What Is Vision Therapy?

Vision therapy is very often overlooked in children with autism spectrum disorder, ADHD, Sensory Processing Disorder or learning disabilities. Too often parents just assume that particular behaviors or symptoms their child displays are related to their child’s diagnosis, when in fact they are developmental vision problems or visual dysfunction.

Think of vision therapy as neurological training or rehabilitation for the entire visual system: eyes, brain and body. It can be a game changer for many children. Visual symptoms can occur if there are genetic (crossed-eyes, wandering eye) or environmental factors such as:

  • Stress
  • Trauma to the nervous system
  • Poor sensorimotor development
  • Heavy metal toxicity
  • Concussion
  • Traumatic birth
  • High fever
  • Surgery

Vision Therapy Program

Vision therapy is provided by a behavioral/developmental optometrist (OD) who creates a 30-minute, once-or-twice-a-week, individualized supervised program of vision exercises that focus on:

  • Visual activities
  • Motor development
  • Visual-motor integration
  • Spatial awareness
  • Visual perception
  • Memory
  • Focus
  • Concentration
  • Hand-eye coordination
  • Perceptual-cognitive deficiencies

Supplemental visual activities are typically done at home a few days a week for more reinforcement.

Vision Therapy Goals

Typical vision-therapy goals for children are:

  • To be able to use their two eyes together simultaneously and effectively
  • To integrate vision with movement using other senses automatically without struggle and effort
  • To develop or improve fundamental visual skills and abilities
  • To improve visual comfort, ease and efficiency
  • To change how a child processes or interprets visual information

Linking up the Brain Hemispheres

One of the key goals of this therapy is to have children process information with both eyes simultaneously. When the left and right hemispheres in the brain are working together more efficiently, then so do the eyes!

Simple tasks such as throwing and catching a ball or putting pegs in holes on a board or throwing bean bags at a target, can now be accomplished. More sophisticated functions such as visual-motor skills (writing, reading), organizational skills, the ability to process language and gain visual thinking skills will all develop gradually.

Benefits of Vision Therapy

Vision therapy can also help academically by improving:

  • Math skills
  • Reading skills
  • Spelling skills
  • Homework
  • Writing skills
  • Handwriting skills

After numerous vision therapy sessions, children may experience:

  • Lower frustration
  • Less anger
  • Fewer non-compliant behaviors
  • Fewer meltdowns
  • Improved self-esteem
  • Improved academic improvement
  • Better self-confidence

Many children with autism may not show any interest in learning how to read and handwrite because they have difficulty with eye contact, are unable to focus because of poor tracking abilities and poor hand eye-coordination. Vision therapy and Handwriting without Tears done together can help tremendously with children with autism.

Who Benefits from Vision Therapy

Who are the children that can benefit from vision therapy? Children with:

Still Looking for Answers?

Visit the Documenting Hope Practitioner Directory to find a practitioner near you.

Join us inside our online membership community for parents, Healing Together, where you’ll find even more healing resources, expert guidance, and a community to support you every step of your child’s healing journey.

Sources & References

Bakroon, A., et al. Visual function in autism spectrum disorders: a critical review. Clin Exp Optom. 2016 Jul;99(4):297-308.

Bellato, A., et al. Association between ADHD and vision problems. A systematic review and meta-analysis. Mol Psychiatry. 2023 Jan;28(1):410-422.

Bertone, A., et al. Enhanced and diminished visuo-spatial information processing in autism depends on stimulus complexity. Brain. 2005 Oct;128(Pt 10):2430-41.

Chang, M.Y., et al. Prevalence of Ophthalmologic Diagnoses in Children With Autism Spectrum Disorder Using the Optum Dataset: APopulation-Based Study. Am J Ophthalmol. 2021 Jan:221:147-153.

Davis, R.A.O., et al. Subjective perceptual distortions and visual dysfunction in children with autism. J Autism Dev Disord. 2006 Feb;36(2):199-210.

DeCarlo, D.K., et al. Prevalence of attention-deficit/hyperactivity disorder among children with vision impairment. J AAPOS. 2014 Feb;18(1):10-4.

De Jonge, M.V., et al. Visual information processing in high-functioning individuals with autism spectrum disorders and their parents. Neuropsychology. 2007 Jan;21(1):65-73.

Egset, K., et al. Magno App: Exploring Visual Processing in Adults with High and Low Reading Competence. Scandinavian Journal of Educational Research. 07 Jan 2020.

Franklin, A., et al. Reduced chromatic discrimination in children with autism spectrum disorders. Dev Sci. 2010 Jan 1;13(1):188-200.

Grigg. T.M., et al. Primitive Reflex Integration and Reading Achievement in the Classroom. Journal of Neurology and Experimental Neuroscience. 2023; 9(1), 18-26.

Ho, J.D., et al. Associations between attention-deficit/hyperactivity disorder and ocular abnormalities in children: a population-based study. Ophthalmic Epidemiol. 2020 Jun;27(3):194-199.

