SYMPTOMS CHECKLIST
Three or more symptoms? It’s worth a vision therapy evaluation.
Symptoms Checklist
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Vision therapy treats conditions a routine eye exam doesn’t catch — convergence problems, focusing dysfunction, and visual processing issues that show up as reading difficulty, headaches, or “I just can’t focus.” This 21-item checklist is what we use during initial evaluations to flag patients for deeper testing. If three or more apply to you or your child, an evaluation is warranted.
Tendency to close or cover one eye
Headaches after doing near work for more than 10 minutes
Blurry vision while looking between near and far objects
Seeing words or lines move, jump, or swim while trying to read
Eyes hurt or feel tense while doing close work
Head tilt or movement
Whispers when reading silently
Poor reading comprehension
Head too close to the paper while reading or writing
Difficulty tracking moving objects, balls, etc.
Writing is crooked or poorly spaced
Errors copying from boards, computers, or books
Avoids near work or reading, or tires easily from near work
Difficulty completing assignments in the time allotted
Reverses or forgets letters, numbers, or words
Confuses similar-looking words
Difficulty recognizing the same word in the next paragraph
Poor visual-motor (eye/hand or eye/foot) coordination
Confuses right and left
Difficulty following a sequence of directions
Comprehension decreases over time
You checked 3 or more. Now what?
The next step is a vision therapy evaluation with Dr. Ryan Capouch, FOVDR. The evaluation runs across three visits and produces a detailed report scoring 17 visual skills against age-appropriate norms. After the evaluation, you’ll know whether vision therapy is the right path — and if it is, exactly what your unit will look like and what it will cost.
Three ways to schedule:
Call us: (701) 404-9096
Email us: hello@lumen.vision
Book online
If you’d like to learn more before scheduling, see our vision therapy FAQ, our 5-step process, or research on vision therapy effectiveness.
Adults: A different set of symptoms.
The checklist above is calibrated for children and teenagers. Adult vision therapy patients — especially post-concussion patients — typically present with these symptoms instead:
Persistent headache or dizziness after a concussion or whiplash
Difficulty driving at night or in heavy traffic
Double vision, even briefly
Eye strain and fatigue with computer or reading work
Words or letters that “swim” or “shimmer” on the page
Balance issues or motion sensitivity
Light sensitivity that’s new or worse
Difficulty maintaining focus during long meetings or while reading
If three or more apply to you, the same evaluation process applies.

