Learning disabilities, including reading disabilities, are commonly diagnosed in children. Their etiologies are multifactorial, reflecting genetic influences and dysfunction of brain systems. Learning disabilities are complex problems that require complex solutions. Early recognition and referral to qualified educational professionals for evidencebased evaluations and treatments seem necessary to achieve the best possible outcome. Most experts believe that dyslexia is a languagebased disorder. Vision problems can interfere with the process of learning; however, vision problems are not the cause of primary dyslexia or learning disabilities. Scientific evidence does not support the efficacy of eye exercises, behavioral vision therapy, or special tinted filters or lenses for improving the long-term educational performance in these complex pediatric neurocognitive conditions. Diagnostic and treatment approaches that lack scientific evidence of efficacy, including eye exercises, behavioral vision therapy, or special tinted filters or lenses, are not endorsed and should not be recommended. Pediatrics 2009;124:837-844
BACKGROUNDReading is the process of extracting meaning from written symbolic characters. In elementary school, a large amount of time and effort is devoted to the complicated task of learning to read. Because of the difficulties that some children experience with learning to read, Congress mandated that the Eunice Kennedy Shriver National Institute of Child Health and Human Development assemble a national panel of educators and scientists to review the literature to research the optimal methods of teaching children to read. The 2000 report of the National Reading Panel titled "Teaching Children to Read: An EvidenceBased Assessment of the Scientific Research Literature on Reading and Its Implications for Reading Instruction" 1 linked research findings with recommendations for specific approaches to teaching reading to all children.Learning disabilities remain a concern for the children and families involved and for the public. The inability to read and comprehend is a major obstacle to learning, which may have long-term educational, social, and economic consequences. Depending on the definition chosen, 5% to 17.5% of people in the United States have a learning disability, with an estimated 2.6 million children aged 6 to 11 years affected. 2 Learning disabilities often prevent children from reaching their full potential. They may cause children to have difficulty learning to listen,
AMERICAN ACADEMY OF PEDIATRICS, SECTION ON OPHTHALMOLOGY, COUNCIL ON CHILDREN WITH DISABILITIES AMERICAN ACADEMY OF OPHTHALMOLOGY AMERICAN ASSOCIATION FOR PEDIATRIC OPHTHALMOLOGY AND STRABISMUS AMERICAN ASSOCIATION OF CERTIFIED ORTHOPTISTS KEY WORDS learning disabilities, vision, dyslexia, ophthalmology, eye examinationThis document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors. All authors have filed conflict-of-interest statements with the American Academy of Pediat...