CHECKLIST OF VISION PROBLEMS

Student’s Name                                   APPEARANCE OF EYES   Reddened eyes or lids Eyes tear often Encrusted eyelids Frequent sties on lids              COMPLAINTS WHEN USING EYES   Headaches Burning Eyes Itching eyes  Nausea after reading Print blurs Double vision           OBSERVATION WHEN STUDENT READS   Head Movement Loses place often  Needs finger to keep place Omits words frequently Re-reads lines Skips lines Short attention span Fails to recognize some words  Confuses similar words            When Student Writes Writes up-or downhill   Repeats letters within words  Omits letters, numbers or phrases Misaligns digits Covers one eye Tilts head  Fails to recognize same word when repeated in text Fails to visualize Makes mistakes when copying from chalkboard Writing poorly spaced or crooked    Unable to stay on ruled lines Poor placement of words on page                                      OTHER PROBLEMS   Must feel things to understand Repeatedly confuses right and left Difficulty with similarities and differences Avoids desk work Blinks, squints, rub eyes Fatigues easily

Date                                Consult a Behavioral Optometrist   If any of the problems listed on the Checklist of Vision Problems is marked the child should be further evaluated by a behavioral optometrist.   Behavioral optometrists spend years in post-graduate, continuing education to master the complex visual programs prescribed to prevent or eliminate visual performance.   Not all optometrist practice behavioral optometry, which includes developmental and functional optometry. Yearly vision evaluations are recommended to make sure the vision system develops properly.   For more information on finding a behavorial optometrist in you area, pleas contact the Optometric Extension Program Foundation, Inc.   1921 E. Carnegie Ave. Suite 3-L Santa Ana, Ca 92705-5510 949-250-8070 oep@oep.org  www.oep.org   Parents Active for Vision Education (PAVE) is a resource for parent education and information on vision problems.   Based in San Diego, California, this national organization of the parent of children with learning-related vision problems provides support and shares it's educational insight in empathetic counsel that only parents who've already "been through the search for help for their children" can provide. Information is available at www.pavevision.org.