Does My Child Need A
Behavioral Optometrist?

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I often recommend an assessment by a behavioral optometrist for children who are struggling with reading, writing, visual perceptual or hand-eye coordination difficulties. If your child has been referred to a behavioral or functional optometrist, this article may help you understand the importance of the referral.

Because Vision is so much more
than 20/20 Eyesight!

Those “eye tests” that your child undergoes at school are very basic screenings that check eyesight across a room by reading a chart of letters.

However, this only picks up basic 20/20 eyesight problems, and the child who struggles with 20/20 eyesight is usually referred to a conventional optometrist, for further acuity testing and the eventual prescription of glasses.

The school screenings do NOT identify children who have vision problems!

As this quote from Pave Vision points out “It is important to be tested for both “eyesight” and “vision,” since HOW you use your vision is sometimes more important than how CLEARLY you see.”

Kids and Vision

A large number of children who struggle with reading, writing, copying work from the board, and even with hand-eye coordination in sports are simply struggling to get their eyes to work well together.

  • Perhaps their eyes struggle to change focus from the paper to the board.

  • Perhaps their eyes don’t track the line of words well on the page, so they keep losing their place.

  • Perhaps their eyes can’t hold a focus on a moving object, such as a ball moving towards them.

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Signs Of Possible Vision Problems

If your child's eyes are not working well together, these are a few of the signs that you may see in your child during school work:

  • tilts or moves head while reading or writing

  • covers one eye when reading or writing

  • loses place or leaves out words when reading or writing

  • complains of tired eyes / rubs eyes / eyes watering during reading and writing work

  • reading or writing deteriorates as the lesson goes on

  • reads very slowly, with a great deal of effort

  • easily distracted and shows poor concentration, owing to the great deal of effort it takes to maintain visual focus during classwork

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What A Behavioral Optometrist Does

The vision problems above can be identified and treated by a behavioral / developmental / pediatric optometrist (different names for the same professional!).

Sometimes called vision therapy, or visual therapy, it is customized to your child's needs and can include the use of balance boards, metronomes, computerized visual activities and much more.

The treatment often includes home programs to be carried out by the parents in addition to in-room treatment at the behavioral optometrist’s practice.

Let me be very clear that undergoing vision therapy is not a cure for learning disabilities.

However, helping your child develop efficient visual skills is just as important as working on fine motor, gross motor and coordination skills, all of which would help your child gain mastery in specific areas of school life.

Just as you would want to strengthen weak hand and core muscles to give your child a better chance in the classroom, you would want to strengthen functional eye skills if they are weak.

Children who struggle with basic eye functioning often tire easily in class, which can be incorrectly labelled as ADHD.

They tend to fall behind in their work, and don’t perform at their potential in reading and writing tasks.

If this sounds like your child, check out these helpful resources and see if your child would benefit from seeing one of these specialized optometrists.

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(these links go out to other websites which are useful)

I hope you found this page helpful!

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› Behavioral Optometrist

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