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3355 Fourth Avenue, Suite A-San Diego, California 92103 619 229-9767
Family Optometry
Mary McMains, O.D. M.Ed. Robert B. Sanet, O.D. F.C.O.V.D.
Clinical Director Associate Director



How many people do you see?
Good Vision Means More Than 20/20
For success in school, children must have other equally important skills in addition to their sharpness of sight, or visual acuity. They must also be able to coordinate their eye movements as a team and follow a line of print without
losing their place. They must be able to maintain clear focus as they read or make quick focusing changes when looking up to the board and back to their desks. Moreover, they must be able to interpret and accurately process what they
are seeing. If children have inadequate visual skills in any of these areas, they can
experience great difficulty in school, especially reading. Current research indicates that approximately 1 out of 4 children have vision problems that interfere with their ability to learn, and stay on task.
Typically, vision screenings conducted in schools and pediatrician's offices only test a few of the necessary related visual skills (distance acuity, stereo vision and muscle balance) leaving most visual skill deficiencies undiagnosed.
The good news is that when accurately diagnosed, vision related learning problems can be treated successfully and permanently. The bad news is that knowledge regarding the relationship between poorly developed visual skills and poor
academic performance is not widely held among students, parents, teachers, administrators or public health officials.
The Insight Vision Development Center is working to raise awareness of this hidden disability that severely hinders the performance of approximately 25% of our students.
How can you learn more?
Do some reading.
Smart in Everything...Except School by G.N. Getman OD
Suddenly Successful Student by Hazel Dawkins et al.
Vision and School Success by Lois Bind, OD et al.
Your Child's Vision by Richard S. Kavner, OD
Visit these websites.

P.A.V.E.
Vision and Learning
OEP
COVD
AOANET
Indiana University School Of Optometry
Vision Therapy Stories
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Article: An Epidemic
Diagram of the Brain's Vision Areas
Facts About Vision
Important Visual Skills Needed For Optimal Academic Performance
Is "20/20" Vision Really Enough?
Quality of Life Checklist
Teacher Questionnaire
Vision Screening Questionnaire (for the free screening)
Vision Therapy Scholarships by Insight Vision Center
Visual Information Processing Evaluation-VIP
What is Vision?
____________________________________________________________________________________________________________________________
You Say You Don't Understand the difference between Seeing and Perception?
Find all nine faces and learn how challenging academic work can be for
many children.

Do this for
homework. You will get the answers tomorrow.
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Is "20/20" Really Enough?

What does your optometrist mean when he or she says you are seeing “20/20”? It
means that when standing at a distance of 20 feet from the eye chart, you can see
the same row of letters that the average person can see at this distance. It is a
measure of the sharpness of sight, but does not tell you anything about how your
brain is processing what you see.
In fact, there are over 20 different skills visual skills that an eye chart does not
detect. The visual system is so complicated, it utilizes 65% of ALL our brain
pathways. “20/20" eyesight represents only a very small part of this process.
Behavioral optometrists differentiate between the terms “sight” and “vision”.
“Sight” is the ability to see and the eye’s response to light shining into it. “Vision”
is the ability to interpret and understand information that comes through the eyes.
The visual system is a significant part of how we process information and a key
factor in how we learn. 80% of what you perceive, comprehend and remember
depends on the efficiency of the visual system.
Vision is a learned skilled, just like walking and talking. If vision does not develop
efficiently, even a bright child can have difficulties with reading, writing, spelling
and math.
One out of four children has a vision problem which interferes with their
ability to learn efficiently and achieve in school.
Most school screenings only check how clear a child sees. Unfortunately, most of
the kids impacted by inefficient visual skills pass this type of school screening.
The children who fail school screenings actually tend to be the high achievers in
the classroom.
Treatment for inefficient visual skills can be in the form of lenses, developmental
guidance or an individualized vision therapy treatment program. Vision therapy re-organizes neural pathways by building new synapses, thereby affecting the
patterning of the brain.
According to the California Department of Youth Authority, 70% of juvenile
delinquents tested have vision problems affecting learning. When optometric
vision therapy was performed on incarcerated youths, recidivism reduced from
45% to 16% at the Regional Youth Education Facility in San Bernardino, CA.The best way to treat a problem is to prevent it before it occurs.
A developmental vision problem can be diagnosed during the pre-school years
and can often be corrected before the child enters school. Children do not grow
out of vision problems. Children with vision problems become adults with vision
problems.
