In addition, to the neuropyschological testing my son was also being evaluated by a Developmental Behavioral Optometrist. Remember I had convinced the new superintendent to provide for this evaluation.
We went for three separate visits to complete all the testing. The testing was broken into two parts. “Visual skills that determine how visual information is received are visual acuity, refraction, eye health, accommodation (focusing), binocularity (use of the two eyes together), and ocular motility (pursuits and saccades.)” And, “Visual skills that determine how visual information is processed, include tests of visual perception such as form discrimination, visual memory, and processing speed.”
My son had a very slight farsightedness which was normal for his age however, because of his limited nature of attention as well as the tests revealing that he had difficulty tracking when images were small and or crowded together which would also affect focusing it was recommended he get spectacle lens for compensation and farsightedness. The lenses would be used for near visual activities and to magnify images therefore reducing his amount of focusing energy.
His eye health was found to all be in good standing.
His focusing ability to be able to focus from one distance to another was measured. This would translate into, Could he be able to look at a blackboard and then copy something onto his paper? It is very important that a child be able to adjust their focus quickly in order to perform such tasks. My son was found to have a presence of accommodative infacility. In other words, with accommodative infacility, there is a delay in the clearing of the print or clear vision, for instance the blur going away when you re-direct your focus from one area to another. Obviously this would affect copying from blackboard and take a child longer to obtain and transfer the information to their paper.
His binocular vision ability was also impaired. This is the ability to maintain visual focus on an object with both eyes simultaneously which is important to achieve true depth perception. Lack of binocular vision is normal in infants. However, an overconvergence of my son’s eyes was found at nearpoint. This can cause visual discomfort, blurred vision, difficulty in focusing from one distance to another, lack of attention, poor comprehension, double vision, avoidance of near tasks, loosing your place while reading, misjudgment of objects, and fine motor eye coordination problems.
They also looked at his ocular motor ability. The ability to track a moving target is called pursuit eye movement. His pursuit eye movements were full and commitant but jerky and he had the inability to dissociate eye movements from head and body movement. Good readers need this skill to smoothly guide the eyes across the written print without moving the head or body and to be able to take in large chunks of information.
Lastly, his fine motor abilities were tested and his copying speed was 24.11 letters per minute placing him below a second grade level. The test was completed in the summer of him entering third grade.
The report concluded my son had delays in fine motor, visual sequential memory, and visual directionality. A recommendation for vision therapy was made along with some other suggestions.
Now that both the independent educational and vision reports were done it was time to go back to the IEP table…..
Copyrighted 2011: danadogooder and DMT