I recommend having him examined by a COVD optometrist. Our son needed a full year of vision therapy for both eye teaming issues and visual processing issues before he was able to get past the very first steps of learning to read.  The year of therapy made a huge difference for him. Â
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http://www.covd.org/
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I came back to add further explanation. He got stuck. He got phonics and could sound out words. He should have made progress from there, but was stuck for most of a year. Fluency does not come from getting really fast at sounding out words. It comes from remembering them after you have decoded them a few times. He was completely unable to do this. Like if a page had two lines of text, with the word cat on both lines, and then again on the next page and the next, he would laboriously sound out cat each time. This never changed and was happening with even the easiest words like up, and, sat, etc. He decoded the entire Bob books series, but could not remember a single word, ever.Â
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He also had problems with reversing letters and words (he would try to decode them backwards). His vision and eye teaming problems turned out to be severe. After those were treated, what was left were his visual processing problems and those became obvious then. He had almost no visual memory being used. He also had a problem with form constancy - having a consistent mental image of something - and visual closure - being able to figure out a whole image from some of the parts or recognize a part of the whole. He was truly unable to build any sort of "word bank" with the visual memory issue, and the form constancy and visual closure problems were making it very difficult for him to recognize what he was seeing.
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If your son has gone through the first steps of learning to read, but then continued consistent hard work does not lead to any progress at all over several months, that is when I would want to get vision, eye teaming, and visual processing checked out. A normal optometrist usually cannot test for these or recognize these problems. Our son tested at 20/30 after amblyopia treatment with a normal optometrist and we were told he had "no more problems". He had major problems, but the optomtrist did not have the expertise to recognize them.Â
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If you do look for a COVD evaluation, there is something else. Unfortunately, not all COVD optometrists go as far as visual processing. Some treat eye teaming issues but do not test for visual processing problems. If you look for a COVD optometrist, I would specifically ask if the therapies get into the area of visual processing. Our son's therapy would not have been very helpful overall if they had stopped before treating the VP issues. I would not waste time and money with a COVD optometrist who cannot see the therapy all the way through.
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Edited by PGTlatte - 7/17/11 at 4:05am