Attention Deficits and Visual Challenges

Children with visual challenges are twice as likely to develop ADHD, a recent study shows.

Take our Vision Quiz to learn whether you should explore Vision Therapy

Approximately one in 5 children have an undiagnosed vision problem that will make it hard for them to read. For example, Samantha may be able to succeed in reading like her peers do, but she needs to work ten times harder just to focus her eyes. Imagine how exhausted she feels exerting so much energy just to see what other kids can see automatically. Now Samantha no longer has the necessary energy and wherewithal to comprehend what she just read and she can become very frustrated and disruptive.

Is it at all a surprise then that children like Samantha don't follow along in class? Or that they fidget in their chair or stare off instead of reading? It is no wonder that children who exhibit similar signs and symptoms as a child with ADHD can be misdiagnosed as such, when in fact they are suffering from a visual challenge that can be treated without medication.

It is very common for school nurses to disconnect poor attention span and behavior patterns with visual challenges, recent research shows.

There are many similar manifestations of vision issues and attention deficit disorders as a child who is struggling with visual skills can have a hard time maintaining focus and completing school tasks. This similarity can result in a misdiagnosis of ADHD and unnecessary medications could be prescribed. Alternatively, visual challenges can be masked by an ADHD diagnosis. Unfortunately, it is not uncommon for parents of a child diagnosed with an attention deficit disorder to be falsely reassured that the issue is not related to the child’s visual abilities because their child scored 20/20 when reading from the eye chart during the vision screening test. However, there are many more visual skills beyond 20/20 clarity of vision which are necessary to meet classroom demands.

Signs and Symptoms

If any visual skills are not operating up to par, it could cause the child to be frustrated, inattentive, fidgety, distracted, uncooperative and it often leads to low self esteem. These behavior patterns very much mimic a child who is struggling with an attention deficit disorder. Please note the similarities between the signs and symptoms of visual challenges and those of ADHD:

Visual Challenges	Symptoms of ADHD
Short attention span Difficulty listening Disruptive behavior in class Struggles to focus when required to read or perform visual tasks Fidgety Struggles to complete homework in time Makes careless mistakes Struggles with reading Poor performance on written tests, despite good grasp of material Closes one eye when reading Skips letters/ words/ lines when reading	Short attention span Difficulty listening Disruptive behavior in class Struggles to focus Fidgety Struggles to complete tasks Difficult to remain seated Interrupts others Has difficulty awaiting their turn Blurts out answers Difficulty multitasking

Imagine if when you read, you need to close one eye the whole time that you’re trying to get through a paragraph. You may have been able to read from the eye chart perfectly and yet you are struggling when reading from a book and trying to keep up with your classmates. It would be no wonder if by the time you reached the end of reading a page you were tired and frustrated. It is important that a child who is considered to have an attention deficit must also be evaluated for visual challenges.

How do I know if my child is experiencing visual challenges?

When a child is diagnosed with, or suspected of having, an attention deficit, it is highly advisable to schedule an appointment with our developmental optometrist who will assess the child’s visual functions. This includes how the eyes work together as a team, eye tracking, visual perception, and eye focusing, just to name a few of the essential visual skills.

A child with an attention deficit is 3 times more likely to also struggle with a convergence insufficiency. Convergence insufficiency is a visual challenge that occurs when the eyes are not working properly together to be able to focus at near, such as when trying to read. The good news is that this very challenging visual obstacle can effectively be treated with vision therapy.

What is vision therapy?

Vision therapy involves a series of sessions in-office, which often include at home exercise as well. The child works with a professional vision therapist doing various activities and exercises which train the eyes to work together properly as a team and strengthens the communication that the eyes have with the brain. This yields very effective results as a child’s visual skills can constantly be developed and strengthened and this can truly have a positive effect on behavior patterns. When a child no longer has the visual obstacles preventing him or her from being able to keep up with the demands at school, he or she can finally thrive with their peers. Patients with functional vision issues visit our clinic from all over California, and we are proud to be a leading provider of functional vision services for patients from Bellflower, Long Beach, Lakewood, and Los Angeles.

Learn More

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Testimonials

I haven't actually used the optometrist side, so my review is limited to the vision therapy offered. This office was recommended by my occupational therapist for the treatment of my double vision following a stroke.

Claire A.

Love this location. I had a brain injury accident from day one one. All the team make you feel you still important and hope in the horizon after when the medical system fell you miserably. Dr. Ikeda very professional and very understanding about your issue. Two tombs up.

Jim K.

My husband and I were immediately impressed with Dr Ikeda. I was hit by a car while cycling which caused broken bones and three brain injuries. The brain injuries caused double vision. Dr. Ikeda examined my eyes and got me started on vision therapy with his occupational therapist who specializes in vision therapy. She (Chris) is absolutely great. I am impressed with the array of tools used to help recover my binocular vision. I am doing things I never thought were possible (balance boards etc). Chris pushes me and keeps me motivated. I really enjoy my sessions with her. The office staff is always friendly and they have a wonderful appointment reminder tool that makes it easy to keep my calendar up to date. I am happy the rehab center at Little Co. of Mary recommended them!!

Teresa S.

The Vision Therapy is handled in a separate office through a different door from the shared waiting room. Chris, the vision therapist, has a wide and varied assortment of tools, equipment and resources to best evaluate and treat most vision issues. After just a few visits, my double vision became easier to control, using exercises developed during the therapy process. It was time well-spent.

Joe M.

I have been coming here since I can remember. I love it here. The staff is so amazing and nice. They explain everything they gonna do and never make you feel rushed. Dr. Ikeda has always been my doctor and I would never want another one. He is the doctor for my whole family and is always asking how everyone is doing. I am also so crazy about picking out my frames and have to try so many and each person who helps me take the time and lets me try them all on. I would never want to go anywhere else! I definitely would recommend this office to anyone looking for a great eye doctor.

Kayla W.

This is not for the eye exam but for the frames selection portion. I brought my prescription from Kaiser here with my VSP insurance. The reception staff was very polite and professional. Manny helped me to pick out frames and explain my coverage. Very helpful and patient not like the individual at the other place I rated here on Yelp. I was running late and he still helped me and was not bothered at all. I am so glad I came here ..........very pleased.

Very professional staff and pleasant.