The Vision Council of America recommends that children’s vision be examined
before the age of 1, again at age 3 and 5 or before starting school. From the age of
6 through adult, everyone should have an annual exam. There are checklists that
will indicate eye problems. (Please see the page on this site titled VISUAL.)
A checklist does not take the place of a comprehensive vision examination by a
behavioral optometrist. If you have concerns about your vision, it is
recommended that you rule out a vision problem by getting a comprehensive
vision exam.
Remember, not all eye care professionals emphasize the function of vision. You
want to be tested for both “eyesight” and “vision” to determine not only eye
health, how clear you see and if you need glasses, but how efficient your visual
system is working. Ask your eyecare professional if they evaluate at least the
following visual skills:
• Eye tracking (eye movement control)
• Focusing near to far
• Sustaining clear focus up close
• Eye Teaming Ability
• Depth Perception
• Visual Motor Integration
• Visual Form Perception
• Visual Memory
To find a behavioral optometrist in your area, visit the College of Optometrists in
Vision Development’s (COVD) website at COVD
and click on Find a
Doctor. Also you may go to Parents Awareness for Vision Education’s (PAVE)
website at P.A.V.E.
Vision and Learning
Authored by:
Mary McMains, O.D., M.Ed.
Insight Vision Development Center – Family Optometry
4135 54th Place
San Diego, CA 92105
Ph 619-229-9767
Fx 619-229-2145
questions@insightvision.org
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Facts About Vision
- Vision is a dynamic, always changing process of organizing, interpreting and
understanding what is seen. It is a process that integrates sensory and motor
information generated by the brain and body to derive meaning and direct
movement.
- Vision is so complicated it involves at least 20 visual abilities learned and
developed from our experiences interacting with our environment since birth.
Experience is vital to vision development.
- Between 15-20,000 impulses per second are received by the brain through all of
our senses combined at any one moment in time. Of these impulses, 80% are
received through the visual system.
- Vision involves 65%-70% of all pathways of your brain.
- There are more areas of the brain dedicated to vision than ALL the other sense
modalities combined (including auditory!).
- Scientists have identified at least 35 separate areas of the brain which are
primarily or totally involved with the processing of visual information.
- There are at least 305 intra-cortical pathways linking to the 35 areas. Every lobe
of the cerebral cortex is involved in the processing of visual information or
carrying out visual tasks.
- When looking specifically at the visual pathway it is both a feed forward process
and a feedback process. “The eyes don’t tell us what to see, the brain tells our
eyes what to looks for.” – Larry MacDonald.
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Important Visual Skills Needed for Optimal Academic Performance
VISUAL PERFORMANCE IN SCHOOL
VISUAL ACUITY
This is a measure of eyesight, or how clearly you see and influenced by eye
structure, stress and the focusing system. It is the ability to identify a shape of a
certain size at a certain distance. Visual acuity affects how clearly one might see
chalkboards, movies, television, charts, etc. It gives no information on whether or
not meaning is obtained from what is seen.
The Snellen fraction (20/20, etc.) is a measure of the sharpness of sight.
REFRACTIVE STATUS - EYE STRUCTURE
The detection of nearsightedness (myopia), farsightedness (hyperopia) and/or
astigmatism. Refractive status is influenced by vision development, adaptation to
environmental stress, and hereditary factors. It affects how clearly you see or how
hard you work to see clearly.
Signs/Symptoms of Problems with Refractive Status or Visual Acuity:
•Blurred Vision
•Headaches
•Frequent eye rubbing
•Frequent red eyes
OCULAR MOTILITY - EYE MOVEMENT CONTROL
The ability to quickly and accurately move both eyes from place to place as well as
smoothly track an object.
Signs/Symptoms of Poor Eye Movement Control:
•Use of a finger or marker when reading
•Loss of place when reading
•Difficulty copying from the board
•Skipping or repeating words
•Head movement side to side while reading
•Difficulty in sports
ACCOMMODATION - FOCUSING ABILITY
Efficient academic and athletic performance depends on the ability to focus the
eyes rapidly and automatically, regardless of the working distance to make targets
clear. Activities such as reading and writing require the ability to sustain and
maintain prolonged focus up close. Copying from one place to another requires a
change in accommodative focus that is rapid and efficient. Visual focus is also
intimately related to the ability to sustain visual attention.
