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question about developmental optometrist results

post #1 of 6
Thread Starter 
to get an idea of what's going on with my dd you can read this post:

http://mothering.com/discussions/sho...846&highlight=

i took her to a developmental optometrist and he did vision testing on her. for reference purposes she's almost 7 yo.

the results from the developmental optometrist showed she has tracking issues, directionality, and laterality issues. on the visual discrimination she scored the equivalent of a 13 year old (the highest you could get - she didn't miss any)... on visual memory (not requiring writing) she scored the equivalent of an 11 year old. but on the same section (visual) but a different subtest when she had to use her visual memory and recreate it on paper with pencil she scored as a 5 year old. the developmental optometrist said it's a concern since there is such a large discrepancy between that and her visual memory and discrimination (13 yo and 11 yo scores).

and on her fine motor skills she scored at age 7 so she has the fine motor capabilities.

for tracking she scored at age 5, laterality she scored age 7 but he said that that was being generous since she really had to think about which was her right and left, took her a little time to answer. and her directionality scored at 4 years and 7 months.

he did a dyslexia screening where she scored midly below her age level but he said he's not an educational professional and can't diagnose that, that we'd have to go to somebody who diagnoses dyslexia. but when he did the dyslexia screening i noticed the same issues of putting what she sees on paper... the words she could read by sight, a minute later she couldn't put them on paper. he wants to do vision therapy but i'm hesitant to pay $75 for 30 min. vision therapy sessions if she's dyslexic.


at this point i'm suspecting that either:

- her difficulties are due to eye functioning problems (not dyslexia) which could be fixed by the vision therapy.

or

- she has dyslexia and is able to compensate in reading b/c of her strong visual memory and discrimination capabilities. she reads somewhat well, problem is she skips small words, skips lines, and misreads small words. saw is was, from is form, there is three, house is mouse, who is how... etc...

she has less difficulty with really big words and i suspect it's because she's memorized how they look (visual discrimination/memory) if it's a word she doesn't know she can't seem to sound it out. if i use my fingers and box it in pieces to encourage her to sound it out she'll stare and stare at it. i always took this as her being difficult or trying to annoy me.

i'm going to schedule a meeting with her teacher and school principal to discuss these results. i'm really not sure where to go from here.
post #2 of 6
You might be interested in this article by the Eide's:
"Stealth Dyslexia"
http://www.davidsongifted.org/db/Articles_id_10435.aspx

It seems that they have another couple of ways they've presented this info. I don't know if there is any different or additional content:

slide show
http://www.slideshare.net/drseide/st...ildren-1565818

youtube video
http://www.youtube.com/watch?v=8-h_0fitlrs
post #3 of 6
Have you had a full neuro psych work-up? I briefly saw your other thread, but I wasn't clear if this was a full work-up, or just selected tests for a gifted program? I also noted that the testing, and possibly interpretation was done by students. I'd be looking for a solid, experienced neuropsych.

As a mom of a very complex child w/dyslexia, and scores all over the place, literally from high high's to low low's, I can attest to how complex a matter it is to figure out exactly what's going on. Maturity was a really big factor here as well. We did look at vision therapy for convergence insufficiency, but in the end didn't choose to pursue it. I can tell you that the combination of specific instruction and maturation were what was needed, despite hearing that dd wouldn't be able to read w/out the vision therapy. Not meaning to doubt your choices, but sometimes that full neuro sheds more light on the issues.
post #4 of 6
Quote:
Originally Posted by karne View Post
sometimes that full neuro sheds more light on the issues.
I really agree with this. Dyslexia was ruled out with our ds, but there are days that I really wonder about that. He has amazing ways of compensating, and even his vision issues were undetected early on when we met with a neuropsych. A couple of years later, he couldn't compensate nearly as well.

A second opinion would likely be helpful - especially with someone skilled with 2E, since the optometrist can not dx dyslexia.
post #5 of 6
I agree with both PPs about the neuro psych. I was ruled out as having dyslexia as a child since my reading was not impaired, but I have very marked dyslexia that is very apparent when converting visual data into written data (i.e. I can not copy from a board, or power point).

A full neuropsych eval is the way to go.
post #6 of 6
If she has tracking issues that alone would make me want to work on this. Does she? I can't see adding that to the picture wouldn't be an issue dyslexia or not. My son made huge improvement w/vision therapy though he had pretty severe tracking and convergence issues.
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