Skip to main content


Home »

Vision Therapy

Can Vision Therapy Help Myopia?

Can Vision Therapy Help Myopia 640You may have heard of vision therapy in the context of helping adults and children with a lazy eye, eye turn, or learning difficulties.

But did you know that in some cases, vision therapy may also be effective in preventing, reducing, or slowing myopia (nearsightedness)?

While it’s true that scientists haven’t yet found a cure for myopia, vision therapy may help by targeting certain contributing factors of myopia.

To assess whether vision therapy is right for your child, call Dr. Terry Tsang Optometry, Inc. in Irvine today.

But First, How Does Vision Therapy Work?

To give you a better sense of what vision therapy is, here are some facts. Vision therapy:

  • Is a non-invasive set of visual exercises tailored to your specific needs
  • May involve the use of specialized prisms or filters, computerized aids, balance beams, and other therapeutic tools
  • Trains the brain and eyes to work as a team
  • Develops visual skills like eye tracking, teaming, accommodation, convergence, visual processing, visual memory, focusing, and depth perception
  • May involve an at-home component, like daily visual exercises
  • Is evidence-based. Published data has shown that it can be an effective program to improve reading, learning, overall school and sports performance

How Does Vision Therapy Relate To Myopia?

While vision therapy may not be able to fully reverse or treat myopia, some nearsighted people appear to benefit from it.

Some vision therapists have reported patients’ myopia improvement during or after the vision therapy process. This may be due to a strengthened visual skill called accommodation—the eyes’ ability to maintain clear focus on objects. Poor focusing skills have been linked to myopia. In fact, research shows that having an accommodation lag (when the eyes can’t pull the focus inwards enough to clearly see a very close object) could be a risk factor for myopia development and progression. That said, it’s worth noting that research findings are still mixed on this matter.

Accommodative spasm, also known as “pseudo-myopia,” occurs when the eyes lock their focus on a near object and then have difficulty releasing the focus to view distant objects. The reason this is considered a false myopia is because it has to do with the focusing mechanism of the lens rather than the elongation of the eye, the main characteristic of myopia.

Pseudo-myopia can be treated with vision therapy, assuming the accommodation spasm is the only culprit for blurred distance vision. In this case, the patient may no longer need to wear prescription lenses for vision correction following a successful vision therapy program,

So what’s the bottom line?

In some cases, vision therapy may be able to improve a person’s blurry vision—but research on the subject is ongoing.

If you or your child has myopia and you’re curious as to whether vision therapy can help, schedule a functional visual assessment for your child.

To schedule your appointment with Dr. Terry Tsang, call Dr. Terry Tsang Optometry, Inc. today.

Frequently Asked Questions with Dr. Terry Tsang

 

Q: #1: Who can benefit from vision therapy?

  • A: Children and adults with visual dysfunction can benefit from a personalized program of vision therapy. Visual dysfunction can manifest in many ways, including—but not limited to—behavioral and learning problems, coordination difficulties, headaches, dizziness, nausea, anxiety, and attention deficits.

Q: #2: Do all optometrists offer vision therapy?

  • A: No. You should only seek vision therapy from a qualified optometrist experienced in offering vision therapy for a variety of visual disorders. Other types of therapists sometimes claim to offer vision therapy, but only an eye doctor can prescribe the necessary visual treatments for optimal results.
  • Dr. Terry Tsang Optometry, Inc. serves patients from Tustin, Lake Forest, Newport Beach, Mission Viejo, and throughout California.

Request A Functional Visual Exam
Find Out How We Can Help You! 949-870-2763

Common Visual Symptoms to Watch for in Children

kid playing outside 640People often believe that if a child has 20/20 vision, they have perfect eyesight. This isn’t always the case. Having 20/20 eyesight refers to the ability to see clearly from 20 feet away. This doesn’t guarantee that a child has the visual skills needed to read properly, pay attention in class, writing, and other tasks required for academic success.

It may surprise you that many students who show signs of a learning difficulty actually have a vision problem. According to the National PTA, approximately 10 million school-age children suffer from vision problems that make it more difficult for them to learn in a classroom setting.

If your child is struggling in school, Dr. Terry Tsang can determine whether the problem is related to their vision and provide a vision therapy program to help them succeed.

Vision Screenings vs Comprehensive Eye Exam

While school vision screenings might detect significant lazy eye or myopia, they miss many other vision problems, such as issues with focusing, depth perception, or eye tracking.

