 ophthalmologist's role manag dyslexia dyslexia clinic entiti character subnorm read abil person averag averag intellig diseas children includ brain damag languag area hereditari predisposit ophthalm factor hyperopia muscl imbal aniseikonia visual immatur emot disturb educ immatur cerebr domin plai role etiolog condit univers symptom poor read abil case frequent associ symptom poor write difficulti read write number inabl read write music note disorient left patient develop person maladjust visual field reveal hemianopia group poor reader larg percentag ocular neurolog psychiatr psycholog abnorm strong hereditari tendenc degre read learn depend abil individu adjust psycho-physiolog time reach read ag school compens abil child's reaction favor read well spite unfavor factor poor reader children recogn year school complet medic work-up manag ophthalmologist complet ophthalm examin perform visual anomali correct ophthalmologist psychometr evalu neurolog opinion determin role organ brain damag psychiatr consult evalu emot disturb pediatr consult evalu statu gener health consult otolaryngologist determin patient's hear abil hand ophthalmologist recommend correct medic therapi advis parent teacher remedi read aid prognosi good patient averag averag intellig case help 