ADD, ADHD and Vision Therapy

Functional vision problems in children can produce a similar set of symptoms to those found in ADHD, such as difficulty focusing in school, tendency to fidget or squirm in their seats and making careless mistakes. Visual integration problems can lead to skipping lines, confusing words and word-order and generally making it impossible to read accurately. This perpetually makes bright children seem like they just don’t get it, and results in secondary behavioral issues.

If your child displays poor attention in school, don’t automatically assume that it’s Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD). At the Roggy Eye Clinic, we’ve seen many instances in which a child diagnosed with ADD or ADHD had all the symptoms of the disorder. Following a thorough eye evaluation, however, Dr. Sheri Roggy it was often concluded that the issue may not be ADHD, but rather undiagnosed functional vision problems.

What is a Functional Vision Problem?

Functional vision is the set of visual skills that a person uses to gather and process vision information. In other words, functional vision is how your entire visual system — the eyes, the brain, the visual pathways — work together to help you accurately interpret and interact with your environment.


Does My Child Have ADD, ADHD, or a Vision Problem?

Studies show that children with functional vision issues are twice as likely to be diagnosed with ADD or ADHD as compared to their peers.

When the visual skills in children don’t operate properly, certain symptoms and behaviors can appear:

Difficulty paying attention in class: regular classroom tasks become much more challenging for those with functional vision problems. As they struggle with the tasks, students may become more frustrated, tired, fidgety, or stop trying altogether and stare into space.

Trouble reading: Difficulty with eye teaming can make the act of reading difficult and uncomfortable on the eyes. Certain kids may push past the discomfort and read at a slower rate, while others may just stop trying altogether.

Not responding normally when spoken to: A child with a functional vision problem needs to work much harder than the typical student when attempting to focus on the board. As a result of focusing their energies so intently, they may not be able to process the information in their surrounding environment, such as when being spoken to. These children may also become understandably frustrated affecting their attitude in the classroom.

Inattentive to details: Kids with functional vision problems typically have a limited window of time in which they can complete near work, such as reading and writing. They tend to feel rushed to get through their work before developing blurred or double vision, eye strain, or headaches. As a result of this rush, the student may skip important details and make careless mistakes along the way. 

Poor performance when playing sports and other physical activities.

Children with functional vision problems may experience difficulty seeing a ball fly through the air or assess their physical distance to others on a playing field. This can be perceived as poor sports performance and can affect their social lives and confidence levels.

Further symptoms associated with Functional Vision Problems: While the following reactions can be blamed on stress or attention problems, they’re
most likely the result of vision difficulties.

  • Avoids reading activities
  • Excessive squinting
  • Feelings of low self esteem
  • Frequent rubbing of the eyes
  • Lack of interest in hobbies

How Can Vision Therapy Help My Child?

Vision therapy is a personalized set of vision-developing exercises that improve and strengthen visual functions and retrain the brain to interpret visual input more accurately. It’s usually compared to physical therapy, but improves the functioning of the eyes and visual system.

Vision Therapy can include exercises for:

  • Eye teaming
  • Focusing
  • Convergence
  • Hand-eye coordination
  • Visual perception
  • Visual tracking

If your 4th-grade daughter isn’t seeing the board clearly in school, her vision therapy could include lenses and prisms. The doctor may have her look through different kinds of lenses – each with a different degree of lens power – or special prisms held at different angles. This will teach her eyes to better focus on images or objects at various distances.

Your 3rd grader is intuitive and intelligent, so they move on to 4th grade. Only now, they’re expected to read more challenging books and do more complex schoolwork. This becomes a struggle as they cannot make sense of the words on the page. That’s where vision therapy can help.


Do you think your child’s ADHD-like symptoms may be the result of a vision problem?

Schedule a functional vision evaluation with Dr. Sheri Roggy to find out. If it is determined that the issue is in fact vision-related, a customized vision therapy program for will be provided, based on your child’s own unique needs.

What If My Child Was Misdiagnosed With ADD or ADHD?

An incorrect diagnosis can result in serious repercussions. Your child may be prescribed strong medications, such as Ritalin or Adderall. These medications alter dopamine levels in the brain in order to increase your child’s focus and concentration levels. However, their side effects are notoriously unpleasant. These include sleep disruptions, nausea, loss or increase of appetite, mood swings and/or depression. Not only is the child taking medications and dealing with unpleasant side effects, but any undiagnosed vision problems haven’t been resolved.

Moreover, if your child has been misdiagnosed with ADD or ADHD, they can be subject to stigmas and negative behaviors from their peers, which can harm their self-esteem and confidence levels well into their adult years.

