Assessment of child's learning strategies can reveal signs of vision problems

What a child's report card might be telling parents and teachers

Parents across Ontario will be soon receiving the second round of newly formatted report cards emphasizing the importance of how students work and how this contributes to their overall academic success. As parents and teachers review each child's progress they may want to consider whether vision problems might be a contributing factor to performance and behaviour in class.

Students are now evaluated on learning skills and work habits, self regulation, collaboration, responsibility, organization, independent work and initiative in addition to academics. Optometrists recognize that vision skills contribute to the development of these learning tools. In fact, more than 80% of learning is done through the eyes. Therefore, assessment of a child's individual learning strategies can reveal signs of vision problems that influence his/her learning potential and engagement in school.

"Children younger than 12 years of age often do not have the awareness or communication skills to recognize that they have a vision problem," says Dr Catherine Chiarelli, a Toronto-area optometrist. "Students may have to work extra hard to overcome vision problems for periods of time but eventually may become distracted or give up on a task as the eyes become tired or strained. This might translate into a child seeming unwilling to work well independently or having poor work habits."

Observation of some specific features of a child's learning style may reveal potential vision problems. These include:

- frequently losing place or skipping words when reading - difficulty printing or colouring between lines, irregular spacing between letters - avoiding close work, becoming easily frustrated with persistent near vision tasks - difficulty concentrating, being easily distracted during focused tasks - working more slowly than peers - not using visual materials to full potential - feeling less capable than peers, being less motivated to do school work - displaying disruptive behaviour to avoid classroom work - demonstrating reduced co-operation and class participation

Ontario schools now ask students to participate in interviews to review their accomplishments and identify areas for improvement. Parents and educators can help children who are experiencing difficulties by raising awareness of the signs and symptoms vision problems, both by asking children specific questions about vision and by observing their visual behaviours at school and at home.

One in six children has a vision problem significant enough to impair his/her ability to learn. Common visual conditions in school-aged children include refractive error (nearsightedness, farsightedness, astigmatism) which causes blurred vision, and eye co-ordination deficiency causing visual discomfort, headaches, double vision, reduced tracking and eye-hand co-ordination and/or headaches.

The Ontario Association of Optometrists recommends annual eye examinations for school-aged children. Children's eye examinations are covered by OHIP once per year. The OAO is partnering with local school boards, schools and kindergarten teachers to encourage junior kindergarten students to visit a local optometrist for a comprehensive eye examination (covered by OHIP) through a program called Eye See Eye Learn. Eye glasses are provided free of charge to children who need them. Eye See Eye Learn currently is offered in Hamilton-Wentworth, Halton, Dufferin-Peel and Windsor-Essex school districts. Visit to find an optometrist near you or to find out more about the Eye See...Eye Learn program.




  1. Joseph Drader Joseph Drader United States says:

    Farsightedness is the healthier eye but not for the health destroying effects of academics sitting posture of the sity, cities.  Mine are about as good as eyes can be with an A+ on the prescription for maybe other than how good they are at 74.  Maybe for the fee an optometrist wants me as a customer. Some are very unethical you know. Never saw an ophthalmologist referred to by two years earlier checkup but negated by the optometrist two years after.  School like some teachers for 35 years teaching on a C---- average was never but the same for me.  Made it with my age up till 21 but without eyewear or the money took twenty years to do a c B.A.

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