A thorough eye exam can test all of the eight vision skills needed to read. If your child is having trouble in school, it could be eyesight-related. Learn more about vision changes in school-age children. Good vision is vital to reading well. And although vision may not be the only cause of reading difficulties, it is one cause that is sometimes overlooked.

Needed to read eight vision skills
Reading requires the integration of eight different vision skills. The typical school eye chart test checks only one. Quick eye examinations may cover only one or two. Since a comprehensive eye examination will cover the eight vision skills, it is a must for anyone who is having trouble reading .

The eight skills include:

1. Visual acuity,or the ability to see objects clearly at a distance. Visual acuity is sometimes measured in a school vision screening. Normal visual acuity is referred to as 20/20 vision (or 6/6 vision in the metric system) — a measure of what can normally be seen at a distance of 20 feet, or 6 meters. If a problem is discovered in the screening, a thorough optometric examination should follow.
2. Visual fixation,or the ability to aim the eyes accurately. One type of fixation, called direct fixation, has to do with the ability to focus on a stationary object or to read a line of print. The other type, called pursuit fixation, is the ability to follow a moving object with the eyes.
3. Accommodation,or the ability to adjust the focus of the eyes as the distance between the individual and the object being observed changes. Children frequently use this skill in the classroom as they shift focus between books and blackboards.
4. Binocular fusion,or the brain's ability to gather information received from each eye separately and form a single, unified image. Eyes must be precisely aligned physically or double vision may result. If it does, the brain often subconsciously suppresses or inhibits the vision in one eye to avoid confusion. That eye may then develop poorer visual acuity (amblyopia or lazy eye).
5. Stereopsis,a function of proper binocular fusion enhancing the perception of depth, or the relative distances of objects from the observer.
6. Convergence,or the ability to turn the two eyes toward each other to look at a close object. Any close work, such as desk work, requires this vision skill.
7. Field of vision,or the area over which vision is possible. It is important to be aware of objects on the periphery (left and right sides and up and down) as well as in the center of the field of vision.
8. Perception,the total process of receiving and recognizing visual stimuli. Form perception is the ability to organize and recognize visual images as specific shapes. A reader remembers the shapes of words, which are defined and recalled as reading skills are developed.

Most people don’t realize that you need 17 visual skills
to succeed in reading, learning, sports, and in life!

1. Eye Movement Control
The ability to move both eyes together to point at an intended target or follow along a path, like a line of text

2. Simultaneous Focus at Far
Forming a clear image of something in the distance

3. Sustaining Focus at Far
Keeping an image of something in the distance clear

4. Simultaneous Focus at Near
Forming a clear image of something close to the eyes

5. Sustaining Focus at Near
Keeping a clear image of something close to the eyes

6. Simultaneous Alignment at Far
Lining up both eyes at the same point the distance

7. Sustaining Alignment at Far
Holding both eyes lined up at the same point in the distance

8. Simultaneous Alignment at Near
Lining up both eyes at the same point up close

9. Sustaining Alignment at Near
Holding both eyes lined up at the same point up close

10. Central Vision (Visual Acuity)
This is where "20/20" vision comes in!

11. Peripheral Vision
Being able to see what's on either side of you while your eyes are pointed forward

12. Depth Awareness
Being able to tell that things are further away or closer up than each other (also know as depth perception)

13. Color Perception
Being able to tell different colors apart (if you are not color-blind)

14. Gross Visual-Motor
Moving yourself through space without bumping into things by using information from your vision

15. Fine Visual-Motor
Writing, sewing, texting, and doing other small and close-up activities with accuracy by using information from your vision

16. Visual Perception
Being aware of your environment and what is going on around you in your visual field (the area you can see)

17. Visual Integration
Bringing together your vision and your other senses to accomplish complex tasks, like reading while walking a balance beam

Important Vision Skills for Sports

Dynamic Visual Acuity

If you are playing a sport like racquetball, tennis, soccer or hockey, you need to be able to clearly see objects while you and/or the objects are moving fast. Without good dynamic visual acuity, you will have a difficult time in sports like these.

Visual Concentration

When you commit an error on an easy ground ball or miss a short putt, you might be distracted by things that are happening around you. Our eyes normally react to anything that happens in our field of vision-spectators, other participants or even rustling leaves on an overhanging branch. Visual concentration is the ability to screen out these distractions and stay focused on the object or the target.

Eye Tracking

When you are playing any sport with a ball or a fast-moving opponent, you need to be able to follow objects without much head motion. Eye tracking helps you maintain better balance and quickly react to the situation.

Eye-Hand-Body Coordination

Eye-hand-body coordination is how your hands, feet and body and other muscles respond to the information gathered through your eyes. It is an important part of most sports because it affects both timing and body control.

Visual Memory

When you are pushing a fast break up the basketball court, leading a rush up the ice in hockey or catching the big wave amid a crowd of surfers, you need to process and remember a fast-moving, complex picture of people and things. This is called visual memory. The athlete with good visual memory always seems to be in the right place at the right time.

Visualization

Picture yourself hitting a perfect drive ... long and right down the middle of the fairway. Believe it or not, picturing yourself doing it can actually help you do it. Through visualization, you see yourself performing well in your "mind's eye" while your eyes are concentrating on something else, usually the ball. Using scanning techniques, researchers have found that the same areas of the brain that light up during performance also are at work when you visualize the performance.

Peripheral Vision

When a soccer player sees her teammate out of the corner of her eye, she is using her peripheral vision. Much of what happens in sports does not happen directly in front of you. Therefore, increasing your ability to see action to the side without having to turn your head is important.

Visual Reaction Time

The pitcher releases the ball and you swing ... a little late and you hit a weak foul down the line, or worse, you miss the ball completely. Or maybe you can't quite return that tennis serve. You need to improve your visual reaction time, or the speed with which your brain interprets and reacts to your opponent's action.

