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Please feel free to access the Teacher’s Observations document in pdf by clicking here ……

Teacher‘s Observations PDF

 Behavioural Optometry Neilson Eyecare Toowoomba Optometrist

How Can Your Optometrist Help with Your Child’s Learning?

Optometry and Learning – Behavioural Optometry

90% of our information comes to us through our eyes. As such, visual problems have great potential to hamper a child’s ability to learn. As parents and teachers, our observations of the child during schoolwork are essential guedes to understanding and helping with difficulties.

Refractive and Development Problems 

Refractive and development problems relate to clarity of vision and poor development. These account for a small percentage of vision problems for primary school age children,however they do need to be addressed as early as possible because they can have long term implications.

Visual Fatigue – Staying Power

Visual fatigue is the greatest threat to effective school performance. Being able to maintain the visual effort of school work for some children is very difficult. Theachers and parent’s observations are essential in detecting this. Noting that a child ‘runs our of steam’ or is a better reading in the morning that the afternoon, is an important clue. If a child cannot apply themselves to their work, they will not make progress.

Children demonstrate fatigue in a number of differnet ways:

  • Giving up, avoiding or fighting about doing homework
  • Rushing tasks, getting their tasks done before they get tired, but then not doing them well
  • Being a better reader in the morning than the afternoon
  • Declining performance, making more mistakes, needing to use their finger to keep place
  • Getting headaches and sore eyes

These symptoms will occur on weekdays, usually in the afternoon and not on weekends or school holidays. The pattern of the symptoms will give you the clue.


An essential skill for reading, tracking is often delayed in a child suffering visual fatigue. Tracking is the skill of following words or numbers across or down a page without the need to use fingers to keep the place. This is extremely inmportant for effective reading.

After looking at the dynamics of vision , we need to look at the educational performance of the child and identify what areas are not performing. 

Visual Information Processing Skills

Visual information processing is how we process the information we receive through our eyees. These skills can be broken down into a number of specific areas:

  • Visual Spatial Skills – the ability to understand and use direction, our langauage relies on being direction specific i.e. we read left to right.
  • Visual Motor Integration – visual control over the pencil, the ability to write or draw accurately, eg. Hand writing skiills.
  • Visual Memory – the ability to recall what we have seen, sight words.
  • Visual Sequential Memory – the momory of groups/sequences of letters, ie words as a group of letters.
  • Auditory Analysis Skills – the ability to identify the parts that make up what we hear, breaking words down to syllables orally.

We test these skills with a battery of tests and then compare the results to the normal age standard to determine if there are any areas that are poorly developed. We can then relate these poorly developed skills to what is not working in schooling and analyse them to formulate a plan to improve the areas of weakness using vision therapy. Vision therapy involves exercises and games which work on skill development. We are looking at computer based training systems to help with the time poor family. We are also looking at new research in helping with dyslexia, including the use of yellow and blue filters and the role of fish oil supplements.

There are questionnaires available on our website which are used to help with observations of a child’s performance. Please feel free to use them and direct your child’s teacher to them.

David J Neilson


Neilson Eyecare

4638 2377



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