Diagram of the Brain

Signs/Symptoms of Focusing Difficulties:
•Excessive time completing assignments
•Excessive time copying from the board
•Daydreaming
•Avoiding close work
•Blurring of print
•Fatigue
•Headaches
•Eyes “hurt” or “tired”
•Reduction of comprehension when reading
•Reading slowly
•Short attention span
•Vocalizes when reading “silently”
BINOCULAR INTEGRATION - EYE TEAMING ABILITY
The ability to use both eyes together smoothly, equally, simultaneously and
accurately in order to keep objects single. This ability is intimately related to eye
movement control and focusing ability.
Signs/Symptoms of Poor Eye Teaming:
•Double vision
•Words moving around on a page
•Motion Sickness
•Difficulty catching/hitting a ball
•Decreased depth perception
•Inefficient eye-hand or eye-body coordination
•Short attention span for near work
•Headaches
•Closing or covering of one eye
•Excessive blinking
•Holding a book too close
•Poor handwriting
•Reduced reading comprehension
VISUAL FORM REPRODUCTION & PERCEPTION
The ability of the visual system to process information by looking at how to
recognize and copy forms. Good visual perception is essential for quick and
accurate identification and discrimination of objects, for comparing similarities
and differences, recognizing and generalizing forms, and coming to valid
conclusions based on the accurate analysis of available visual information.
Signs/Symptoms of poor visual form perception:
• Frustration with letter and word recognition
• Poor letter formation and spacing
• Avoidance of written work
• Poor motor coordination
• Poor reading comprehension
• Confuses letters or words
• Reads slowly
VISUAL PROCESSING
Good visual thinking and visual-verbal-auditory-tacile integration is essential for
academic success. The following are important skills that should be mastered by
kindergarten:
• Visual Discrimination: The ability to visually discriminate similarities anddifferences.
• Visual Memory: The ability to remember the characteristics of a given formafter a brief presentation.
• Visual Spatial Relationships: The ability to see differences among forms whenall or a part of a form has a different spatial orientation.
• Visual Form Constancy: The ability to see the essential elements of a form,
and identify them within other forms that may be smaller, larger, rotated,
reversed or hidden within other designs.
• Visual Sequential Memory: The ability to remember for immediate recall a
series of forms in their specific order of presentation.
• Visual Figure Ground: The ability to perceive a form, and to locate it when
embedded within other forms.
• Visual Directionality: The ability to correctly determine spatial directional
properties of individuals, objects, and language symbols.
• Visual Motor Integration: The ability to take in, analyze, and reproduce visual
information using paper and pencil.
EYE HEALTH
Don’t forget! It is always important to ensure that the eyes are healthy both inside
and out. Many eye diseases are “silent” diseases where you do not know there is
a problem until it is too late.
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Teacher Questionnaire
Family Optometry Clinical Director
3355 Fourth Avenue, Suite A, San Diego, CA 92103 (619) 229-9767
Teacher Questionnaire
To the teacher
of_________________________________Grade_____School___________________________________________________________
The child named above is receiving vision care at our clinic. In order to address
the impact of vision problems on classroom performance, we would like your
observations of this child’s behavior in school. It has been shown that the teacher
is frequently the best observer for identifying vision problems that tend to interfere
with school work. The following checklist identifies many of the observable clues
and symptoms that are often observed in a child with a vision problem. Please
read through this list and check items that you have noted to occur frequently in
this child’s case.
