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What is a Saccade?

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A saccade is a type of eye movement in which the eyes make a sudden "jump" from one target to another. 

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Function

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Saccades are used to scan an object (or multiple objects around a room)  looking at the details of a face or object, and reading fluency.

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Deficit of Saccades

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A deficit of saccades is when the eyes do not move from target to target with accuracy and/or speed. For example, the eyes can grossly overshoot or undershoot a target or they may have difficulty initiating the movement (an increased latency).

 

Deficit of saccades may be functional in nature, in which the child fails to develop age-appropriate oculomotor skills. It may also be due to an acquired brain injury such as from a concussion. In both cases, vision therapy is the treatment of choice. In some cases, however, a deficit of saccades may be due to an organic cause, such as from a nerve palsy, myasthenia gravis, or cerebellar disease and would require the consult of an ophthalmologist or neurologist. 

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Signs and Symptoms

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These symptoms are generally related to the use of the eyes for reading and are functional in nature:

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  • Frequent loss of place

  • Excessive head movement

  • Omission of words

  • Skipping lines

  • Slow reading speed

  • Poor comprehension

  • Short attention span

  • Difficulty copying from the board

  • Difficulty solving arithmetic problems with columns of numbers

  • Difficulty taking standardized psychological or educational tests with computer scan sheets 

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Treatment

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Vision therapy is the treatment of choice for deficit of saccades that is functional in nature or due to an acquired brain injury. A vision therapy program should focus on enhancing oculomotor accuracy and speed, as well as the ability to integrate with vergence ("eye teaming") and accommodative ("eye focusing") skills. 

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