Towards the Physiology of Visual Dyslexia
Dyslexia: Neuronal, Cognitive & Linguistic Aspects, 1982
Summary The visual processes necessary for reading take place in the left hemisphere. Yet visual ... more Summary The visual processes necessary for reading take place in the left hemisphere. Yet visual verbal material can be delivered to the left or right visual cortical areas depending on where the eyes are pointing. Visual material transferred from the right to left hemisphere for reading may be laterally reversed because the interhemispheric commissures are probably homotopically organised. Therefore accurate positioning of the eyes assumes very great importance when learning to read, in order to ensure that written material is presented consistently to the left hemisphere. Similarly the left hemisphere must be provided with precise information about the position of the eyes if it is to be able to compensate for the mirror imaging effects of commissural transfer from the right hemisphere. We suggest that visual dyslexia is the result of a failure to develop the normal means by which a child achieves this degree of positional control required for reading - eye dominance. The Dunlop test for eye dominance was administered to 80 dyslexics, 50 of whom had been independently classified as ‘visual’ on the basis of their reading errors, and 80 normal readers matched for age and performance IQ. At the time of the tests we were unaware which children were visual or non-visual dyslexics or normal readers. 50 of the visual dyslexics were found to have unfixed dominance on the Dunlop test, whilst no non-visual dyslexic and only 1 normal reader did so. We concluded that unfixed dominance on the Dunlop test indicated unstable eye position control and was therefore a reliable sign of visual dyslexia. We therefore asked 30 visual dyslexics with unfixed dominance on the Dunlop test to wear spectacles with the left lens occluded, in order to encourage the right eye to become dominant. We compared their advance in reading age over 6 months with that of 15 visual dyslexics not so treated, and 30 normal age, sex and performance IQ matched controls. The treated visual dyslexics' reading ages increased at a rate comparable to that of the normal children whereas the untreated children lagged 9 months behind. (P>0.001. Wilcoxon Rank Test) These results also appeared to support our hypothesis that visual dyslexia is a subtle consequence of deficient eye position control.
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Papers by John Stein