Appearance of Eyes
____Reddened eyes or lids
____Excessive tearing of eyes, or rubs eyes frequently
____Blinks excessively
Refractive Error or Eye Focusing (Accommodation) Problem
____Blinks eyes excessively during near tasks
____Frowns, scowls, or squints to see blackboard
____Avoids close work
____Fatigues easily during visual tasks
____Rubs eyes during or after visual activity
____Complains of blur while reading or writing
____Comprehension is poor when reading or performing near tasks
Eye Tracking (Ocular Motility) Problem
____Skips or rereads words or letters
____Rereads lines or phrases
____Mistakes words with similar beginnings or endings
____Uses finger or marker when reading
____Loses place often when reading
____Repeatedly omits “small” words
____Moves head excessively as reads across page
Eye Teaming (Binocularity) Problem
____Complains of seeing double
____Covers or closes one eye
____One eye turns (in, out, up, or down) at any time
____Excessive tearing of the eyes
____Tilts or turns head to one side excessively
____Squints, closes, or covers one eye
____Complains of letters or lines “floating,”“running together,” or “jumping
around”
____Reports confusion of what is seen
Visual Information-Processing Problem
____Confuses similar words
____Fails to recognize same word in next sentence
____Confuses minor likenesses and differences
____Makes errors in copying from chalkboard or reference book to notebook
____Difficulty copying from the chalkboard
____Difficulty following verbal instructions
____Difficulty completing assignment in time allotted
____Poor printing or handwriting
____Short attention span; distractible
____Says words aloud or moves lips as reads
____Reverses letters, numbers, or words
____Poor ability to remember what is read
____Poor eye-hand coordination
____Repeatedly confuses right-left directions
____School performance not up to potential
____Poor recall of visually-presented tasks
Please comment on the following:
1. Does this child have any academic problems? Yes_____ No_____If so, please explain (e.g., subject material, behavior, etc.)
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2. Is (s)he in the top third, middle third, or lower third of his/her class?
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3. How does academic achievement compare with potential?
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4. At what grade level does this child read?
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5. Please check any areas of difficulty:
_____ Vocabulary _______ Word Recognition _____ Oral Reading
_____ Reading Rate _____ Interpretation _________ Silent Reading
_____ Attention _________Comprehension ________Memory
_____ Math Skills ________Spelling _____ _________Written Work
6. Do you feel that there are any factors that may be interfering with academic
achievement?
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7. Any other observations and/or comments which you feel may be beneficial
to us would be appreciated.
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May we contact you if further information is required; if so, please provide a
telephone number at which you can be reached.
Teacher ___________________________________________________________________________________________________________________
Phone Numbers____________________________________________________________________________________________________________
School Name_______________________________________________________________________________________________________________
School Address____________________________________________________________________________________________________________
City____________________________________ State ______________________________________Zip____________________________________
Signature_______________________________________________Date_______________________________________________________________
I hereby give my consent to release the above information
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Vision Screening Questionnaire
Mary McMains, O.D., M.Ed.
Robert B. Sanet, O.D., F.C.O.V.D.
Insight Vision Development Center
An Optometric Corporation
3355 Fourth Avenue, Suite A, San Diego, CA 92103
Phone: 619-229-9767, Fax: 619-229-2145
__________________________________________________________________________________________________________________________
Please fill out this questionnaire CAREFULLY and COMPLETELY. Next, return it to the
above address prior to the screening. Your child will be unable to participate in the free
screening without a completed questionnaire.
General Information
Child's full name:_____________________________________ male___ female___
Birth Date:_______________ Age:____ years____ months____ Home Phone:____________
Home address: _________________________________________Other Phone:____________
_______________________________________________________Other Phone:___________
School Name:___________________________________________Grade:_________________
School Address:_________________________________________Teacher:_______________
________________________________________________________Principal:______________
Resource Teacher:_______________________________________School Nurse:__________
Others (please list names and title): ______________________________________________
______________________________________________________________________________
How did you hear about this vision screening? _____________________________________
Family Information
Father's Name:_________________________Father's Occupation:______________________
Mother's Name: ________________________Mother's Occupation:_____________________
Other Caregiver:_______________________Caregiver's Occupation:___________________
Brothers/Sisters:_______________________Birth Date:___________Age:________________
________________________ _____________ _______________
________________________ _____________ _______________
________________________ _____________ _______________
Visual History
Has your child had a comprehensive vision exam before? ____Yes _____No
Eye Doctor's Name:_________________________________Date of Last Visit: _____________
Reason for Exam:__________________________________Results:______________________
Where glasses prescribed? _____Yes ____No Purpose? ___Distance ___Near ___Both
Are glasses worn at this time? ___Yes ____No When? ___Distance ___Near ___Both
Has any other immediate family member had a vision exam? ____Yes ___No
Name: ____________________________Reason why:_________Results_________________
Name:_____________________________Reason why:_________Results_________________
Present Situation
Does your child report any of the following? If yes, when?
Headaches ___Yes ___No __________________________________
Blurred Vision ___Yes ___No _______________________________
Double Vision ___Yes ___No________________________________
Eyes 'hurt' or 'tired' ___Yes ___No____________________________
Words move around on the page ___Yes___No_________________
Motion Sickness (including the car) ___Yes ___No_______________
List any other visual complaints your child has made:___________
__________________________________________________________
Have you ever noticed the following: If yes, when?
