Appelbaum Vision is conveniently located in Bethesda and Annapolis, minutes away from Metro Washington DC!

Hours of Operation

  • M - W - F : 10:00 am - 7:00 pm
  • T - Th : 10:30 am - 7:30 pm
  • Sa : 9:00 am - 5:00 pm

Vision Problems - Eye Movement

Children do not outgrow eye muscle problems

The control of eye movements requires the highest degree of motor precision. In order to use the two eyes together as a team, the brain must coordinate the extraocular muscles perfectly if we are to see comfortably and efficiently. Accurate visual tracking allows us to quickly and effectively move our eyes along a line of print and move our eyes from one point in space to another.

Poor tracking abilities can cause numerous problems while reading including:

Saccadic disorders:

Saccades are voluntary changes in eye position from one point in space to another.

These are the essential eye jumps needed to track from word to word while reading or change visual attention when driving or playing sports.

Pursuit disorders:

Pursuits are the type of eye movement necessary to hold fixation and follo a moving object.

These are the critical eye movements necessary to keep your eye on the ball in sports or track something as it moves.

Fixation disorders:

Fixations are the ability to sustain visual attention at one particular point in space without moving the eyes to peripheral distraction.

These are crucial to establishing and maintaining eye contact and can reduce the need to make extra unnecessary eye movements.

Eye/Hand Coordination

We can divide our ability to get our eyes to guide our hands into fine motor or "little" coordination and gross motor or "big" coordination. We need "little" coordination to copy sentences and to keep words equally spaced and on the line. We need "big" coordination to throw or catch a ball or to guide a steering wheel. The "big" type of eye-hand coordination is also very much linked with balance and general coordination. In both of these instances, vision is what guides body movement.

"My son C first started vision therapy with a major tracking problem that was making him hate reading and terrified of the ball in sports. In only 4 months I have seen spectacular changes and it’s as if C is an entirely new kid! He is so much more involved on the soccer field, his throwing and catching are drastically improved, and we now find him reading books on his own. My husband and I are so please and feel so fortunate to have found Dr. Appelbaum. We are so excited for what the future holds for C!"


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