A comprehensive eye exam, on the other hand, checks for farsightedness, nearsightedness, astigmatism, eye focusing abilities, eye tracking, eye focusing, visual skills, binocular eye coordination, and visual processing.

What Signs Should Parents and Teachers Look For?

Below is a list of signs and symptoms indicating that a child may be experiencing vision difficulties:

  • Difficulty paying attention
  • Complains of frequent headaches
  • Difficulty with comprehension
  • Complains of double or blurry vision
  • Makes errors when copying from the board
  • Reads below grade level
  • Holds reading material close to the face
  • Reverses words or letters while reading or writing
  • Loses place or skips words when reading
  • Confuses or omits small words while reading
  • Rubs eyes
  • Slow to finish written assignments
  • Frequently squints
  • Tilts head or covers one eye
  • Spelling difficulties
  • Uses finger pointing when reading

How Does Vision Therapy Help?

Vision therapy is a personalized treatment program designed to strengthen and improve your child’s visual skills.

Each vision therapy program is customized to your child’s needs and may include specialized lenses, filters, or prisms, alongside personalized eye exercises to help retrain the brain-eye connection and improve your child’s school performance.

If you think a vision problem may be affecting your child’s academic performance, vision therapy may provide them with the necessary visual skills to succeed in school.

Frequently Asked Questions with Our Vision Therapist in Tustin, California

Q: How do vision problems impact learning?

  • A: A child’s vision problem can impact all aspects of learning. Often, children with vision problems are told they have a learning difficulty, when in fact, their brain isn’t properly processing what their eyes see. Vision problems can affect a child’s reading skills and comprehension, handwriting, spelling, classroom performance, concentration and attention, and visual skills.

Q: Does my child have a vision problem?

  • A: Discovering a vision problem in children can be difficult, as they may lack the verbal skills to describe what they’re experiencing or may not realize that they have a vision problem.Common indicators that your child may have a vision problem include:
    – Covering one eye
    – Behavioral problems
    – Reading avoidance
    – Difficulties with reading comprehension
    – Frequent blinking
    – Excessive fidgeting
    – Limited attention span
    – Reading below school grade level
    – Tilting head to one side



If your child displays any of these signs, make sure you set up a visit to an eye doctor at Dr. Terry Tsang Optometry, Inc. to evaluate their visual skills and find out whether your child could benefit from vision therapy.

Dr. Terry Tsang Optometry, Inc. serves patients from Tustin, Lake Forest, Newport Beach, and Mission Viejo, all throughout California.

Request A Functional Visual Exam
Find Out How We Can Help You! 949-870-2763

Should My Child See An Occupational Therapist Or A Vision Therapist?

vision therapy 640Parents of a child struggling to keep up at school will do almost anything to get their child the help they need. But parents don’t always know what kind of help the child needs, and from whom.

School administrators often recommend that parents bring their children to an occupational therapist (OT) to help cope with behavioral or learning problems, not realizing that the problems may stem from underdeveloped visual skills, which can be improved with a program of vision therapy (VT).

Below, we’ll explain how OT and VT differ, and offer some guidance for parents and educators. For more information or to schedule an appointment for your child, contact Dr. Terry Tsang Optometry, Inc. today.

What’s the Difference Between OT and VT?

The truth is that OT and VT have a notable amount of overlap, but there are a few key differences.

Occupational therapists help people of all ages to gain/regain the ability to perform various daily tasks through the use of sensory-motor exercises and interventions. OT aims to improve gross and fine motor coordination, balance, tactile awareness, bilateral awareness, and hand-eye coordination.

Vision therapists help children and adults with poor visual skills to improve the functioning of the visual system and strengthen the eye-brain connection. Doing so can alleviate many symptoms like headaches, eye strain, dizziness, and even anxiety.

Examples of visual skills are eye teaming, tracking, focusing, depth perception, visual processing, and visual-motor skills.

How does a visual deficit look in a real world situation?

A child (even with 20/20 eyesight) may need to read a sentence several times in order to understand its meaning, or tilt their head to read the whiteboard, or may try to avoid doing any visually demanding activities. Poor performance in school and on the playing field can often be attributed to visual skill deficits.

Which Therapy Is Right For Your Child?

If a child’s visual system is the underlying cause of behavioral or learning problems, then a personalized vision therapy program may be all they need to get back on track.

So, when should you consider vision therapy for your child? The answer is simple.

