Not all dyslexics are created equal

Optom Vis Sci. 1997 Feb;74(2):99-104. doi: 10.1097/00006324-199702000-00021.

Abstract

Background: Dyslexia is a common disorder that has traditionally been treated as a homogeneous condition. However, recent evidence indicates that it is a heterogenous condition with several subtypes. For example, studies of the visual system indicate that not all dyslexics have a normal visual pathway. Approximately 75% have a processing deficit in the magnocellular pathway. Our previous study indicated that dysphoneidetic but not dyseidetic dyslexics exhibit a magnocellular pathway defect.

Purpose: The purpose of this study was to expand our previous work by also examining dysphonetic dyslexics. Additionally, the stimulus was altered to enhance detection of a magnocellular pathway defect in any dyslexic subtype.

Methods: Temporal contrast sensitivity functions were determined with a flickering stimulus (5, 10, 15, 20, and 25 Hz) by using a temporal, two-alternative, forced-choice technique.

Results: The results indicate that the dyseidetic dyslexics do not have a magnocellular pathway defect, whereas the dysphoneidetics do. Furthermore, examination of the individual dysphonetics indicated that the more severely affected subjects also exhibited a magnocellular pathway defect.

Conclusion: These results suggest that treatment strategies for dyslexics may need to be modified to take into account their specific subtype.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Analysis of Variance
  • Child
  • Contrast Sensitivity / physiology*
  • Dyslexia / diagnosis
  • Dyslexia / etiology
  • Dyslexia / physiopathology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pattern Recognition, Visual
  • Photic Stimulation
  • Sensory Thresholds
  • Visual Pathways / physiopathology*
  • Voice Disorders / physiopathology