Visual Stress and Reading

Reading can be surprisingly uncomfortable even when you can see the words clearly. Here’s what children, parents and adults should know about visual stress and reading.

Article Contents...

What If the Page Doesn't Look the Same to Everyone?

Visual stress and reading can be connected in a way that isn't always obvious.

Someone can know the words, understand what they're reading and have plenty of ability — but still find the actual experience of looking at a page uncomfortable, tiring or difficult to sustain.

For a child, that might look like avoiding homework or repeatedly losing their place.

For an adult, it might mean a report, spreadsheet or long stretch of screen reading becomes exhausting far sooner than expected.

The important question isn't always:

“Can you read this?”

Sometimes it's:

“What does the page actually look and feel like to you?”

What is visual stress?

Visual stress is one of the terms used to describe visual discomfort or visual-perceptual symptoms that can occur when looking at text and other visually repetitive information.

The Association of Optometrists explains that visual discomfort can include headaches, difficulty focusing, blurred vision, increased sensitivity to light and changes in how visual information is perceived. These symptoms may contribute to difficulty reading.

People experience this differently.

Someone might describe words as moving, shimmering or becoming blurred. Another person might be more aware of glare, headaches or tired eyes. For someone else, the biggest clue is simply that reading gets harder the longer they continue. HAYDENSWAN's Visual Stress & Reading Support Programme sees similar variations in symptoms across children and adults.

And importantly, none of these symptoms automatically means someone has visual stress. Other eyesight, eye-coordination or health factors can produce similar experiences, which is why an appropriate eye examination and assessment matter.

A child may not know anything looks unusual

This is perhaps the most interesting part for parents.

If words have always looked a certain way to your child, why would they know that's different from what you see?

  • They may assume everyone finds a white page glaring.
  • They may think words move for everybody.
  • They may not have the language to explain what is happening at all.

Instead, you might notice that they lose their place, use a finger to follow each line, reread sentences, rub their eyes, tire quickly or start avoiding books and written homework. Those behaviours can have many different explanations, but they can be useful clues that it's worth asking more questions. 

Adults can experience it too

Visual Stress isn't only something noticed at school.

Some adults have lived with reading discomfort for years and simply developed ways around it. Others only start noticing a pattern when the amount of reading in their life increases.

That might happen when:

University study increases the workload

Long journal articles, textbooks and revision can make sustained reading much more demanding.

Reports, contracts, policies and case files can expose difficulties that weren’t obvious before.

Repeatedly moving between emails, spreadsheets, documents and websites can make visual discomfort more noticeable.

Rows of figures, closely spaced text or large spreadsheets may feel particularly demanding.

Someone may enjoy books but stop after a short period because of headaches, glare, losing their place or visual fatigue.

Adults can understand every word perfectly well while still finding the visual process of reading disproportionately uncomfortable.

Is Visual Stress the same as dyslexia?

No.

Visual stress and dyslexia are different.

A person can experience either one, or both. A Visual Stress Assessment does not diagnose dyslexia, and coloured filters do not treat or cure dyslexia. 

If dyslexia is suspected, specialist educational assessment is important. If somebody is also experiencing specific visual discomfort while reading, that can be investigated separately.

Does Visual Stress mean coloured overlays?

Not necessarily.

Coloured overlays and tinted lenses are probably what many people first associate with Visual Stress, but they are only part of the conversation.

The Association of Optometrists says there are differing views on how effective coloured filters are. Many people report reduced visual discomfort with them, but firm evidence is lacking and further research is needed.

At HAYDENSWAN, that's important to us. We don't start by trying to find somebody a colour.

We start by trying to understand what they are experiencing and why reading feels difficult.

What should you do if this sounds familiar?

If it's your child, start with conversation.

Ask what reading looks and feels like. Speak with their teacher or SENCO too as they may have noticed patterns in the classroom that you haven't seen at home.

HAYDENSWAN already works with local schools and SENCOs and is continuing to build relationships with more schools across the area.

If you're an adult, think about when the difficulty appears. Is it books, screens, spreadsheets or dense text? Does it happen immediately or after prolonged reading? Do lighting, glare or breaks make a difference?

And for children and adults, don't feel you need to work out whether it is Visual Stress before asking for help.

The industry recommendation  is beginning with a sight test when somebody is experiencing visual discomfort so their eye health and any need for vision correction can be considered.

At HAYDENSWAN in Haywards Heath, we can help you understand the most appropriate next step.

Frequently Asked Questions

Can Visual Stress affect adults as well as children?

Yes. Adults may notice visual discomfort while reading, studying, using screens or completing other visually demanding work. Some only recognise the pattern when they enter higher education or start a job involving much more reading.

Experiences can include glare, headaches, tired eyes, difficulty keeping place, blurred or apparently moving text and reading becoming more difficult the longer it continues. These symptoms can have other causes, so assessment is important.

No. They are different. Someone may experience both, but Visual Stress assessment does not diagnose dyslexia and coloured overlays do not treat dyslexia.

HAYDENSWAN Eyecare provides Visual Stress & Reading Support for children and adults from its independent practice in Haywards Heath, West Sussex, supporting people and schools from across Mid Sussex.

The Visual Stress & Reading Support Assessment at costs £110. Your appointment gives us time to explore the visual symptoms you’re experiencing and carry out the appropriate assessment and testing. 

HAYDENSWAN Eyecare is based at No. 3, 32 Middle Village, Haywards Heath, West Sussex, RH16 4GH.

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