Tuesday, 6 December 2016
Why Doesn't My Child Read Well?

We receive a lot of questions from parents on the topic of reading and vision. I have asked Dr. Rachelle Altstadt, our director of Performance Vision Therapy, to address this issue. Enjoy!

Good vision requires your child's eyesight, visual pathways, and brain to all work together. When they don't, even a child with 20/20 eyesight can experience difficulty reading, writing and processing information. Three reasons why children have difficulty reading:

  • Accommodative dysfunction. An accommodative dysfunction is a deficit of the focusing system. If your child has a poor focusing system, this may cause blurry vision, eye strain and eye fatigue when reading.
  • Convergence. Convergence is the inward turning of the eyes which keeps the print single as the child reads. Children who are not able to keep their eyes on target may experience double vision when reading.   
  • Eye movement disorder. Reading requires accurate and quick eye movements to follow the words in a book. Children who are unable to make the eye movements appropriately may skip lines and/or words as they are reading, causing them to lose their place on the page. They may even read the same line twice or read the sentence backwards. 

Sometimes, children with these symptoms are diagnosed with ADD, ADHD and dyslexia. This is not always accurate! 

How Does Vision Therapy Treat These Vision Problems? 

The good news is that 80% of children who have reading difficulties can be treated without medication. Vision therapy enables children to overcome reading issues in a more natural and efficient way. For more information call our Developmental Optometerist, Dr. Rachelle Altstadt, at 615-889-0147 or email

Posted on 12/06/2016 4:50 PM by Dr. Jeffrey Kegarise
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