If your child is struggling in school or while playing sports, have them evaluated by a vision therapist first. If they have any trouble performing visually demanding tasks like homework, reading, spelling, sports, or complain of headaches — bring them to a vision therapist for an evaluation.

The bottom line is this: no other practitioner can offer the same quality and expertise as a doctor of optometry when it comes to healing the visual system.

OT’s sometimes perform visual exercises with children, but only an eye doctor experienced in vision therapy can prescribe therapeutic lenses, prisms, and filters that greatly enhance the healing process.

It’s also important to note that not every optometrist is trained in vision therapy. You’ll want to choose an eye doctor with experience in diagnosing and treating people of all ages with all types of visual dysfunction.

Additionally, even if your child passes the school’s vision screening, they may still have a problem with visual processing and other skills. School vision screenings only test for visual acuity (eyesight) and neglect the other very important visual skills that enable a child to succeed.

Since the visual system is highly integrated with other systems, an interdisciplinary approach is often the most effective. OT and VT don’t always have to be undertaken simultaneously, but some children benefit from this type of holistic approach.

If your child is struggling with learning or behavioral problems, their vision could be an underlying cause or contributing factor. To schedule your child’s functional visual evaluation, contact Dr. Terry Tsang Optometry, Inc. today.

Frequently Asked Questions with Our Vision Therapist

Q: My child is struggling in school. Should I have his/her eyes examined?

  • A: A comprehensive eye examination by an optometrist can often determine if there are visual issues interfering with a child’s ability to perform in school. Many visual symptoms, some obvious, others less so, can contribute to a child’s poor academic achievement. Some of these issues can be alleviated with a good pair of eyeglasses while others may require vision therapy. All the doctors at Eye Vision Associates are trained in the diagnosis of vision related learning problems.

Q: What are some of the learning difficulties a child may encounter if they have vision issues?

  • A: Children may have difficulty reading if their near vision is blurry or the words jump around the page. Older children may have difficulty copying from the board at the front of the class or may struggle with math homework that has multiple questions on the page.

We encourage you to contact Dr. Terry Tsang Optometry, Inc. today for a vision therapy evaluation to assess if their vision is what has held them back in their studies.

Dr. Terry Tsang Optometry, Inc. serves patients from Tustin, Lake Forest, Newport Beach, and Mission Viejo, all throughout California.


 

Request A Functional Visual Exam
Find Out How We Can Help You! 949-870-2763

How Vision Therapy Impacts Confidence & Success

Mom Daughter Child Eye HealthBuilding confidence in children is critical to their success. However, children with poorly developed visual skills tend to lack confidence in their abilities. They may struggle to keep up in school, finding it difficult to concentrate in the classroom, or be unable to catch a ball when playing on the sports field.

Fortunately, vision therapy can help children (and adults) develop the specific visual skills they lack, offering them the best opportunities to enhance their comprehension, increase their reading level and attention span, and improve their sports performance.

This, in turn, directly impacts their confidence levels.

How Does Vision Therapy Work?

The primary goal of vision therapy is to improve the child’s visual skills. A child can have 20/20 vision and yet have underdeveloped visual skills. Poor visual skills impede the ability of the eyes, brain, and body to work as a team. Vision therapy develops and enhances this communication, allowing people with visual dysfunction to process and react to visual information faster and more efficiently.

Vision Therapy Process

A vision therapy program consists of visual exercises specifically tailored to the patient’s individual visual needs. Depending on the type and level of visual dysfunction, the eye doctor will prescribe a personalized program of exercises to develop the communication between the brain and the visual system. Eye doctors also use tools such as specialized optical lenses, eye patches, prisms, balance boards, and digital simulations to train the brain-eye connection.

Visual Skills

There are several visual skills that vision therapy helps to improve. These include:

