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Dr. Shalini Jain
MOPT, Fellow L.V.Prasad Eye Inst(Hyd),
Consultant Optom Yashoda Hospitals & Samyak Eye Care Clinic
Confidential and proprietary information of Samyak Eye Clinic & Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Testing & Treatment for
Learning Difficulties
Vision related learning problems are more common
than most parents and educators realize
Confidential and proprietary information of Samyak Eye Clinic &22 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Can Lead To A Misdiagnosis of
Dyslexia or Other Learning Disabilities
When vision problems go undetected
Children have
 Trouble Reading
 Trouble doing their schoolwork
 Fatigue & Fidgeting
 Frustration in the classroom
It is estimated that 80% of children with a learning disability have an
undiagnosed vision problem.
Confidential and proprietary information of Samyak Eye Clinic & Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Vision v/s Eye Sight
Vision is a complex process
 Involves over 20 visual abilities
 More than 65% of all the pathways to the brain
 Undiagnosed vision problem can interfere with learning
and lead to academic and / or behavioral problems.
 It is important to know that these children frequently do not
report symptoms because they think everyone sees the same way
they do.
Confidential and proprietary information of Samyak Eye Clinic &44 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Vision and Learning
 Seeing is our dominant sense and our primary
source for gathering information in learning
 Vision problems can have a profound
effect on how we learn.
 Many children who experience academic difficulty may have a
visual dysfunction in addition to their primary reading or learning
dysfunction. These conditions are treatable.
 Many learning difficulties can be attributed to vision problems that
are not detected during typical school vision screenings.
Confidential and proprietary information of Samyak Eye Clinic &55 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Vision 6 / 6 Not Enough
Confidential and proprietary information of Samyak Eye Clinic &66 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
A vision check does not test
A child's focusing ability
Tracking
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.
Vision Assessment
A vision screening
 Either at school or
 The pediatrician's clinic
Is not a substitute for a
 Complete eye and vision evaluation by an eye doctor
who specializes in developmental vision.
Early testing for vision problems is critical to mitigating learning disabilities or,
in some cases, significant visual impairment in children
Confidential and proprietary information of Samyak Eye Clinic &77 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Physical Signs or Symptoms
 Frequent headaches or eyestrain
 Blurring of distance or near vision
 Avoidance of close work
 Poor judgment of depth
 Turning of an eye in or out / up or down
 Tendency to cover or close one eye
 Double vision
 Poor hand-eye coordination
Confidential and proprietary information of Samyak Eye Clinic &88 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Performance Problems
 Poor reading comprehension
 Difficulty copying from one place to another
 Loss of place, repetition and /or omission of words while reading
 Difficulty changing focus from distance to near and back again
 Poor posture when reading or writing
 Poor handwriting
 Can respond orally but can't get the same information down on
paper
 Letter and / or word reversals difficulty judging sizes and shapes
Confidential and proprietary information of Samyak Eye Clinic &99 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Visual Abilities Needed For Learning
 Eye Teaming
 Tracking
 Focusing
 Visual Memory
 Visual Discrimination
 Gross Motor Eye-Body Coordination
 Fine Eye-Hand Coordination
Confidential and proprietary information of Samyak Eye Clinic &1010 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Eye Teaming
Confidential and proprietary information of Samyak Eye Clinic &1111 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Tracking
Confidential and proprietary information of Samyak Eye Clinic &1212 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Focusing
Confidential and proprietary information of Samyak Eye Clinic &1313 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Visual Memory
Helps children remember
what they read and see
Children with poor
visual memory may struggle with
comprehension.
Confidential and proprietary information of Samyak Eye Clinic &1414 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Visual Discrimination
• Helps children distinguish between similarly
spelled words, such as
was/saw, then/when, on/one, or run/ran
Confidential and proprietary information of Samyak Eye Clinic &1515 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Visual Sequential Memory
Helps to remember forms or
characters in correct order
This skill is particularly
important in Spelling
Confidential and proprietary information of Samyak Eye Clinic &1616 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Letter omissions, additions, or transpositions with in words
are common for children who struggle with this skill
Visual Spatial Relations
 Helps to distinguish differences
among similar objects or forms
 Helps in understanding relationships
and recognizing underlying concepts
Confidential and proprietary information of Samyak Eye Clinic &1717 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
This area is closely related to the problem solving and conceptual
skills required for higher level science and mathematics
Visual Spatial Orientation
 Helps us with letter reversals
 Many parents and educators
considered letter reversals after age
seven to be a symptom of dyslexia
Confidential and proprietary information of Samyak Eye Clinic &1818 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
The most common cause of reversals in older children is a
lack of visual spatial development
Visual Form Constancy
Helps children distinguish differences in
Size
Shape
 Orientation
Confidential and proprietary information of Samyak Eye Clinic &1919 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Children with poor form-constancy may frequently
reverse letters and numbers
Visual Closure
This skill helps children read and comprehend
quickly
Confidential and proprietary information of Samyak Eye Clinic &2020 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Visual Figure Ground
Children with poor figure-ground
become easily confused with too
much print on the page
Confidential and proprietary information of Samyak Eye Clinic &2121 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Affecting their Concentration , Attention , Scanning text to
locate specific information
Gross Motor Eye-Body Coordination
Allows children to use their visual systems for good
body balance and coordination
Children with poor eye-body skills may have
difficulty in such areas as sports, learning to ride a
bicycle, or general "clumsiness."
