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Reading and the ophthalmologist An introduction into the complex phenomenon of ordinary reading as a guideline for analysis and treatment of disabled readers

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Reading problems are a frequent source of complaint in ophthalmological practice. In many cases suitable optical correction is all that is needed. However, difficulties may remain despite adequate optical correction. This paper describes visual reading processes with the aim of making such difficulties understood and, if possible, providing remedies.

Four different types of visual reading processes are distinguished: (a) optical imaging, (b) eye movement control, (c) visual word recognition and (d) integration of information across eye fixations. Next the attempt is made to use our insight to obtain a better understanding of actual reading problems, such as those of elderly readers, low-vision patients, and dyslexics as well as those of the blind. Therapeutic options, including visual aids are given due attention.

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  1. Bouma H (1970) Interaction effects in parafoveal letter recognition. Nature 226:177–178

  2. Bouma H (1973) Visual interference in the parafoveal recognition of initial and final letters of words. Vision Research 13:767–782

  3. Bouma H (1980) Visual reading processes and the quality of text displays. In: Ergonomic aspects of visual display terminals, eds: E Grandjean and E Vigliani. London, Taylor and Francis, pp 101–114

  4. Bouma H and Legein Ch P (1977) Foveal and parafoveal recognition of letters and words by dyslexics and by average readers. Neuropsychologia 15:69–80

  5. Bouma H and Legein Ch P (1980) Dyslexia: a specific recoding deficit? an analysis of response latencies for letters and words in dyslectics and average readers. Neuropsychologia 18:285–298

  6. Bouma H and Voogd AH de (1974) On the control of eye saccades in reading. Vision Research 14:273–284

  7. Bouwhuis DG and Bouma H (1979) Visual word recognition of three-letter words as derived from the recognition of the constituent letters. Perception and Psychophysics 25:12–22

  8. Buswell GT (1920) An experimental study of the eye-voice span in reading. Educ Monogr Suppl 17

  9. Javal E (1978) Physiologie de la lecture et de l'écriture. Paris, Félix Alcan.

  10. Leeuw M de and Leeuw E de (1965) Read better, read faster. Harmondsworth, Penguin

  11. Levy-Schoen A and O'Regan K (1978) The control of eye-movements in reading. In: Processing of Visible Language 1, (eds: PA Kolers, M Wrolstad and H Bouma) New York, Plenum

  12. Rayner K (1978) Eye movements in reading and information processing. Psychological Bulletin 85:618–660

  13. Rayner K (1980) Asymmetry of the effective visual field in reading. Perception and Psychophysics 27:537–544

  14. Schiepers CWJ (1974) Response latencies in parafoveal word recognition. IPO Annual Progress Report 9:99–103

  15. Tinker MA (1963) Legibility of print. Minnesota, Minnesota University Press

  16. Vellutino FR, Steger JA, Kaman M and De Setto L (1975) Visual form perception in deficient and normal readers as a function of age and orthographic linguistic familiarity. Cortex 11:22–30

  17. Vellutino FR (1979) Dyslexia: Theory and Research. Cambridge, Mass., MIT Press

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Legein, C.P., Bouma, H. Reading and the ophthalmologist An introduction into the complex phenomenon of ordinary reading as a guideline for analysis and treatment of disabled readers. Doc Ophthalmol 53, 123–157 (1982). https://doi.org/10.1007/BF00142482

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  • Word Recognition
  • Optical Imaging
  • Movement Control
  • Visual Word
  • Complex Phenomenon