Frequent red eyes ___Yes___No______________________________
Frequent eye rubbing ___Yes___No___________________________
Closing or covering an eye ___Yes___No______________________
Head close to paper when readin/writing ___Yes___No__________
Tilting head when reading/writing ___Yes___No________________
Head moving when reading ___Yes___No_____________________
Confuses letters or words ___Yes___No______________________
Reverses letters or words ___Yes___No______________________
Skips, rereads or omits words ___Yes___No___________________
Loses place while reading ___Yes___No______________________
Vocalizes when reading 'silently' ___Yes___No________________
Reads slowly ___Yes___No_________________________________
Uses finger as a marker when reading ___Yes___No____________
Poor reading comprehension ___Yes___No____________________
Writes or prints poorly ___Yes___No__________________________
Tires easily ___Yes___No___________________________________
Avoids near tasks ___Yes___No_____________________________
Short attention span ___Yes___No___________________________
Poor motor coordination ___Yes___No________________________
Difficulty catching/hitting a ball ___Yes___No___________________
School work is: ___ Above average ___Average ___Below Average
Homework takes a long time: ___Yes___No
Do you feel your child is achieving yo his/her potential? ___Yes___No
Does the teacher feel your child is achieving to his/her potential? ___Yes___No
Does your Child like to read? ___Yes___No Is he/she reading voluntarily? ___Yes___No
Give a brief description of your child as a person:_________________________________________________________________________________
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Quality of Life Checklist
College Of Optometrists in Vision Development (C.O.V.D.)
Quality of Life Check List
Patient's Name:___________________Age:____ Date:___________
Circle the number that best represents the occurrence of each
symptom. If applicable, please complete with your child's input.
Completed by:____________________________________________
| Symptoms |
Never |
Seldom |
Occasionally |
Frequently |
Always |
Score |
| Blur when looking at near |
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| Double vision, doubled or overlapping words on page |
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| Headaches while or after doing near vision work |
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| Words appear to run together while reading |
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| Burning, itching or watery eyes |
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| Falls asleep while reading |
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| Seeing and visual work is worse at the end of the day |
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| Skips or repeats lines while reading |
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| Dizziness or nausea while doing near work |
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| Head tilts or one eye is closed when reading |
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| Difficulty copying from the classroom board |
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| Avoids doing near vision work such as reading |
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| Omits (drops out) small words while reading |
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| Writes up or down hill |
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| Misaligns digits or columns of numbers |
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| Reading comprehension low, or declines as day wears on |
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| Poor, inconsistence performance in sports |
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| Holds book too close, leans too close to computer screen |
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| Trouble keeping attention centered on reading |
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| Difficulty completing assignments on time |
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| First response is "I can't" before trying |
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| Avoids sports and games, Poor hand/eye coordination, such as poor handwriting |
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| Does not judge distances accurately |
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| Clumsy, accident prone, knocks things over |
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| Does not use or plan his/her time well |
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| Does not count or make change well |
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| Loses belongings and things |
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| Car or motion sickness |
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| Forgetful, poor memory |
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| Other Comments |
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Total
Score |
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20-24 points= Suspect  |
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25 points or more Refer for Care  |
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An Epidemic
25% of ALL children have a vision problem significant to affect their performance
in school. National Center for Health Statistics
Vision disorders are the fourth most common disability in the United States and
the most prevalent handicapping condition in the world. Between 8-12 million
children are affected. American Foundation for Visual Awareness
Almost the entire increase in special education enrollments can be attributed to a
rise in one category, called specific learning disability, which more than tripled
from 1.8% to 6%. The Commonwealth Foundation
The total number of students with disabilities is estimated at over 6.5 million
students for 2003. This equates to a total appropriation of $19.5 billion in fiscal
year 2003-nearly $12 billion more than the amount appropriated for the current
year. Democratic House Appropriations Committee
Research on Vision & Learning
Studies show that many visual difficulties are related to reading disability. As
many as 80% of children who are reading disabled have a vision deficiency in one
or more basic visual skills.
Visual performance was significantly related to reading performance even in
children of average intelligence in kindergarten and first grade children.
80% of learning that occurs in the educational environment is received through
the visual pathways.
