Ophthalmologists are often the first referral source for the school child with a reading problem. The referring teacher or school nurse correctly assumes that an examination for eye disease should be one of the first things considered when a child is having trouble with the near tasks of vision; eg, reading. Occasionally, an ocular problem is discovered: hyperopia, iritis, congenital cataract, or hereditary macular disease. But most often, the results of complete visual analysis are normal.
The next referral sources can include the child's pediatrician. Because learning disability is a heterogeneous group and various degrees of brain dysfunction may be demonstrated, both a neurological examination and an encephalogram may be necessary.1 A psychological-educational evaluation may be done, and conferences with the school personnel usually determine the choice of treatment for the child.
In some areas, a new problem has confronted the educator of school children, that of visual-perception training
D'Alena PR. Learning Disabilities—The New Problem. Arch Ophthalmol. 1972;88(3):239-240. doi:10.1001/archopht.1972.01000030241001