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  • Rubs eyes frequently
  • Eye turns in or out at any time
  • Squints or blinks excessively
  • Headaches in forehead or temple
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  • Moves head back and forth while reading (instead of moving eyes)
  • Holds book very close to eyes
  • Posture is unnatural when reading or writing


  • Avoids close work
  • Performs below potential
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  • Becomes quickly fatigued while reading
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  • Omits or confuses small words while reading
  • Whispers to self while reading silently
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What is the first step?

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