Vision is almost always overlooked by parents and educators as one of the
roadblocks a child may be encountering. Only 14% of children have had a
comprehensive vision exam by first grade.
Impact
Approximately 50% of the nation's unemployed youth ages 16-21 are functionally
illiterate with virtually no prospects of obtaining good jobs. U.S. Department of
Education
70% of juvenile delinquents tested have vision problems, which interfere with their
ability to learn. California Department of Youth Authority
60% of America's prison inmates are illiterate. U.S. Department of Education
The cost of illiteracy to the taxpayer is 20 billion dollars per year. United Way
Solution: Vision Therapy
In a two-year study of thirty-six children diagnoses as having visual and/or
perceptual disorders the SOLUTION: VISION THERAPY
In a two-year study of thirty-six children diagnoses as having visual and/or
perceptual disorders and attending a private school learning disabled children,
statistical analysis indicated that the group that received vision therapy made
significant gains in reading as compared to the control group. – Seiderman
One hundred and twenty children with reading disability were tested extensively,
matched and randomly divided into three groups: orthoptic/vision therapy,
conventional (reading tutoring), and no-treatment control. Of 109 children who
finished treatment, 15% reported little or no improvement at school. But 85%
reported improvement in one or more aspects as school: reading, concentration,
spelling, handwriting and copying from the blackboard. - AtzmonYoung children were assessed longitudinally every six months from the ages of
12 to 42 months. The results showed positive and significant correlations
between visual skills and intellectual development during infancy and the
preschool years. - Gottfried
Recidivism reduced from 45% to 16% when wards received on-site optometric
vision therapy at the Regional Youth Education Facility in San Bernardino, CA. -
Bleything
Research shows success rates for vision therapy vary depending on the level of
involvement of the visual problems. General binocular and accommodative
disorders have been shown to have a success rate between 80-96%. For
strabismus and amblyopia, a 65-86% long-term success rate has been shown. –AOA Vision Development/Performance Task Force
They almost slipped through the cracks…
After her 1st two weeks in kindergarten, McKenna was tested and labeled learning
disabled. Although a previous eye test was passed with flying colors, McKenna’s
mom came to Insight Vision for a comprehensive vision exam.
“With vision therapy, McKenna has overcome so much and is now writing and
drawing. Her balance is much improved, and she is much more confident.
McKenna is now the top group instead of the bottom group. We are so proud and
grateful.” – Tracy, mom to McKenna, age 6
“We never knew that our son, Jackson, had a vision problem until he had his
annual checkup before he turned 5. He was so farsighted in his left eye that he
never used it. He never had binocular vision. (We started him in vision therapy)
and hoped his vision would improve. We did not expect to see his personality
blossom in the way that it has. Thank you so much Dr. McMains and all the Insight
Vision therapy staff. We are grateful for all the help for Jackson and our family. –Tor and Susan, parents of Jackson, age 5
“What a miracle this 6 months has been. In September, Jonathan’s IEP graded
him at third grade reading and second grade writing. For his high school
transition testing, Jonathan has been graded at seventh grade reading! A FOUR
YEAR JUMP IN 6 MONTHS!!! We cannot express our debt of gratitude.” – Debbie,
Mother to Jonathan, age 15
MORE SUCCESS STORIES
I am 15 years old in the 8th grade. I couldn’t read and write. Because of this, it
made me feel frustrated. I know I was smarter than this. I have always had
modified work, but next year I will know what it is like to be in all regular classes.
After six months of vision therapy, I feel like I have improved a lot. My reading and
writing is easier. My handwriting is nicer. I enjoy reading magazines, Internet stuff
and music. It is not frustrating anymore. – Jonathan Van CampBefore starting vision therapy, Melissa was reading at a 3rd grade level. We had
been trying all types of reading strategies, programs and tutoring. The tutoring
gave her limited help and improvement. However, Melissa still had difficulty with
her homework. Especially troubling to me was her not reading any books. She
soon lost the will to even try. Now, Melissa picks out books and reads both aloud
or to herself with much enjoyment. Melissa now reads at a 6th grade level. She is
in 5th grade and will start 6th grade next year prepared and happy. – Annette
Farrior
My daughter’s reading ability has jumped by four grade levels. Her confidence
and ability to interact with others has increased as well. If you had asked her a
year ago if she liked reading, she would have told you it was last on her list of fun
things to do. NOW, I can hardly get her nose out of her books. She has graduated
from [vision therapy], and is now helping me with my vision therapy. – Carol Field
I had trouble in school and fell behind, even though I was bright and had obvious
vision problems, I was put in special education classes and labeled hyperactive.
