencing headaches and eye fatigue as a result. But the child is often unable to express “seeing double” because he or she is unaware that the way they are seeing is not the correct way to see.

Vision therapy or vision training treats and quickly improves eye disorders by facilitating exercises and activities that strengthen existing weaknesses within the visual processing system.

Many children who participate in our vision therapy programs in Olney, Md. come to us having tested far below their current age levels in sensory skills, such as those related to oculomotor or binocular weakness.  Upon completing therapy, they retake the initial screening tests with impressive results.

Read some of our vision training success stories to learn more about how vision therapy can help your child in reading.  Contact us to learn more about how vision training can improve speed and accuracy of eye movements, visual concentration, letter reversals and other skills, making learning easier, faster, and more enjoyable.