Binocular Vision Disorders
What is a Developmental Vision Evaluation?
A comprehensive eye exam is recommended for all children (6-18 years) before they start school and every year while they are in school. This yearly check-up is designed to test how healthy your eyes are and to see if glasses or contact lenses are needed. The routine eye exam does not test all of the 17 visual skills required for academic success. If any of these visual skills are deficient, reading and learning can become an unnecessary challenge.
When a someone struggles with reading and learning or is not achieving to full potential, a Developmental Vision Evaluation is needed. Anyone who has an eye turn or lazy eye (strabismus or amblyopia) or who has had a concussion or head injury would also require this more in-depth testing. Our Developmental Vision Evaluation goes beyond testing for 20/20 vision and evaluates ALL the visual skills critical to reading and learning, such as:
- Visual Acuity at Near
Is vision clear and single at close distances? Clear sight at short distances is critical to reading, writing, close work, computer use, etc. - Eye Teaming Skills
Do the two eyes aim, move, and work as a coordinated team? Weaknesses in binocular (two-eyed) vision and eye teaming skills can cause numerous difficulties, including convergence insufficiency and poor depth perception. - Eye Focusing Skills
Do the eyes maintain clear vision at varying distances? Rapid, automatic eye focus adjustment is critical to learning, reading, writing, sports, etc. Deficiencies can cause visual fatigue, reduced reading comprehension, and/or avoidance of close work or other activities. - Eye Movement Skills
Do eye movements show adequate muscle control, tracking, fixation, etc.? In the classroom, normal eye movements allow rapid and accurate shifting of the eyes along a line of print or from book to desk to board, etc. In sports, efficient eye movements contribute to eye-hand coordination, visual reaction time, and accurate tracking. - Reversal Frequency
Is confusion or reversal of letters or words (b, d; p, q; saw, was; etc.) within the normal ranges for a given age? Past the age of seven, frequent visual and written reversals might indicate a visual perceptual dysfunction. - Visual Information Processing
Most people don’t realize that our eyes are actually part of the brain and that the information that our eyes see has to be transmitted to the brain for us to understand what we are looking at. When children are making reversals or seem to be seeing things backwards, have difficulty recognizing the same word twice (on next page), have trouble with visual memory such as remembering what they read or have trouble copying from the board, a visual information processing evaluation is often recommended.
WJZ-TV Healthwatch on How Vision Therapy helped our patient who was labeled as “Lazy” 
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Our patient's reviews and successes!
"My son has been receiving vision therapy for approximately 4 weeks and we are seeing improvements in his reading/decoding abilities. The office staff are so welcoming and accommodating. Dr. Kotlicky was very thorough and explained results in great detail".
"Finally I understand what's happening with my child when she says she's struggling with reading. Friendly receptionist, comfortable visit. The doctor made my daughter feel very comfortable throughout."
"Kind, patient, caring man, who really listened to my daughter and me. At age 5, we did our initial visit and exam, since as her Mom, I had convergence issues. The results implied we should come back at age 8 to re-examine since some "issues" came up. Well we returned at age 8, and her exam revealed no need for vision therapy! That proves an honest doctor to me. He could have easily steered the ship another direction if he weren't honest."
"After years of trying other band aid approaches to clarifying my son's learning issues, we have found the root of the problem."
“Has fewer headaches, less double vision and wants to read!” 8 year old
“8 weeks of vision therapy has done more than all 3 years of tutoring. Since Harry started therapy he has had more confidence in himself. After 12 visits, he started reading out loud to us, which he hated to do before. According to Harry, the words have stopped moving around and they don’t go upside down anymore. He writes neater and is enthusiastic about participating in class.” 10 year old
“His reading is much more fluid – he can read longer before losing his place or becoming fatigued. He is also beginning to improve in his comprehension of math problems – even doing some independently, which never happened prior to VT.” 8 year old
