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ADHD and Vision

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Dr. Theresa Rua is happy to announce that she has joined the practice of:

Lindenhurst Eye Physicians & Surgeons, P.C.
500 West Main Street, Suite 210
Babylon, NY 11702
(631) 957-3355

She not only practices pediatric optometry, but also sees adult patients for comprehensive eye examinations and contact lens fittings.

To make an appointment please click Here

Hi. My name is Dr. Theresa Rua

Is your child struggling in school?

Do you feel that he is not reaching his full learning potential?

The problem may be undetected visual deficiencies.

Deficient visual skills are the most common undiagnosed cause of poor academic results.

Did you know that one out of four children has vision disorders that interfere with their ability to learn.  Many of these children struggle throughout the academic environment as discouraged students who are unable to meet the expectations of parents and teachers. 

A vision check does not test a child's focusing ability, tracking or visual perception skills. Many children pass their annual school vision screening or the pediatrician's eye chart, but remain undiagnosed with problems of the visual system.

Signs and symptoms of Visual Deficiencies are:

*        Reads easily at the beginning of the book, but struggles through the end or gives up

*        Short attention span

*        Frustration while reading or writing

*        Complains of red, itching, burning, watering, eyes when reading

*        Holding reading material very close

*        Complains of blurred vision even though he as 20/20 vision

*        Intermittent blur in the distance and up close

*        Headaches

*        Complaining about a long reading assignment

*        Inattentiveness

*        Hyperactivity

*        Impulsivity

  Among the vision disorders that commonly interfere with classroom performance are inadequate binocular eye coordination and focusing abilities. 

Constant fatigue causes failure

Poor binocularity means that the eyes are not putting forth equal effort. Can you imagine the difference between lifting a heavy object with one hand compared to two? This is what a child with a binocular disorder is dealing with. The good eye becomes so fatigued that the child becomes frustrated or tired.

Signs and symptoms of poor binocularity are:

*        Headaches

*        Constantly falls asleep while reading

*        Poor reading comprehension

*        Closes one eye while reading.

*        Complains of words running together

*        Has double vision while reading with both eyes open

*        Eye discomfort or strained feeling during or after reading.

*        Starts off reading well but looses interest after the first few pages

*        Rereading material over and over again in order to understand it 

Visual skills give us the ability to process information through our eyes. Accommodation and Binocularity are only two of the many problems that the Vision & Learning handbook deals with. The Vision & Learning handbook will focus on each separate skill that a child needs to reach his or her maximum learning potential.

To simplify, these skills have been grouped into 11 separate abilities and divided among 3 categories.

I.               Visual Acuity

a.    Snellen chart

II.              Mechanical Skills

a.    Accommodation

b.    Binocularity

c.     Ocular Motor Fixation

d.    Eye Hand Coordination

e.    Peripheral Vision

III.          Perceptual Skills

a.    Visual Form Perception

b.    Spatial Relations

c.     Visual Memory

d.    Visualization

e.    Visual-Sensory Integration

Comprehension often suffers as a result of excess effort required to make the print clear and single.  Many children struggle unnecessarily, require extra time to complete assignments, or simply avoid reading.

Deficits in visual tracking may also interfere with classroom performance.  Inadequate visual tracking causes jerky and inaccurate eye movements when reading, loss of place, poor copying skills, a need to use finger or marker to keep place, misaligning digits in columns of numbers, and difficulty with Scantron type test answer sheets.

Visual perceptual deficits should be suspected when a child confuses similar looking words, fails to recognize words previously learning, or fails to demonstrate adequate sight recognition.  Excessive reversals are also a common sign of a visual perception disorder.  Since these deficits interfere with reading in the earliest stages of learning to read, they should be particularly suspect in the child whose reading problem began in the first grade.  Visual perception involves the ability to make visual judgments, recognize and remember shapes and forms, see similarities and differences, and process information.

When these visual disorders are treated, many parents report not only that their children's symptoms of eyestrain, blurred vision, loss of place, copying difficulty, and double vision have been resolved, but they are also doing much better and reading and in school overall

After using vision therapy, children frequently complete homework more easily and begin to enjoy reading for the first time. They experience less frustration with schoolwork, have more self-confidence, and exhibit greater self-esteem.

If you have a question for Dr. Rua, please email her at:

If you are Dr. Rua's vision therapy patient, please use recommended links below:

Convergence Focusing Activities



Laterality and Directionality/Reversal Worksheets

Visual Motor Tracking and Tracing Activities

Recommended Apps for Vision Therapy

Skills Needed for Handwriting

For Dyslexia Activity Books, click Here

To learn more about dyslexia, click Here

For more tracking activities, click Here

For on-line tracking and perceptual activities, click Here

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