Vision in the Classroom 

DSRF Note:
Children with Down's syndrome have problems with vision which can cause additional problems in school. The following information provides contacts in the UK where a behavioural optomerist can assess your child's needs.


The following information is reproduced with permission of the
Optimetric Extension Program Foundation Inc.
1921 e.Carnegie Avenue, Ste 3-L, Santa Ana, California 92705 5510
Phone (714) 250 8070

This information was prepared to help teachers and consultants identify children's visual problems that could interfere with learning and classroom performance.

Nearly all the visual problems that deter children from doing well in the classroom WILL NOT be uncovered by the Snellen eye chart, nor by most stereoscopic devices. The value of these school screening devices is to identify those children who cannot see clearly.

VISION IS MORE THAN CLARITY.

It is the ability to visualise, understand and apply the information that comes through the eyes. Children with 20/20 sight may not have these abilities. Therefore, learning problems are often related to vision problems.

Teachers are the best screeners. They observe the child functioning in the classroom.The appearance of irritated eyes, squinting and frequent blinking are PHYSICAL signs of visual problems. A child's PERFORMANCE is affected by problems with eye movement, eye teaming, eye-hand coordination, and visual perception.

EYE MOVEMENT PROBLEMS

The information obtained by the child will be reduced if eye movements are slow or clumsy, if the eyes jump, "stutter" or lose their place on instructional materials.

EYE TEAMING PROBLEMS

While our eyes are supposed to work as a team so that they perform as one, this teaming is not guaranteed by design. It must be acquired through use during the preschool years and not all children adequately develop this skill. It can interfere with learning, especially in the areas of comprehension and spatial relations.

EYE-HAND COORDINATION PROBLEMS

Eye-hand coordination problems are noted as a lack of skill in drawing or writing. Paper work shows poor orientation on the page and the child is unable to stay within the lines when coloring. Often the child will continue to be dependent on his or her hand for inspection and exploration of toys or other objects.

VISUAL FORM PERCEPTION PROBLEMS

Form perception problems usually are a result of difficulties in the discrimination of visible likenesses and differences. There is confusion with similarities, inattention to slight differences, reversals in reading and reversals of letter forms. This produces difficulties in spelling and writing.

REFRACTIVE STATUS PROBLEMS

Near sighted (myopia), far sighted (hyperopia), astigmatism and focusing problems interfere with the child's comprehension processes and classroom participation. These problems can be developing even though the child may see 20/20 on a Snellen Chart. They need prompt attention by a behavioral optometrist who treats both vision and sight.

THE CHECKLIST

This checklist is designed to assist the teacher or consultant in communicating with clinicians and parents. It is particularly useful in identifying those children who did well academically in the very early grades and later developed problems.

CHECKLIST OF VISION PROBLEMS
   
Student's Name: _________________________
Date: _________________________
   
APPEARANCE OF EYES  
Reddened eyes or lids: _________________________
Eyes tear often: _________________________
Encrusted eyelids: _________________________
Frequent sties on lids: _________________________
   
COMPLAINTS WHEN USING EYES  
Headaches: _________________________
Burning eyes: _________________________
Itching eyes: _________________________
Nausea after reading: _________________________
Print blurs: _________________________
Double vision: _________________________
   
TEACHER'S OBSERVATIONS WHEN STUDENT READS  
Head movement: _________________________
Loses place often: _________________________
Needs finger to keep place: _________________________
Omits words frequently: _________________________
Re-reads lines: _________________________
Skips lines: _________________________
Short attention span: _________________________
Fails to recognise some words: _________________________
Confuses similar words: _________________________
   
WHEN STUDENT WRITES  
Writes up or downhill: _________________________
Repeats letters within words: _________________________
Omits letters, numbers or phrases: _________________________
Misaligns digits: _________________________
Covers one eye: _________________________
Tilts head: _________________________
Fails to recognize same word when repeated in text: _________________________
Fails to visualise: _________________________
Makes mistakes when copying from chalkboard: _________________________
Writing poorly spaced or crooked: _________________________
Unable to stay on ruled lines: _________________________
Poor placement of words on page: _________________________
   
OTHER PROBLEMS  
Must feel things to understand: _________________________
Repeatedly confuses right and left: _________________________
Difficulty with similarities and differences: _________________________
Avoids desk work: _________________________
Blinks, squints, rubs eyes: _________________________
Fatigues easily: _________________________

Click here to see David Elliott's vision by Dr Anne Baxter

Consult a Behavioral Optometrist

If any of the problems listed on the Checklist of Vision Problems is marked, the child should be further evaluated by a behavioral optometrist.

Behavioral optometrists spend years in post-graduate, continuing education to master the complex visual programs prescribed to prevent or eliminate visual problems and enhance visual performance.

Not all optometrists practice behavioral optometry, which includes developmental and functional optometry. Yearly vision evaluations are recommended to make sure the visual system develops properly.

For more information on finding a behavioral optometrist in your area, please contact the Optometric Extension Program Foundation, Inc.

FOR MORE INFORMATION PLEASE CONTACT

Optometric Extension Program Foundation, Inc.

1921 E. Carnegie Ave., Ste. 3-L Santa Ana, CA 92705-5510 (714) 250-8070

(A nonprofit foundation for education and research in vision)

Copyright. Optometric Extension Program Foundation, 1995

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