According to the American Optometric Association, 60 percent of students identified as “problem learners” may actually have undetected vision problems. One of those problems could be something called convergence insufficiency.

“They said, ‘Oh he does have this convergence insufficiency in his eyes,’ and I thought, ‘Oh that’s a big name for something, what is it?” recalled mother Patty Walcott.

Walcott was surprised to learn that despite having 20/20 vision, her son, Clark, has C.I.

Convergence insufficiency is an eye movement disorder where the eyes don’t turn inward when focusing on a nearby object. For example, when you read or look at something up close you may not realize it, but your eyes should naturally turn inward. People with c-i have have to work harder to do this…

“I was getting a lot of headaches,” said Clark.

Headaches are one symptom, while others include difficulty concentrating, squinting or closing one eye, blurred vision, double vision and difficulty reading. For students, that can translate into a short attention span, fatigue and a tough time maintaining good grades.

Clark’s parents didn’t make a connection right away. They didn’t think his complaints matched what you would think to be an eye condition.

It’s estimated that anywhere from 5-12 percent of U.S. children may have the condition. But there may be many more that go undiagnosed because it can only be found with special eye-focusing tests. C.I. usually isn’t caught with standard eye chart tests.

Eye condition may seem like a learning problem-ABC7 Chicago

Pediatric optometrist with vision therapy training and specialized equipment can  correct this condition.

Dear Abby wrote a recent column on this prevalent problem.

DEAR ABBY: Please help me get the word out about a common condition that severely affects children’s ability to succeed in school because it inhibits reading, spelling and concentration.

My daughter, who was obviously bright, tested at first-grade reading level in fifth grade. She had undergone all the school testing for learning disabilities, plus two days of testing at a respected university hospital. None of these tests or specialists revealed what could be wrong with her.

My child’s self-esteem suffered. Her confidence faltered; she began acting out in school. At home she was a great kid, until it came time for schoolwork. Then the battles began. She thought she was dumb. When studying, she could read for only a very short time. She often begged me to read things to her. When working on spelling and assigned to rewrite the words she missed five times, she often recopied them wrong. We thought she just wasn’t trying.

After much research on the Internet, I came across a disorder called “convergence insufficiency disorder.” This visual condition is the leading cause of eyestrain. Fortunately, we had the opportunity to have her tested at the Mayo Clinic, where her condition was confirmed, and she was successfully treated with vision therapy.

It was as though a miracle had occurred. After six months of treatment, my daughter is almost at her age-appropriate reading level. Her comprehension and retention have markedly increased, and her self-esteem and attitude about reading are much better.

Children with this condition will not benefit from tutoring, special education or extra help from teachers until the condition is diagnosed and treated. My child had 20/20 vision and still had this disorder. It’s not routinely checked with eye exams, and schools don’t test for it.

I suspect that many children out there are undiagnosed or misdiagnosed and going untreated. The treatment for convergence insufficiency disorder is noninvasive, effective, and much of it can be done at home. Please help me get the word out so other families won’t have to go through what we experienced. — ANGIE W. IN MINNESOTA

By Harley Flego (Parent)

How could my daughter, a bright, articulate, 7-year old who could paint ‘Starry Night’ by Van Gogh, speak two languages and sing with perfect pitch not be able to read? I just didn’t understand.

Chelsea did well in preschool and kindergarten. There was no sign of anything wrong. The eye doctor and the pediatrician both said that she had ‘a small drifting lazy eye’, but not to worry because her ‘vision’ was good. Little did I know that what they called ‘vision’ was only ‘eye-sight’.

In 1st grade, Chelsea did well until after Christmas vacation, when her schoolwork seemed more intensive. It was painful to watch and hear her read. Chelsea became very frustrated and started to hate school. She didn’t want to get up in the morning.

She couldn’t comprehend anything she read. (Even sentences she had read just seconds before.) She traced lines with her finger to keep her place and put words together that were meant to be apart. She held her books very close to her eyes and was constantly fidgeting in her seat. She lacked confidence. She procrastinated with homework because it took 3 hours to do. It became a frustration nightmare for my husband and myself.

I wrote a note of concern to Chelsea’s teacher and asked to meet with her. We felt something was very wrong with Chelsea, but we couldn’t pinpoint what is it was. The teacher couldn’t either. Things weren’t clicking. Maybe she has ADD or ADHD? She exhibited some of the symptoms, but something about the ADD label just didn’t sit right with me.

My gut instincts kept me from physically getting her tested. I hated the fact that I might label my child and I refused to believe that my wonderful child had ADD. Still, I was extremely concerned that she was falling behind the rest of the class while I kept waiting for an answer. But, I held steadfast to my intuition and prayed for Divine intervention. It was the only thing I had to hold onto at that moment. I didn’t know how or where the answer would come from. I just knew in my heart that it would.

