I would definitely recommend vision therapy, in fact I already have my 4th grader, Elizabeth was constantly rubbing her eyes & squinting to do her work. Her vision was 20/20, actually almost 20/15 so that was not the issue. It turns out that she had an eye tracking problems as well as her eye focused at different times verses together so she always saw things blurry for the first couple of minutes. This made school extremely difficult particularly when she would have to focus on the board then copy to her notebook. It took her too long to copy things because she had to wait to focus on the board & wait to focus on her notebook. This problem also came into play when copying definitions from her book etc. After six months of therapy she is no longer rubbing her & squinting to do her work she is also more self confident due to Angela's wonderful care & upbeat attitude!