There are a few reasons that this may be true.
1. Your child may be farsighted. Although he can read 20/20 on the eye chart, his muscles are working overtime and causing him to strain. This can lead to avoidance of work, headaches, decline in grades, etc.
2. Your child may have problems perceiving what he is seeing. Approximately 15-20% of children with learning problems have visual processing (VIP)/perceptual problems that are significant to interfere with school performance.VIP is the ability of the brain to take and organize visual information from the environment and coordinate it with other sensory modalities and higher cognitive function. Development of this system is an ACTIVE process and the rate of development is faster at younger ages.VIP is an important aspect of vision, particularly for children in grades 1-5. Just because a child can see clearly & comfortably does not guarantee that he/she will be able to make use of the incoming information. We believe that visual processing skills develop in most children without the need for any special attention or intervention. However, in some children the development of visual processing skills does not keep pace with the child’s growth in other areas. This type of lag can lead to difficulty in the early grades. Examples of behavioral signs and symptoms associated with VIP deficits:
lack of coordination and balance
working slowly compared to others
skipping/re-reading lines
difficulty learning R vs. L
poor math skills
sloppy handwriting
difficulty learning the alphabet
poor spelling skills
difficulty finishing school work
difficulty copying from blackboard
not reading for pleasure
Because 80% of learning is derived from visual processing, it is extremely important that children who are struggling in school have their eyes examined. We first recommend a comprehensive eye examination. We may also recommend a visual information processing (VIP) assessment, which is a separate visit.