Amazingly enough, while Chelsea’s teacher was going through her files, she came across an article from 4 years ago. The article was entitled; 20/20 Vision May Not Be Good Enough. The article stressed the distinction between sight and vision. It also explained why some children who had perfect vision were having such trouble in school.

The article spoke about the Vision Development Center in King of Prussia, Pennsylvania. A wonderful place where the doctors test the eyes to make sure they work together properly and can possibly rule out ADD and ADHD. It’s kind of a one-stop shop; they have eye doctors, psychologists, vision therapists, occupational therapists, and they sometimes make house calls for children with disabilities.

They work with people of all ages.

We scheduled an appointment immediately and had Chelsea tested at the Vision Development Center. My husband and I were devastated to learn the extent of Chelsea learning disabilities but at least we had an answer and a place to start. The doctor told us that Chelsea needed to be in a remedial program.

She was diagnosed with several vision problems, not ADD or ADHD, and these vision problems were leading to serious learning disabilities.

We explained to Chelsea that her eyes weren’t working together. We told her that her one eye wanted to do ballet and the other eye wanted to play soccer. She seemed to understand. We told her that the vision therapy program would take away her headaches and blurry vision and help her to read better. She had been so frustrated, that frankly, she seemed relieved and eager to start her sessions. The therapists used games and she wore funny glasses. They made it fun for her to retrain her eyes. We were both relieved to know we could fight this battle and win.

Three months have passed and my husband and I are astounded at Chelsea’s progress. She no longer has headaches, blurry vision or double vision when she reads. She is like a different child. She likes school and tells us she loves her new teacher in second grade.

The National PTA adopted a resolution in June of 1999 that school nurses should test for more than just 20/20 vision, yet rarely do they. I was a lucky parent. With the help of a wonderful and caring teacher, we found our answer.

Vision problems can manifest themselves as learning disabilities and sometimes have the same symptoms as ADHD. Children with the vision disorder, Convergence Insufficiency, an inability to focus at close range, may be misdiagnosed as having ADHD.

According to David B. Garnet, MD in an ‘April 2000’ article in Science Daily entitled: Ophthalmologists Discover Relationship Between Eye Condition and Attention Deficit Hyperactivity Disorder; “We showed that children with the disorder, Convergence Insufficiency are three times as likely to be diagnosed with ADHD than children without the disorder. This is the first time such a relationship has been identified between these two disorders.” Not so; The Doctors at the Vision Development Center have known about this for years.

For more information, additional locations, or to make an appointment at the Vision Development Center to have your child evaluated, phone 610-783-1331.

By Eleanor Skale Lowenstein (parent)

I suspected that my daughter Shari was a perfectionist when she was around 5 years old.  Not that perfectionism is necessarily a bad thing; I just didn’t like watching the frustration level arise in her every time she sat at the kitchen table and tried to write or do a craft project.  Sometimes her frustration would escalate to the point that she would hit her forehead a couple of times with her fist, and cry out “I can’t get it right!” Interestingly, these were self-initiated projects, with no external pressure to perform. As a parent, I was concerned for her physical and emotional well being. I hated seeing her so upset.  Reassuring her that her work was all right never had any effect; she insisted that it wasn’t.

Because I suspected a possible visual problem with her older sister, Joanna, I made an appointment at the Vision Development Center. My friend, who was a specialist in education, had recommended them.  While I was there, both children had routine visual screenings.  I had been correct to suspect a problem with Joanna’s vision, and she underwent vision therapy for a short period of time and later had eye surgery to complete the correction.

The surprise was that Shari also had a problem.  Although she didn’t have significant physiological vision problems, her visual-perceptual abilities were only at the 10th percentile. Now I could understand.  She had a conception in her mind about what she wanted to produce, and she couldn’t produce it!  That would be exceedingly frustrating, indeed.

She underwent therapy and her perception improved to the 40th percentile, which was considered sufficient for her to function successfully. I also noticed that, thankfully, Shari no longer got frustrated when doing close, detailed work and no longer hit herself on the head.

Well, my little girl has grown up.  To my surprise, a few art and design courses taken in college and an enjoyment of doing crafts has led to her having her own business.  She has been creating hand painted glassware, gift items and baby clothes, which she sells to stores and directly to consumers. (You can check this out at her website: www.shariz.com, if interested.)

The best thing is that she is happy.  She left the frustration behind at the Vision Development Center.

At the Vision Development Center we take pride in our reputation for seeing each child as a unique individual with special talents and gifts.  We work with many children who face a variety of challenges from Developmental Delays to Learning Disabilities, ADD/ADHD etc.  All of these children have expressed how much they enjoy their time here because they are appreciated for their individuality and not viewed as a “diagnosis”.  Unfortunately, all too often this is not a common experience for many of them in their daily lives.  It is truly a joy to see these children explore and expand their abilities as they develop the skills whose absence had made efficient learning and adequate attention so difficult for them.

For more information, additional locations, or to make an appointment at the Vision Development Center to have your child evaluated, phone 610-783-1331