The school psychologist's answer was medication, sound familiar? By the time I
was 15 I needed another surgery, my doctor said this patter would continue for my
entire life. I was a photo restoration and portrait artist but had to quit because of
my double vision. I was forced to continue with massive amounts of prism
lenses. II would trip, run into things, and stab myself in the lip with my fork. I was
so stressed when I drove that I would slam on my brakes when I thought
something was in front of me, usually it was not even close. I am happy to say
that even though I have not yet graduated from [vision therapy], most of my goals
have already been met. In my case, every other treatment was only a temporary,
cosmetic solution, my vision problems were never truly addressed until I came
[here]. Vision therapy has dramatically improved my ability to perceive the world
around me and therefore greatly improved my life. – Carol Field
McKenna was chronically sick with ear infections and asthma from birth until 2
years old. This left her with hearing, speech, and language delays which she
overcame with therapy from age 3 to 4 ½ years. [In kindergarten} the teacher after
the 1st two weeks of school asked to start keeping her after school to work with
her – McKenna’s fine motor skills were weak and she couldn’t remember letters
and numbers and what they looked like. I had McKenna’s eyes tested previously and was told her eyes were healthy and normal. But when we came in for the
initial eye exam [at the Insight Vision Development Center] it was very clear that
McKenna’s left eye was moving slower than her right, and with all the testing that
was done it was evident McKenna was in the right place. With over one year of
vision therapy, home exercises and re-testing, McKenna has overcome so much
and is now writing and drawing, her balance is much improved, and she is much
more confident than she was last year…McKenna is now in the top group instead
of the bottom group. [She] is writing, able to do her math and all the table work
with great accuracy and has tested above grade level. We are so proud and
grateful – Mrs. Tracy Ducharme
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WHAT IS VISION?
Definition
Vision is a dynamic, always changing process of organizing, interpreting and
understanding what is seen. It is a process that integrates sensory and motor
information generated by the brain and body to derive meaning and direct
movement.
Vision is so complicated it involves 20 visual abilities and more than 65% of all
pathways to the brain. Scientists have identified 35 separate areas of the brain
which are primarily or totally involved with the processing of visual information.
Vision is an important part of classroom learning. The visual system is a significant part of how we process information and a key
factor in how we learn. 80% of what you perceive, comprehend and remember
depends on the visual system.
Vision allows us to take what we see and process this light information so we can -
• Identify what we see by where it is, how far away it is, how big it is, how fast it is moving, what texture it has, etc.
• Store this current information for future retrieval.
• Integrate the sight information with all our other senses - touch, hearing, taste and smell.
• Compare this information to previously stored information in order to confirm prior experience or reconstruct a prior experience if necessary.
• Derive meaning from both the new information and past information.
• Decide the relationship between where we are and where it is, or find out
where we are in space.
• Act on this new meaning.
• Use this new perception to direct movement or thought.
It takes more energy to use an inefficient visual system than it does an efficient
one.
Although 25% of ALL children have a vision problem significant enough to affect
their performance in school, according to research on just learning disabled
populations, the number of kids with significant learning related vision problems
can soar closer to 85%.
These visual deficits can be successfully remediated.
____________________________________________________________________________________________________________________________
Vision Therapy Scholarship Information By Insight Vision Center for Examination and Therapy at Insight vision Clinic Only
Applications:
P.O. Box 985
Rancho Santa Fe, CA 92067 619-229-3966 Telephone 619-229-2145 Fax
Approximate Scholarship Numbers for a Family of Five:
If you earn:
$45,000 you pay $25.00 per visit
$56,000 you pay $50.00 per visit
$67,000 you pay $75.00 per visit
$79,000 you pay $100.00 per visit
Speak with John Walker about your personal situation.
Mission and Inspiration
The Mission
The Insight Vision Center Sponsorship Program provides patients with comprehensive vision examinations and vision therapy through interaction with the schools and community. Our goal is to help students develop the necessary visual
abilities for learning, “Giving Opportunity for Life-Changing Vision Therapy.”