Give your child the tools they need to succeed in school and in life and schedule an appointment with Dr. Sheri Roggy at Roggy Eye Clinic.

How Quickly Will We Notice Results?

Often there are gains seen within days or weeks. However, It can take up to 6 months to see the full results, although this may depend on each patient and their specific therapy regimen. In addition to the exercises, visual aids, or eyeglasses, the vision therapy plan includes close monitoring and follow-up appointments. Over the course of the program, the doctor will determine how many visits are needed in order to achieve the best results.

How We Can Help

Understanding the difference between actual attention disorders and similar behaviors caused by vision problems is of utmost importance, and can save you and your child the frustration of being placed in the wrong camp and treating the wrong problem. Thanks to the breadth of knowledge and years of experience, Dr. Sheri Roggy will be able to determine if any underlying functional vision problems are impacting your child.

At Roggy Eye Clinic our goal is to ensure your children’s visual health develops correctly so that they excel in school and in life. We do this by teaching them a variety of techniques to strengthen the functioning of their eyes, focus on images at both near and far distances, eye teaming and more. As the young patient learns and practices these skills and techniques, they will retain what they’ve learned throughout adulthood.

Even if you’ve tried medications, alternative therapies, or feel as if you’ve exhausted every avenue to help your child, talk to us. Roggy Eye Clinic provides customized vision therapy for our young patients in Coralville, Iowa City, North Liberty and Tiffin, in Iowa. Let us help your child maximize their visual skills and reach their full potential.

Symptoms Indicating A Visual Efficiency Problem

Having a visual efficiency problem can present in many forms, from reading difficulties, to focusing issues to behavioral problems. Visual dysfunction can dramatically reduce a student’s ability to learn and can hinder one’s productivity at work.

Knowing and understanding which red flags to keep an eye out for can give rise to early detection and treatment of visual problems.

Below, we’ll explore several common visual efficiency problems and symptoms. Should you have any of them, we recommend you visit your eye doctor.

Eye Teaming Problems

In order to perceive the world around in a clearly way, your two eyes need to work in perfect unison and coordination. When your eyes don’t function as a team, the perceived images your brain creates may be confusing.

Two common eye teaming problems are convergence insufficiency and convergence excess. With the former, the eyes have difficulty focusing inwards on an object that is being held close to the nose. Convergence excess is the opposite—where the eyes can’t easily focus outward, leading to difficulties with distance vision.

Symptoms of eye teaming problems include:

  • Blurred or double vision
  • Tired or uncomfortable eyes
  • Difficulty reading
  • Eye squinting or rubbing
  • Headaches
  • Difficulty concentrating
  • Poor depth perception

Eye Tracking Problems

Eye tracking involves the smooth and effortless movements of the eyes. Efficient eye tracking helps us scan our environment and quickly gauge where we are and what our next move should be.

When eye movements are slower than normal, inaccurate, or require external cues (like following a moving finger), it may indicate an eye tracking problem. Three types of eye tracking problems include fixation dysfunction, deficiency of saccades, and deficiency or pursuits.

Individuals with an eye tracking problem may:

  • Often skip lines when reading, as the eyes can’t smoothly scan from one line to the next
  • Easily lose their place while reading
  • Omit or substitute words
  • Have poor hand-eye coordination
  • Find it difficult to spell words correctly

Focusing Problems

Every time our eyes shift their gaze from one object to another, they accommodate their focusing power so that each object appears crisp and clear. Focusing problems arise when the ciliary muscle—the muscle responsible for accommodating focus—can’t easily relax, tighten or maintain its position.

Symptoms of focusing problems include:

  • Holding objects close to the face in order to view them
  • Experiencing headaches during or after reading
  • Blurred vision
  • Watery eyes
  • Difficulty reading or avoiding reading
  • Blurred vision when shifting focus from one object to another
  • Frequent eye rubbing

How a Vision Therapist Can Help

Vision therapy helps to develop and strengthen the eye-brain connection, which is often weak in a person with visual efficiency problems.

A personalized vision therapy program involves tailor-made visual exercises that forge new pathways in the visual system. By performing these exercises regularly, the patient will develop improved visual skills. Vision therapy may also involve the use of  specialized prisms, filters or lenses.

If you or a loved one are experiencing any of the symptoms mentioned above, it may be time to have your vision evaluated. Call Roggy Eye Clinic to schedule your appointment today.

Roggy Eye Clinic serves patients in Coralville, Iowa City, North Liberty, Tiffin, and throughout Iowa.

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