![]() This does not happen when they look at the picture chart since any movement or jerking of their eyes moves the entire picture so the picture is not distorted. ![]() "jiggling" of their eyes during tracking) will alter the letters they see. As the letters become smaller on the eye chart, the letter F will often appear as an R since any instability in children's eye movements (i.e. Usually if older children have difficulty tracking with their eyes, they will have difficulty accurately identifying letters on an eye chart as compared to identifying pictures on the picture chart. This is the test for visual acuity and it also will show if children are having any difficulties tracking with their eyes. When children come to my office, one of the first things I check is whether they can clearly see pictures and/or letters with each eye separately at a distance of 20 feet. Yet, my studies in Extra Lesson at Rudolf Steiner College, my visits with a developmental optometrist, and my own clinical practice have provided a great deal of insight into the examination of children's eyes. ![]() During that time, I did what I thought was a thorough eye exam. I didn't learn about the importance of visual tracking and eye convergence during medical school, pediatric residency or my fellowship in behavioral and developmental pediatrics. Visual Tracking, Eye Convergence, Reading and Writing
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