DEVELOPMENTAL OPTOMETRY

In the Winter 1986 NOHA NEWS, Dr, Paul Dunn mentioned using developmental optometry as one aspect of the evaluation and treatment of children with learning disabilities. We had an enthusiastic reply giving more information about this particular subject:

Developmental optometry postulates vision skills, excluding some refractive errors, are not innate, but are learned as the child grows and develops. [A few of these skills are] eye movements; focus ability; convergence (to keep images single), and visual memory.


Developmental optometry postulates vision skills, excluding some refractive errors, are not innate, but are learned as the child grows and develops.


Groundwork for developmental optometry was laid at the Yale University Clinic of Child Development in studies done from 1941 to 1948 under the supervision of Dr. Arnold Gessell, world famous developmental pediatrician . . . In these optometric studies, norms were established for those visual functions which develop at different ages. These studies culminated in the publication, in 1949, of the landmark book, Vision: Its Development in Infant and Child.

Typically, children with problems in their vision development may have some of the following behaviors: poor general coordination; poor eye-hand coordination (cutting, pasting, tying shoelaces, catching or throwing a ball); must feel things to "see" them (a toucher); confusion of letters or words; . . . may squirm, fidget, and be hyperactive. . . . Furthermore, these children will frequently score at least ten points higher in the verbal sub-tests of the Wechsler Intelligence Scale for Children (WISC) than in the performance sub-tests. [They are usually labeled perceptually-handicapped or learning disabled. On the other hand, they often have good distance vision and healthy eyes.] The usual opthamological evaluation will indicate "nothing wrong."


we must not ignore the chemical (including nutritional) aspect and the total sensori-motor part of the evaluation and treatment


In concentrating on this one discipline, we must not ignore the chemical (including nutritional) aspect and the total sensori-motor part of the evaluation and treatment of these children.

Article from NOHA NEWS, Vol. XI, No. 2, Spring 1986, page 3.