Joshua’s Vision Evaluation

Vision Therapy

I got the evaluation back from Dr. T, from Alderwood Vision Therapy Center ( and it looks like Joshua is a good candidate for glasses with ambient lenses and vision therapy.  Dr. T. noted that

Joshua seems to have problems with visual organization and depth perception.  When the ambient vision is functioning properly, the eyes work as a team, allowing one to see in depth and to accurately judge distance and movement.

Deficits in the ambient vision processes are involved in peripheral vision.  A person can have perfectly normal focal vision, they can see 20/20 and be able to identify objects when they look straight ahead.  They have no problem identifying the “what is it?” function.  The problem is in the ambient vision, which involves the entire field of vision and tells them about the location of objects in space, the “were is it?” function.  Joshua may close one eye or look out of the corners of his eyes because monocular (one eyed) vision makes more sense than trying to interpret data from two eyes that aren’t working together.

Ambient lenses alter perception in ways that cause a person to reorganize their visual process. They are a neural intervention which addresses the “software: of the visual system.  Base down yoked prisms displace the visual system upward and near objects are amplified while distant ones are reduced.  Base up prisms displace the visual system downward and near objects are reduced while distance ones are amplified.  Base-left prisms make objects appear farther away on the left and near on the right while base-right prisms have the opposite effect.  Joshua seemed to be energized by the lenses and enjoyed them.

In vision therapy, through hierarchical feedback, we seek to explore, adapt to and thus, control ones environment.  This can influence the adaptive process and in turn, the behavior of an individual.  An individual program of Optometric Vision Therapy provides the opportunity to develop the necessary visual abilities.  Each session…consists of 45 minutes of one on one ccare combined with a program of daily home oriented therapy.

Well, I’m glad there is help for Joshua to help his eyes work better.  I had a “Lazy Eye” when I was a kid, which, I guess, is somewhat related to what Joshua is dealing with.  I got to wear a cool eye patch, though.  I wonder what eye therapy could have done for me.  I guess, I could still do some if I had the “free time” (but I don’t think they are open at those hours)!

The only bummer thing is that my Monday mornings are going to change (our one day where we got to stay home).  They recommend him only having one type of therapy in a day, other than school, at this time.  It’s a sacrifice, for the whole family, taking Joshua to all his therapies.  We literally are going to be going somewhere every day, except Saturdays.  The trade off on this one, should I get to have it scheduled for Monday morning, is my dear friend, who also home schools her daughter, agreed to have my kids join hers for the morning school time.  It would be a mutually beneficial arrangement.  She also had taken her daughter to vision therapy for one year and realizes that it is most likely for a finite period of time and a positive investment for Joshua.  We are truly blessed by the Body of Christ and I am so grateful for dear friends, and this doctor, who ministers the love of Christ to all her patients in being able to help them in their need.

I’m looking forward to Joshua improving in this area as I feel a bit odd when I am walking him around the church during Mass and he suddenly drops to the floor to explore a crack in the ground.   Then, not only does he explore it with his finger, but then he decides to look at the floor at eye level and scoot along, dusting the floor with his pants!  It’s cute enough at 3, but he’s growing up and will most likely get more stares once he gets bigger/older should this kind of behavior continue.  I do try to distract him, and am working on getting him to sit in the pew a little longer, but, given his limitations, my main goal is for him to be there, not be disruptive, and eventually, participate more in Mass.  I’m big enough to control him now, but given how much this child eats, it won’t be long before he’s bigger than me!

Update: I called Alderwood Vision Therapy Center and Joshua will be able to start next Monday and will go every other week until more spots open up for the therapist he’s assigned to in order that he can go every week.  I’m grateful as it will make the transition easier for everyone, I believe.  After he does therapy for a while, he will then be getting the glasses at some point.  When ever he does, he’s guaranteed to look adorable in them!  That’s how it is around here.  Half of us where glasses and waiting for the rest to be converted!

This entry was posted on Sunday, March 7th, 2010 at 8:41 am and is filed under Autism Treatment, General Autism Info. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

2 Responses to “Joshua’s Vision Evaluation”

  1. Andrea Ketchum Says:

    You write so beautifully and your heart is so deeply felt in your journalling. I have just come upon this and am intrigued by your God given wisdom and His strength in you.
    I am wanting to be a facebook friend so I can stay up to date.
    Blessings to You

  2. admin Says:

    Thank you, so much, Andrea. That means a lot. Keep us in prayer! We are battling either allergies or colds. Either way, it’s a lot of snot for a 3 year old!


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