Depth Perception

In racket sports, depth perception enables you to quickly and accurately judge the distance between yourself, the ball, your opponents, teammates, boundary lines and other objects. If you consistently over- or underestimate the distance to your target, poor depth perception may be the reason.

Is your child myopic (or nearsighted)?

Which type of myopia does your child have?

Myopia is a condition in which one can see clearly up close but unable to see clearly far away. In a myopic person, the eye is longer than it should be and so light coming into the eye from far away is focused in front of the retina rather than right on it, producing a blurred image. If the myopia starts in a child at a young age, chances are that it will worsen rapidly as the child grows.

There is actually more than one type of myopia, depending on its cause:

• Infantile myopia: the child is born with high myopia, often associated with abnormal pregnancy or poor nutrition during gestation.
• Stress­-induced myopia: the child begins reading at a very young age and tends to be very detail­-oriented. This is myopia caused by excessive near ­work at an age when the child ought to be spending time playing outdoors.
• Myopia induced by binocular dysfunction: the child’s binocular system did not develop properly, therefore reading creates excess stress on the focusing system which in turn, induces elongation of the eye resulting in worsening eyesight.

Here are some of the many visual skills that are improved through Sports Vision Training.

1. Visual Acuity at All Distances (Adaptable Clear Vision)
   Do the two eyes maintain clear vision at varying distances at all times? Clear vision at all distances is important to sports success.
2. Eye Focusing Skills - Shifting and Sustaining Sharp Vision: Do the two eyes shift and sustain focusing power quickly and easily? Accurate eye focusing skills are a big boon for an athlete in any game with moving objects and/or players, especially in a

   

   fast-paced game. Sports Vision Training can enhance focusing power, agility, and speed.
3. Eye Tracking, Eye Teaming, and Eye Movement Skills: Do the two eyes aim, move, and work as an effective coordinated team? Fast, fluid, binocular vision with coordinated eye movements and smooth eye tracking skills are essential to success in sports. Sports Vision Training conditions all of these visual skills simultaneously.
4. Depth Perception: Good binocular depth perception enables accurate assessment of relative distances, such as where the athlete's body is in relation to other objects or people. Sports Vision Training can increase and stabilize binocular depth perception.
5. Peripheral Vision and Awareness: Widening your peripheral field of vision and peripheral awareness allows a better perception of action, motion, space, and objects to the sides of your eyes and body without having to move your eyes in that direction. In other words, you can perceive what is happening around you without having to move your eyes away from a single focal point or visual target.Good or heightened peripheral vision and awareness add greatly to sports performance, such as in team sports. In addition, good peripheral vision contributes greatly to a well functioning vestibular system (good balance).

Of these three types of myopia, myopia induced by binocular dysfunction is the easiest to treat with vision therapy. When a child’s eyes do not work together properly as a team, he may respond by having a performance issue in reading, or he may learn to work his focusing system extra hard in an attempt to overcome the binocular dysfunction. In such cases, treating the underlying binocular dysfunction is key to eliminating the excess strain which induced the worsening myopia to begin with.

Because the binocular dysfunction varies from person to person, we do not prescribe the same vision therapy exercises for myopia control to all patients. There are many programs for natural vision improvement out there, but we don't typically recommend them because they are not customized to address each individual patient's binocular problems.

For stress­-induced myopia, vision therapy may be helpful but it requires constant vigilance and continual therapy. Patients will need to learn drills to reduce the stress on their eyes, learn proper posture and improve visual hygiene. In addition, plus lenses may be prescribed to further decrease the stress on their eyes when reading. For such patients, orthokeratology, an overnight contact lens which reshapes the eye while sleeping, tends to work better in arresting the worsening of their eyesight.

There are several key visual skills that are enhanced through sports vision programs for athletes that aim to achieve their optimal sports performance, these include:
Dynamic visual acuity: this refers to the patient’s ability to see objects clearly while in motion. This is exceptionally important as hand-eye coordination and reflex reactions are essential for success in most sporting activities.
Contrast sensitivity: good contrast sensitivity is needed to determine the difference between an object and its surroundings. Contrast sensitivity is particularly important in situations where there may be low light, fog or glare that could diminish the natural contrast between objects and backgrounds.
Eye tracking: this refers to the ability to follow a fast-moving object, such as a ball or puck.
Switching eye focus: athletes need to be able to change their focus quickly and accurately from one distance to another.
Binocular vision skills: also known as eye teaming skills, these skills determine how well your eyes work with one another to produce a single, clear image.

Processing speed: visual processing speed is defined as the amount of time it takes to make a correct judgement about a visual stimulus – for example, how fast a ball is travelling towards them.
Peripheral awareness: athletes also need to be able to be aware of what is happening at the edges of their vision while also concentrating on a fixed object in front of them.

Sports vision testing can enable your eye doctor to spot any weaknesses that you may have in any of these key visual skills. By identifying them, it is possible for you to undergo treatment to overcome theses issues and meet your specific goals that will ultimately enhance your overall athletic performance. This is known as sports vision training.

Reference:

• hope.vision/child
• novartisophthalmics.com
• covd.org/page/visual_skills
• maranaeyecare.com/sports-vision.html
• sjvisiontherapy.com/specialties/myopia
• drslotnick.com/vision-services/optometric-vision-therapy
• visiondevelopmentinstitute.com/sports-vision-training-specialist
• drbasueyehospital.com/snellen-chart-the-eye-test-chart-for-accurate-vision-measurement
• enchroma.com/blogs/beyond-color/why-sports-are-better-with-enchroma-color-blind-glasses
• aoa.org/patients-and-public/caring-for-your-vision/sports-and-vision/important-vision-skills-for-sports