Kaplan, M., et al. Strabismus in Autism Spectrum Disorder. Focus on Autism and Other Developmental Disabilities. 1999.

Koh, H.C., et al. Spatial contrast sensitivity in adolescents with autism spectrum disorders. J Autism Dev Disord. 2010 Aug;40(8):978-87.

Johnson, B.P., et al. Ocular motor disturbances in autism spectrum disorders: systematic review and comprehensive meta-analysis. Neurosci Biobehav Rev. 2016 Oct:69:260-79.

Khanna, R.K., et al. Ophthalmological findings in children with autism spectrum disorder. Graefes Arch Clin Exp Ophthalmol. 2020 Apr;258(4):909-916.

Little, J.A. Vision in children with autism spectrum disorder: a critical review. Clin Exp Optom. 2018 Jul;101(4):504-513.

Maron, D.N., et al. Oculomotor deficits in attention deficit hyperactivity disorder (ADHD): a systematic review and comprehensive meta-analysis. J Autism Dev Disord. 2006 Feb;36(2):199-210.

Milne, E., et al. Vision in children and adolescents with autistic spectrum disorder: evidence for reduced convergence. J Autism Dev Disord. 2009 Jul;39(7):965-75.

Mouridsen, S.E., et al. Eye Disorders among Adult People Diagnosed with Infantile Autism in Childhood: A Longitudinal Case Control Study. Ophthalmic Epidemiol. 2017 Oct;24(5):332-335.

Padula, W.V., et al. Modifying postural adaptation following a CVA through prismatic shift of visuo-spatial egocenter. Brain Inj. 2009 Jun;23(6):566-76.

Padula, W.V., et al. Risk of fall (RoF) intervention by affecting visual egocenter through gait analysis and yoked prisms. NeuroRehabilitation. 2015;37(2):305-14.

Padula, W.V., et al. The consequence of spatial visual processing dysfunction caused by traumatic brain injury (TBI). Brain Inj.. 2017;31(5):589-600.

Padula, W.V., et al. Visual evoked potentials (VEP) evaluating treatment for post-trauma vision syndrome (PTVS) in patients with traumatic brain injuries (TBI). Brain Inj. 1994 Feb-Mar;8(2):125-33.

Perna, J., et al. Association between Autism Spectrum Disorder (ASD) and vision problems. A systematic review and meta-analysis. Mol Psychiatry. 2023 Dec;28(12):5011-5023.

Reimelt, C., et al. The underestimated role of refractive error (hyperopia, myopia, and astigmatism) and strabismus in children with ADHD. J Atten Disord. 2021 Jan;25(2):235-244.

Robertson, C.E., et al. Tunnel vision: sharper gradient of spatial attention in autism. J Neurosci. 2013 Apr 17;33(16):6776-81.

Sarno, S., et al. Electrophysiological correlates of visual impairments after traumatic brain injury. Vision Res. 2000;40(21):3029-38.

Simmons, D.R., et al. Vision in autism spectrum disorders. Vision Res. 2009 Nov;49(22):2705-39.

Song, Y., et al. Can they see it? The functional field of view is narrower in individuals with autism spectrum disorder. PLoS One. 2015 Jul 23;10(7):e0133237.

Su, C.C., et al. Incidence and risk of attention-deficit hyperactivity disorder in children with amblyopia: a nationwide cohort study. Clin Exp Ophthalmol. 2019 Mar;47(2):259-264.

Van der Hallen, R., et al. Global Motion Perception in Autism Spectrum Disorder: A Meta-Analysis. J Autism Dev Disord. 2019 Dec;49(12):4901-4918.

Wang, J., et al. Refractive Status and Amblyopia Risk Factors in Chinese Children with Autism Spectrum Disorder. J Autism Dev Disord. 2018 May;48(5):1530-1536.

Whatham, A., et al. Vitamin and mineral deficiencies in the developed world and their effect on the eye and vision. Ophthalmic Physiol Opt. 2008 Jan;28(1):1-12.

Resources
Articles

Move, Play, Thrive: Vision Doctor on Rhythmic Movements + Research about Visual Processing Issues.

Books

Hellerstein, Lynn. 50 Tips to Improve Your Sports Performance. HiClear Publishing LLC, 2013.

Hellerstein, Lynn. Expand Your Vision Beyond Sight.HiClear Publishing LLC, 2012.

Hellerstein, Lynn. Organize It. HiClear Publishing LLC, 2010.

Hellerstein, Lynn. See It, Say It, Do It. HiClear Publishing LLC, 2012.

Lemer, Patricia S. Envisioning a Bright Future: Interventions That Work for Children and Adults with Autism Spectrum Disorders. Optometric Extension Program Foundation, 2008.

Websites

College of Optometrists in Vision Development (COVD)

Join Healing Together

The official science-backed healing program from Documenting Hope!

Latest Articles