Confidential and proprietary information of Samyak Eye Clinic &2222 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Fine Motor Eye-Hand Coordination
Poor Eye-hand coordination may result in
Poor handwriting
Take longer to complete
written assignments
Become frustrated
Lose Concentration
Confidential and proprietary information of Samyak Eye Clinic &2323 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Treatment Of Learning Related Visual
Problems
 Appropriate Glasses for work & / or
A regimen of Binocular Therapy
Visual Integration to improve
important Visual Skills
Confidential and proprietary information of Samyak Eye Clinic & Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Vision Therapy or Vision Training
“
”
Programs typically involve
 Eye Exercises
 The Use of Lenses, Prisms, Filters, Occluders,
 Specialized Instruments
 Computer programs
Confidential and proprietary information of Samyak Eye Clinic & Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Goals of Vision Therapy
Our primary goal is to provide
Clearer, comfortable, efficient binocular vision.
New foundations for increased self-confidence,
self-esteem and visual awareness
Confidential and proprietary information of Samyak Eye Clinic &2626 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
What Parents Can do to Help With
Visual Development
Confidential and proprietary information of Samyak Eye Clinic &2727 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Summary
 Vision problems can and often do interfere with learning
 People at risk for learning-related vision problems should be evaluated
by an optometrist who provides diagnostic and management services in
this area
 Prompt remediation of learning-related vision problems enhances the
ability of children and adults to perform to their full potential.
 People with learning problems require help from many disciplines to
meet the learning challenges they face.
 Optometric involvement constitutes one aspect of the multidisciplinary
management approach required to prepare the individual for lifelong
learning.
Confidential and proprietary information of Samyak Eye Clinic &2828 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
Take Home Message
Confidential and proprietary information of Samyak Eye Clinic &2929 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
CONTACT US
Samyak Eye Care Clinic & Optical’s
Shop No. 102A, Plot 470 Sector 4,
4/470 Supertech Homes Near Gaur Gravity Mall, Vaishali
Ghaziabad (Uttar Pradesh) 201010
Mobile No: 09899960700
Email Us : samyakeyecare@gmail.com
Visit : www.samyakeyecare.com
Confidential and proprietary information of Samyak Eye Clinic &3030 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission

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Treatment for Learning Difficulties

  • 1. Dr. Shalini Jain MOPT, Fellow L.V.Prasad Eye Inst(Hyd), Consultant Optom Yashoda Hospitals & Samyak Eye Care Clinic Confidential and proprietary information of Samyak Eye Clinic & Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission Testing & Treatment for Learning Difficulties
  • 2. Vision related learning problems are more common than most parents and educators realize Confidential and proprietary information of Samyak Eye Clinic &22 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 3. Can Lead To A Misdiagnosis of Dyslexia or Other Learning Disabilities When vision problems go undetected Children have  Trouble Reading  Trouble doing their schoolwork  Fatigue & Fidgeting  Frustration in the classroom It is estimated that 80% of children with a learning disability have an undiagnosed vision problem. Confidential and proprietary information of Samyak Eye Clinic & Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 4. Vision v/s Eye Sight Vision is a complex process  Involves over 20 visual abilities  More than 65% of all the pathways to the brain  Undiagnosed vision problem can interfere with learning and lead to academic and / or behavioral problems.  It is important to know that these children frequently do not report symptoms because they think everyone sees the same way they do. Confidential and proprietary information of Samyak Eye Clinic &44 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 5. Vision and Learning  Seeing is our dominant sense and our primary source for gathering information in learning  Vision problems can have a profound effect on how we learn.  Many children who experience academic difficulty may have a visual dysfunction in addition to their primary reading or learning dysfunction. These conditions are treatable.  Many learning difficulties can be attributed to vision problems that are not detected during typical school vision screenings. Confidential and proprietary information of Samyak Eye Clinic &55 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 6. Vision 6 / 6 Not Enough Confidential and proprietary information of Samyak Eye Clinic &66 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission A vision check does not test A child's focusing ability Tracking 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.
