Vision Therapy: Learning Related Vision Problems - Family Matters Magazine - Fall 2019

Author: Dr. Laura Cookson | | Categories: Crossed Eye Treatment , Diabetic Eye Exam , Double Vision Treatment , Dry Eye Treatment , Emergency Eye Care , Eye Clinic , Eye Doctor , LASIK Co-Management , Myopia Control , Neuro Vision Rehabilitation , Optometrist , Post Surgery Co-Management , Strabismus Treatment , Syntonic Therapy , Vision Rehabilitation of Acquired Brain Injury , Vision Rehabilitation of Traumatic Brain Injury , Vision Therapist


It is estimated that 80% of children’s classroom learning is visual (i.e. copying from the board, reading, spelling)1. Successful learning requires an individual’s eyes, brain, and body to work together as a team. When they don’t, even someone with 20/20 eyesight can have trouble gathering, processing, and responding to visual information.

Many children’s visual abilities are not strong enough for the visual demand of classroom learning. Studies show that 60% of children with literacy challenges have an undiagnosed vision problem1. Thus many kids are struggling and falling behind at school due to a poor visual system. Any child who struggles with school work, reading, sports, and/or attention may have an undiagnosed visual problem that is holding them back. As students move on to higher grades, their visual demand is constantly increasing (i.e. the size of print in schoolbooks becomes smaller, time spent reading and studying increases, etc), this makes an efficient and accurate visual system even more important.

As we discussed in the summer issue of Family Matters Magazine, vision is much more than 20/20, or the ability to see clearly. Vision is the amalgamation of many visual skills and brain processes – it is the ability to make a meaningful interpretation of what is seen. In fact, there are more than 12 visual skills that all come together to make up our vision2.

Unfortunately, many children get misdiagnosed as having a learning difficulty and/or behavioural concern. This is not surprising, as 15 of the 18 symptoms of ADHD, and 13 of the 17 symptoms of dyslexia, can also be associated with vision disorders3. Children rarely complain of vision problems, as they don’t know that what they are seeing is not how everyone else sees. This is why it is so important to be on the lookout for symptoms of a vision problem, such as:

  • Sore or tired eyes
  • Headaches
  • Short attention span
  • Avoidance of reading or near work
  • Holding a book really close
  • Skipping or rereading lines or words
  • Poor reading comprehension (do they understand what they just read?)
  • Better understanding of stories when someone reads it to the child/student
  • Frequent reversals of letters (i.e. ‘b’ and ‘d’) or words (i.e. ‘was’ and ‘saw’)
  • Difficulty copying from the board
  • Closing or covering one eye
  • Taking longer to complete homework than expected
  • Double vision
  • Blurred vision
  • Clumsiness

For a more comprehensive list of symptoms related to vision problems please visit

The ‘Quality of Life’ questionnaire at is a great resource which shows the likelihood that a vision dysfunction is present. If there are concerns, a visual skills and information processing assessment with a Developmental Optometrist can determine the extent to which a student’s vision is affecting their learning. The Developmental Optometrist will also develop a treatment plan, which may include Optometric Vision Therapy.

Optometric Vision Therapy re-trains the brain’s control of the eyes and visual system to improve the visual skills necessary for effective learning, reading, writing, and sports. By optimizing these visual skills it allows a child to perform up to their full potential without vision interfering. Children do not need to struggle with Learning Related Vision Problems as they are treatable.


Dr. Laura Cookson

Developmental, Behavioural & Rehabilitative Optometrist

InDepth Vision

61 James Snow Parkway N, Suite 201

Milton, ON

L9E 0H1

Ph: (905) 876-6042


  1. Ontario Association of Optometrists
  2. Vision Therapy: Looking Beyond 20/20. Family Matters Magazine: Summer 2019
  3. Optometric Extension Program Foundation

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