The Inspiration
Opening the Insight Vision Center had been a personal quest for Don & Ann Walker, John Walker, and Dr. Robert Sanet. All four people were touched by vision training and learning related vision problems in different ways. Dr. Sanet was
a recipient of vision therapy and then went on to become a Behavioral Optometrist with a goal of “helping a million people.” John Walker was one of the “million people” who was helped by Dr. Sanet. John moved on to graduate from
college using the words he once fought to read. Don & Ann Walker supported their son, John, through the difficulties of a learning disability and discovered how to guide him through his vision therapy program. As a Kindergarten teacher
for 42 years, Ann worked with many children helping them to overcome their learning disabilities.
The Inspiration
Opening the Insight Vision Center had been a personal quest for Don & Ann Walker, John Walker, and Dr. Robert Sanet. All four people were touched by vision training and learning related vision problems in different ways. Dr. Sanet was
a recipient of vision therapy and then went on to become a Behavioral Optometrist with a goal of “helping a million people.” John Walker was one of the “million people” who was helped by Dr. Sanet. John moved on to graduate from
college using the words he once fought to read. Don & Ann Walker supported their son, John, through the difficulties of a learning disability and discovered how to guide him through his vision therapy program. As a Kindergarten teacher
for 42 years, Ann worked with many children helping them to overcome their learning disabilities.
The Center
The Walker family founded the Insight Vision Center in July 2000 as the first nonprofit Vision Center on the West Coast. The Center sponsors high-risk educationally and financially disadvantaged students with vision related learning
problems. Due to the high cost of vision care, these students would not otherwise be able to afford detection and remediation services.
It is tragic that millions of students are going without treatment for their vision problems due to economic hardship. Research shows that children who cannot overcome their learning difficulties are far more likely to under perform in
school, develop low self-esteem, and engage in negative behaviors, all of which can produce devastating consequences to society.
The Insight Vision Center believes that by offering the opportunity for vision therapy to as many people as possible, our society will be the better for it. While we help more citizens reach their full potential, we are improving
overall education in the community at large.
With every precious life that is changed, A lifetime of lives are enriched.
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VISUAL INFORMATION PROCESSING EVALUATION
Due to the patient’s academic challenges, in-depth testing of Visual Information Processing ability is
indicated. This evaluation will involve a standardized battery of tests that assess visual perception. The
results are scored at age
or grade equivalents, which identify the patient’s strengths or weaknesses in visual
processing abilities.
Included in the evaluation are the following services:
1. INITIAL EVALUATION: An evaluation of external and internal eye health, color vision and visual field
evaluation, refraction for optical prescription, evaluation of the functional visual abilities of oculomotor
control (eye
tracking), accommodative ability (focusing), binocular control (eye teaming ability) and
stereopsis (binocular depth perception), and primitive reflex testing as it relates to overall vision development.
2. SUPPLEMENTAL TESTING: The purpose of this testing is to determine how the visual system processes
information, how vision integrates with the other sense modalities, and to determine whether vision
is supporting or interfering with
performance to full potential. Some of the areas that will be evaluated include:
• Visual Discrimination: The ability to visually discriminate similarities and differences.
• Visual Memory: The ability to remember the characteristics of a given form after a brief presentation.
• Visual Spatial Relationships: The ability to see differences among forms when all or part of a form has a
different spatial orientation.
• Visual Form Constancy: The ability to see the essential elements of a form, and identify them within other
forms that may be smaller, larger, rotated, reversed or hidden within other designs.
• Visual Sequential Memory: The ability to remember for immediate recall a series of forms in their specific
order of presentation.
• Visual Figure Ground: The ability to perceive a form, and to locate it when embedded within other forms.
• Visual Directionality: The ability to correctly determine spatial directional properties of individuals, objects
and language symbols.
• Visual Motor Integration: The ability to take in, analyze, and reproduce visual information using paper and
pencil.
3. REPORT: A comprehensive report will be prepared at the completion of this testing. This report will detail
the testing performed, the specific visual abilities evaluated, and how the patient performed. It will
discuss the
implications of the visual dysfunction on performance in academic, sports and daily activities
and will make recommendations for remediation of the visual problems. At your request, copies of the
report will be made available to the
school and other professionals currently caring for the patient.
4. CONFERENCE: An extended, in-depth conference with the doctor is scheduled to review the diagnostic
findings, prognosis, therapeutic recommendations and to answer any questions and concerns you might
have regarding the full
evaluation. We require that ALL parents/guardians be present at this conference.
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