Children’s Eye Tests can be Associated with Their Reading Levels

Elementary school children with poor reading ability, much below their grade level can have problems with eyesight, finds a new study.

Children with reading challenges can have lower than expected binocular vision test results, even that a standard eye exam may fail to identify, according to a study by a research team at the University of Waterloo.

"A complete binocular vision assessment is not always part of the standard vision test," said Dr. Lisa Christian, lead researcher on the project and an Associate Clinical Professor at the School of Optometry and Vision Science, University of Waterloo. "However, binocular vision problems could be compounding a child’s academic difficulties, and should be investigated."

Dry Eye - Symptom Evaluation
Dry eye may be due to a decrease in tear production, alteration of the tear consistency, or faster evaporation of the tears.

‘Children with eye related conditions like accommodative and oculomotor issues are found to have trouble with their reading. ’

The study involved a retrospective review of 121 children between the ages of six and 14 who all had an Individual Education Plan specifically for reading. It found that more than three quarters of the students had good eyesight, but when they were tested for binocular vision, more than a third of the group scored below what was considered normal.

"Kids can see words on the page, but if (for example) they have difficulty turning their eyes in to read or focusing words on a page, they may experience symptoms of eye strain, double vision or fatigue after five or 10 minutes," Christian said. "It’s not just about visual acuity, but about how well the eyes work together when performing an activity such as reading."

Optometrists classify binocular vision anomalies under three main categories: accommodation, vergence and oculomotor - with the symptoms often seeming benign or masked as other problems.

Eye Drops to Replace Injections for Retinal Diseases
A new eye drop called Sylentis SYL136001v10 that may replace injections for retinal diseases like macular degeneration, diabetic retinopathy, has been developed

Children with accommodative issues have trouble focusing or have trouble changing their focus from one distance to another. Those with vergence issues have difficulty turning their eye in or out, eye movements often required for reading. Children with oculomotor issues have trouble with eye tracking and may lose their place when reading.

"Full eye examinations, particularly in children with vision issues, may be a tool for parents and educators to assist children who are found to have difficulty reading," added Christian.