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October 7, 2025

Hidden Vision Problems in Children with Dyslexia and ADHD

At Opto-Mization, we meet many families who come to us after their child has been diagnosed with dyslexia or ADHD, or when teachers have raised concerns about attention and learning difficulties. These are well-recognized conditions,…
Posted by
Alejandro Gomez
Hidden Vision Problems in Children with Dyslexia and ADHD

At Opto-Mization, we meet many families who come to us after their child has been diagnosed with dyslexia or ADHD, or when teachers have raised concerns about attention and learning difficulties. These are well-recognized conditions, and they can certainly explain why a child struggles in school. What is often missed, however, is that vision plays a central role in learning, reading, and behavior.

Vision is far more than the ability to see clearly. It is about how the eyes and brain work together. Skills like eye teaming, focusing, tracking, and visual processing are essential for success in the classroom. When these skills are weak, children may display behaviors that look like ADHD or symptoms that resemble dyslexia.

Our role in Victoria and Nanaimo is to help families uncover whether vision is part of the picture. By providing in-depth functional eye exams and personalized vision therapy, we often see children make dramatic improvements in comfort, focus, and confidence.

ADHD and Vision: Looking Beneath the Surface

ADHD is often associated with inattention, hyperactivity, and impulsiveness. Yet many of the children we see in our clinics who have been labelled with ADHD are actually dealing with undiagnosed vision problems.

When the eyes cannot maintain proper alignment, when focusing is inconsistent, or when the brain struggles to process visual information, the result can look like inattention or restlessness. According to our page on Attention Deficit (ADHD), these vision issues can cause difficulty concentrating, frequent headaches, blurred or double vision, poor eye-hand coordination, and avoidance of tasks like reading or writing.

For a child in the classroom, that can mean looking distracted, fidgety, or unmotivated—when in reality, they are simply straining to keep things clear. Once we identify the underlying vision problem, the solutions may include corrective lenses, prism lenses, or a structured vision therapy program. With the right care, many of our young patients are suddenly able to focus more easily, sit for longer periods, and complete their schoolwork with less struggle.

Dyslexia and Vision: Sorting Out the Confusion

Common Signs of Visual Processing Difficulties:

  • Struggle to distinguish similar letters like b, d, p, and q.
  • Reverse numbers or words, such as reading “was” as “saw.”
  • Messy Writing or Poor spacing.
  • Skipping lines or losing their place when reading..
  • Forget words they just learned.
  • Appear clumsy, bumping into desks or missing stairs.
  • Shows poor organization of schoolwork or personal items.

We often hear from parents whose children have been diagnosed with dyslexia. Dyslexia is typically described as difficulty with reading, spelling, and writing, and it is considered a diagnosis of exclusion. That means before a child is labelled as dyslexic, all other possible causes—including vision problems—should be ruled out.

In reality, this step is often skipped. As explained in our article Can Vision Therapy Help Dyslexia?, many children are only tested for clarity of sight. They may be told they see 20/20, so their vision must be “fine.” What is left out is an evaluation of how the eyes track across a line of text, how they work together, or how the brain processes written information.

In our clinics, we frequently see three situations. In some children, no vision problems are present and the dyslexia diagnosis is accurate. In others, vision issues exist alongside dyslexia, and when treated, the child’s comfort and performance improve, though some true dyslexic traits remain. And in some cases, what looks like dyslexia is actually caused by visual dysfunction, and the symptoms disappear entirely once vision therapy is complete.

This is why a functional vision exam is so critical before concluding that a child’s struggles are permanent. For families across Vancouver Island, ruling out vision first can spare years of frustration and help children thrive at school.

Vision Therapy for Convergence Insufficiency

Book a functional vision exam today at Opto-Mization in Victoria or Nanaimo. Discover if hidden vision issues are impacting your child’s learning and give them the clarity, comfort, and confidence they deserve.

Why Early Evaluation Matters

Parents are often told to “wait and see” when their child struggles. But vision is one area where early evaluation makes an enormous difference. Hidden vision problems can affect not only academics, but also self-esteem and social interactions.

Our comprehensive functional vision exams in Victoria and Nanaimo are designed to uncover the real picture. We look beyond the standard eye chart to assess whether the eyes and brain are working together effectively. This is especially important for children who struggle with reading despite being bright and motivated, or for those who show ADHD-like behaviors.

The earlier these issues are identified, the sooner we can begin treatment. For many children, that means more success at school, less frustration at home, and a greater sense of confidence in their own abilities.

Our Approach to Treatment

Every child we see is unique, which is why our treatment plans are personalized. Depending on the results of the exam, we may recommend corrective lenses, prism lenses, or a program of vision therapy to strengthen visual skills. Some children benefit from filters or light-based therapies to reduce sensitivity. Others need strategies for reducing visual stress during reading or classroom work.

We design each program with the goal of helping the child function more comfortably in daily life. Our therapy is not meant to replace other supports such as tutoring, occupational therapy, or behavioral interventions, but rather to complement them. By improving visual function, children are better able to benefit from those other therapies.

Working Together for Better Outcomes

Helping children with learning or developmental challenges requires teamwork. Parents, teachers, healthcare providers, and therapists all have important roles to play. Our role at Opto-Mization is to ensure that vision is not overlooked. When visual problems are treated, many of the behaviors and difficulties associated with ADHD or dyslexia improve, giving children a stronger foundation for learning and growth.

We take pride in partnering with families across Vancouver Island, providing the advanced testing and therapy that reveal the missing piece of the puzzle.

Next Steps for Families

If your child has been diagnosed with ADHD or dyslexia, or if you suspect vision may be part of their struggles, we encourage you to take the next step. A functional vision exam can determine whether hidden vision problems are contributing to your child’s challenges.

At Opto-Mization, with clinics in Victoria and Nanaimo, we provide comprehensive assessments and individualized treatment programs designed to help children see, learn, and live better.

Book a functional eye exam today, and let us help your child move forward with greater comfort, confidence, and clarity.

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Our Victoria Practice
Opto-Mization Optometry & Vision Therapy
200-775 Topaz Ave
Victoria, BC V8T 4Z7
Phone
(250) 590-7384
Fax
250-412-6459
Email
(Do not send personal health information by email.)
  • Monday:
    8:30 AM - 4:30 PM
  • Tuesday:
    8:30 AM - 6:00 PM
  • Wednesday:
    8:30 AM - 6:00 PM
  • Thursday:
    8:30 AM - 6:00 PM
  • Friday:
    8:30 AM - 4:30 PM
  • Saturday:
    8:30 AM - 3:30 PM
  • Sunday:
    Closed
Rating
5.0
Out of 335 Reviews
Our Nanaimo Practice
Opto-Mization Optometry & Vision Therapy
205-1825 Bowen Rd
Nanaimo, BC V9S 1H1
Phone
(250) 591-0270
Fax
250-412-6459
Email
(Do not send personal health information by email.)
  • Monday:
    10:00 AM - 5:30 PM
  • Tuesday:
    10:00 AM - 5:30 PM
  • Wednesday:
    10:00 AM - 5:30 PM
  • Thursday:
    11:00 AM - 5:30 PM
  • Friday:
    9:00 AM - 4:30 PM
  • Saturday:
    Closed
  • Sunday:
    Closed
Rating
4.9
Out of 89 Reviews