Deficits in visual functioning (encore presentation)

Since summer is the time for reruns, I took the opportunity to search the archives for a deserving post that, for whatever reason, hasn’t received many all-time views.

Originally posted in 2012, this one discusses vision therapy. It’s a good reminder that our atypical young people may have undiagnosed deficits in visual functioning that are affecting their performance in school and in life.

 And so, without further ado, I give you this encore presentation of a post originally titled “Vision problems can affect school performance.”


The (original) title of this post may seem like a no-brainer. “Yeah, if you need glasses and don’t have them, that’s a problem!”

But what our family learned is, there’s more to vision than how sharp or blurry the world looks ( = “eyesight.”)

When Nathan had his multidisciplinary educational assessment (at Big Springs Educational Therapy Center in Riverside CA), one of the things they looked at was visual functioning. This included how smoothly the student’s eyes tracked together across the printed page, whether both eyes were in alignment, how well the student recognized shapes that were rotated, and other things we don’t normally think about.

Deficits with visual efficiency make tasks like reading or taking notes from the board pretty challenging and tiring. If this is happening with a kid who also has attention deficits, or poor hand-eye coordination, you’ve got a recipe for giving up on schoolwork.

We had known Nathan’s eyes got tired during homework sessions, but so did the rest of him! (Half the time spent on “homework” was taken up with procrastination, tantrums, discussions, pouting, etc.) In any event, the assessment revealed that Nathan did have some genuine visual functioning deficits. It was suggested that he have a “developmental optometric evaluation” where a specialist could pinpoint the problems and provide therapy to correct them. Big Springs gave us a list of local vision therapy providers, and we chose the one closest to us:  Hospitality Eyecare Center in San Bernardino. (These days, you can google “vision therapy” for your area to find a provider.)

The Eyecare Center confirmed that Nathan had 20/20 eyesight, but some eye tracking and binocular coordination problems. We then had four months of office visits for therapy, twice a week, with some exercises to do at home between appointments. At the end of the four months, Nathan was re-evaluated and all of the deficits had been corrected.

So did this pay off? Did Nathan’s schoolwork experience improve? Hard to say. Nathan never admitted to noticing a difference after the therapy. (It was another weapon in his arsenal of, “You drag me to these appointments and they never do any good.”) He did pretty well in his next school year – 7th grade – when more note-taking and reading are expected. But by 8th grade, other factors sent him into a tailspin from which he never really pulled out.

I know another mom whose daughter had vision therapy. The daughter did not have any other big-time learning disabilities, but struggled with reading. They were skeptical about vision therapy, but she went through all the therapy sessions – and reading became much, much easier for her as a result. So vision therapy might be something you want to look into (ha ha, lame joke), especially if your student avoids reading, complains of tired eyes, etc.


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About janet565

I've lived in the Inland Empire of Southern California since 1982. My profession involves maps and geography. I hope you find the blog useful, and wish you well....

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