  • Saccades – the eyes’ ability to move quickly or “jump” between two or more focus points. This skill is crucial for reading, as children need to be able to move their eyes along a straight line without straying to other lines.
  • Pursuits or Tracking – the eyes’ ability to smoothly track a moving target. This skill allows a child’s eyes to glide along with a page and also to catch, hit, or kick a moving ball.
  • Convergence – the eyes’ ability to work together as a team in order to focus on a nearby object like a book or computer screen..
  • Accommodation Flexibility – the eyes’ ability to continuously change focus between near and distant objects. This is the skill required when a child looks at the blackboard and then copies the writing into a notebook.
  • Accommodation – The eyes’ ability to maintain focus on close-up activities. This skill is needed for homework and for using a computer for many hours.
  • Visual Memory – The ability to remember words and information. Good visual memory is essential for spelling.
  • Color Perception – The ability to distinguish between various colors. This skill is essential for the accurate interpretation of color-coded materials, such as graphs and charts.
  • Fine Visual-Motor – The ability to engage in close-up activities with accuracy and comfort. This skill is needed for reading, writing, cutting with scissors, and assembling a puzzle.
  • Visual Integration – The ability to combine your vision with your other senses to perform complex tasks. This skill is required to process various forms of visual information accurately and quickly. Visual integration is crucial for a student copying from the board and analyzing the information.

Confidence And Success Building

Developing visual skills can help children meet the demands of school, improve their grades, and allow them to gain confidence in the classroom. Vision therapy can also lead to improved hand-eye coordination and allow them to have more fun on the sports field. In fact, vision therapy can be a key component in preparing children for higher education. As they master new skills, they feel more confident in their abilities.

Keep in mind that school eye screenings and most regular eye exams evaluate eyesight, but do not assess the essential visual skills required for sports, reading, and learning. Only a comprehensive vision exam can determine whether a child has poor visual skills. Contact Dr. Terry Tsang Optometry, Inc. to book a vision exam to assess your child’s visual skills. We can create a tailor-made vision therapy program to help your child succeed and reach their full potential.

Request A Functional Visual Exam
Find Out How We Can Help You! 949-870-2763

Why Vision Therapy Provides Lasting Correction For Strabismus – Eye-Turn

cat strabismusStrabismus, more commonly referred to as “cross-eye” or “eye turn,” is a condition where the eyes don’t point in the same direction. While many people choose to correct the condition with surgery, the problem often persists, leaving many patients with little to no improvement. A better, more holistic approach is a personalized vision therapy program like the one offered at Dr. Terry Tsang Optometry, Inc.. If you or a loved one is experiencing even a slight eye-turn, speak with Dr. Terry Tsang to determine if vision therapy can help you.

What Is Strabismus?

The terms “eye-turn” and “lazy-eye” are often confused, but they are two different conditions. Strabismus refers to an eye-turn, a condition that can be constant or occur only sporadically. The eyes don’t move in unison, so when the brain receives a different image from each eye, it can’t form a unified image. To cope with the conflicting messages, the brain may suppress, or “turn off,” one of the images. As a result, the suppressed eye will not develop the same coordination with the brain as the stronger eye, which can lead to permanent visual loss or even blindness in the weaker eye, and several other serious visual problems.

Strabismus can manifest in different ways and with varying degrees of magnitude. Each case is unique, and your optometrist can provide clarity on your particular condition at your next eye exam.

What Are Common Symptoms of Strabismus?

When the eyes aren’t aligned, certain symptoms can arise. Aside from the eyes being visibly misaligned, someone with strabismus may squint or tilt their head in order to avoid seeing double. An eye-turn also negatively affects depth perception, making driving or playing sports challenging.

Children with strabismus may close or cover one eye when trying to read the board in the classroom, or while focusing on distant objects. They may have poor grades and be reluctant to participate in team sports due to a lack of visual skills. Often, children with visual difficulties are mistakenly diagnosed with a learning or social disorder when their vision is the problem.

Why Is Vision Therapy a Better Treatment Than Surgery?

The primary reason that surgery isn’t the ideal strabismus treatment is that it ignores the source of the problem: the connection between the brain and the affected eye. Surgeons will try and move the point of the muscle’s attachment to the eye in the hope that this will straighten the affected eye. While this method can at times be effective, many patients are left needing a second or even third surgery because the first hasn’t produced the necessary improvement. Additionally, surgery is invasive and poses risks of infection and other surgical complications.

In the event that surgery is the best option, optometrists often recommend a program of vision therapy either before or after the surgery. This program provides the best opportunity for the misaligned eye to develop connectivity to the brain and stay in the correct position.

In contrast to surgery, optometric vision therapy trains the brain and eye to work together to achieve long-lasting results. By developing this eye-brain connectivity, the long term goal is for eyes to work in unison and ultimately achieve 3D vision.

If you or your child have been diagnosed with strabismus, call Dr. Terry Tsang Optometry, Inc. to schedule an eye exam with Dr. Terry Tsang and start your journey to healthy vision.

Why Does Vision Therapy Help with Strabismus from EyeCarePro on Vimeo.