  • 7. Vision Assessment A vision screening  Either at school or  The pediatrician's clinic Is not a substitute for a  Complete eye and vision evaluation by an eye doctor who specializes in developmental vision. Early testing for vision problems is critical to mitigating learning disabilities or, in some cases, significant visual impairment in children Confidential and proprietary information of Samyak Eye Clinic &77 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 8. Physical Signs or Symptoms  Frequent headaches or eyestrain  Blurring of distance or near vision  Avoidance of close work  Poor judgment of depth  Turning of an eye in or out / up or down  Tendency to cover or close one eye  Double vision  Poor hand-eye coordination Confidential and proprietary information of Samyak Eye Clinic &88 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 9. Performance Problems  Poor reading comprehension  Difficulty copying from one place to another  Loss of place, repetition and /or omission of words while reading  Difficulty changing focus from distance to near and back again  Poor posture when reading or writing  Poor handwriting  Can respond orally but can't get the same information down on paper  Letter and / or word reversals difficulty judging sizes and shapes Confidential and proprietary information of Samyak Eye Clinic &99 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 10. Visual Abilities Needed For Learning  Eye Teaming  Tracking  Focusing  Visual Memory  Visual Discrimination  Gross Motor Eye-Body Coordination  Fine Eye-Hand Coordination Confidential and proprietary information of Samyak Eye Clinic &1010 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 11. Eye Teaming Confidential and proprietary information of Samyak Eye Clinic &1111 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 12. Tracking Confidential and proprietary information of Samyak Eye Clinic &1212 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 13. Focusing Confidential and proprietary information of Samyak Eye Clinic &1313 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 14. Visual Memory Helps children remember what they read and see Children with poor visual memory may struggle with comprehension. Confidential and proprietary information of Samyak Eye Clinic &1414 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 15. Visual Discrimination • Helps children distinguish between similarly spelled words, such as was/saw, then/when, on/one, or run/ran Confidential and proprietary information of Samyak Eye Clinic &1515 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 16. Visual Sequential Memory Helps to remember forms or characters in correct order This skill is particularly important in Spelling Confidential and proprietary information of Samyak Eye Clinic &1616 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission Letter omissions, additions, or transpositions with in words are common for children who struggle with this skill
  • 17. Visual Spatial Relations  Helps to distinguish differences among similar objects or forms  Helps in understanding relationships and recognizing underlying concepts Confidential and proprietary information of Samyak Eye Clinic &1717 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission This area is closely related to the problem solving and conceptual skills required for higher level science and mathematics
  • 18. Visual Spatial Orientation  Helps us with letter reversals  Many parents and educators considered letter reversals after age seven to be a symptom of dyslexia Confidential and proprietary information of Samyak Eye Clinic &1818 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission The most common cause of reversals in older children is a lack of visual spatial development
  • 19. Visual Form Constancy Helps children distinguish differences in Size Shape  Orientation Confidential and proprietary information of Samyak Eye Clinic &1919 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission Children with poor form-constancy may frequently reverse letters and numbers
  • 20. Visual Closure This skill helps children read and comprehend quickly Confidential and proprietary information of Samyak Eye Clinic &2020 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 21. Visual Figure Ground Children with poor figure-ground become easily confused with too much print on the page Confidential and proprietary information of Samyak Eye Clinic &2121 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission Affecting their Concentration , Attention , Scanning text to locate specific information
  • 22. Gross Motor Eye-Body Coordination Allows children to use their visual systems for good body balance and coordination Children with poor eye-body skills may have difficulty in such areas as sports, learning to ride a bicycle, or general "clumsiness." Confidential and proprietary information of Samyak Eye Clinic &2222 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 23. Fine Motor Eye-Hand Coordination Poor Eye-hand coordination may result in Poor handwriting Take longer to complete written assignments Become frustrated Lose Concentration Confidential and proprietary information of Samyak Eye Clinic &2323 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 24. Treatment Of Learning Related Visual Problems  Appropriate Glasses for work & / or A regimen of Binocular Therapy Visual Integration to improve important Visual Skills Confidential and proprietary information of Samyak Eye Clinic & Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 25. Vision Therapy or Vision Training “ ” Programs typically involve  Eye Exercises  The Use of Lenses, Prisms, Filters, Occluders,  Specialized Instruments  Computer programs Confidential and proprietary information of Samyak Eye Clinic & Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 26. Goals of Vision Therapy Our primary goal is to provide Clearer, comfortable, efficient binocular vision. New foundations for increased self-confidence, self-esteem and visual awareness Confidential and proprietary information of Samyak Eye Clinic &2626 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 27. What Parents Can do to Help With Visual Development Confidential and proprietary information of Samyak Eye Clinic &2727 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 28. Summary  Vision problems can and often do interfere with learning  People at risk for learning-related vision problems should be evaluated by an optometrist who provides diagnostic and management services in this area  Prompt remediation of learning-related vision problems enhances the ability of children and adults to perform to their full potential.  People with learning problems require help from many disciplines to meet the learning challenges they face.  Optometric involvement constitutes one aspect of the multidisciplinary management approach required to prepare the individual for lifelong learning. Confidential and proprietary information of Samyak Eye Clinic &2828 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 29. Take Home Message Confidential and proprietary information of Samyak Eye Clinic &2929 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission
  • 30. CONTACT US Samyak Eye Care Clinic & Optical’s Shop No. 102A, Plot 470 Sector 4, 4/470 Supertech Homes Near Gaur Gravity Mall, Vaishali Ghaziabad (Uttar Pradesh) 201010 Mobile No: 09899960700 Email Us : samyakeyecare@gmail.com Visit : www.samyakeyecare.com Confidential and proprietary information of Samyak Eye Clinic &3030 Opticals – Do not distribute or duplicate without Samyak eye clinic’s express written permission