Dr. Terry Tsang Optometry, Inc. provides vision therapy and other services to patients from Tustin, Lake Forest, Newport Beach, Mission Viejo, and throughout California.

 

Request A Functional Visual Exam
Find Out How We Can Help You! 949-870-2763

Treating Your Non-Reader With Vision Therapy

toddler reading book 1257105 (1)The following scenario may sound familiar. It’s a school night and your child has a reading assignment which he or she refuses to complete. You plead with your child, offering to read it together or incentivizing with a reward. No matter what you do, your child just wants to watch TV or play yet another video game.

Perhaps you’ve already consulted with your child’s teacher, school counselor, and pediatrician about the reading difficulties, just to be told that all seems normal — yet you remain concerned. At Dr. Terry Tsang Optometry, Inc., we understand the challenges for parents and children that accompany reading difficulties, and we’re here to help.

A functional visual evaluation with Dr. Terry Tsang will determine whether the child’s visual system may actually be at the root of your child’s reading and learning struggles. If a visual problem is hindering your child from reaching their potential, the vision therapy program offered at Dr. Terry Tsang Optometry, Inc. can help turn your child into a proficient reader.

Request A Functional Visual Exam
Find Out How We Can Help You! 949-870-2763

Visual Skills Necessary For Reading

There are many visual skills that contribute to academic success. One of the least important skills is termed visual acuity (clarity, sharpness), also known as 20/20 vision, this only assesses how well a child sees at twenty feet away and is part of basic vision screenings in schools and most regular eye exams. However, how well a child sees at a distance of twenty feet has little to do with how well their visual system performs at the reading and learning distance — approximately 11 to 16 inches from the face.

More relevant visual skills required for reading include eye-tracking, eye-teaming, convergence, accommodation, and visual fixation. These skills are assessed during a functional visual evaluation. In simpler terms — both eyes need to work together, move at the same pace, and provide a single and clear image for the brain to interpret. Imagine trying to read when the words are blurry or even doubled? Vision therapy is a customized program to improve these visual skills by training the brain to improve these visual skills —thereby significantly improving the child’s reading, learning, and performance at school.

Early Signs of a Struggling Reader

Although detecting a child’s visual problem can be difficult — either because he or she may not complain about their vision or simply lack the communication skills needed to describe their struggles — several signs may indicate an underlying vision problem. If your child exhibits any of the following behaviors, it may be time to get a functional vision evaluation with Dr. Terry Tsang.

  • Reading below grade level
  • Low attention span or excessive fidgeting
  • Behavioral issues caused by frustration
  • Resistance to attend school or do homework
  • Shying away from reading out loud or avoiding reading altogether
  • Struggling to summarize or remember what was just read
  • Teachers may notice the child takes frequent bathroom breaks during activities involving reading
  • Covering one eye, head-tilting, or frequently blinking when looking at far-away objects, such as a blackboard
  • Headaches after reading

How Does Vision Therapy Work?

Vision therapy focuses on improving the child’s visual skills. These visual skills, just like walking and talking, are learned skills that can be trained and improved. The brain’s neuroplasticity allows for new learning pathways to be created, making it possible for a child to gain visual skills that weren’t present beforehand. Because around 75% to 90% of a child’s learning occurs through the visual system, any issues with the various visual skills could hinder a child from achieving their potential. On the flipside, enhancing visual abilities can make learning and reading easier and more accessible.

If a vision-related reading issue is the underlying cause of your child’s reading and learning struggles, the vision therapy program at Dr. Terry Tsang Optometry, Inc. will target and treat your child’s particular issues in a customized program.

Each vision therapy session takes place in-office on a weekly basis under the supervision of Dr. Terry Tsang. In between sessions, your child will also be expected to perform at-home visual exercises. The length of treatment will depend on the type and degree of the vision-related reading issues. The vision therapist will use various aids and tools, such as prisms, filters, eye patches, balance beams, and digital simulations in the therapeutic process.

Give your child the tools for proficient reading and academic success with vision therapy. If you suspect that a vision problem may be preventing your child from succeeding, contact Dr. Terry Tsang Optometry, Inc. today to schedule a functional vision evaluation.

Dr. Terry Tsang provides vision therapy and other services to patients from Tustin, Lake Forest, Newport Beach, Mission Viejo, and throughout California.

Request A Functional Visual Exam
Find Out How We Can Help You! 949-870-2763