Visual Skills for Learning Singapore
  • Parents/Educators
    • Research & Evidence
    • Is my Child children at a disadvantage?
    • Common Assumption
    • Visual Skills for Learning
    • Common Eye Problems
    • Vision and Balance
    • Learning Related Vision problems Checklist
    • Convergence Insufficiency Symptom Survey
  • Learning Difficulties
    • ADHD
    • Dyslexia
    • Reversing Letters
    • Skips words/lines
    • Convergence Insufficiency
    • Visual Perceptual Disorder
    • Visual Stress or Irlen Syndrome?
    • Autism
    • Learning Related Vision problems Checklist
  • Services
    • Assessments
    • Academic Readiness Program
    • Neuro-Optometric Therapy
    • Visual Information Therapy
    • Inhibiting Primitive Reflexes
    • Self Assessment
  • About Us
  • FAQ
  • Contact
    • Locations
  • Resources
  • Parents/Educators
    • Research & Evidence
    • Is my Child children at a disadvantage?
    • Common Assumption
    • Visual Skills for Learning
    • Common Eye Problems
    • Vision and Balance
    • Learning Related Vision problems Checklist
    • Convergence Insufficiency Symptom Survey
  • Learning Difficulties
    • ADHD
    • Dyslexia
    • Reversing Letters
    • Skips words/lines
    • Convergence Insufficiency
    • Visual Perceptual Disorder
    • Visual Stress or Irlen Syndrome?
    • Autism
    • Learning Related Vision problems Checklist
  • Services
    • Assessments
    • Academic Readiness Program
    • Neuro-Optometric Therapy
    • Visual Information Therapy
    • Inhibiting Primitive Reflexes
    • Self Assessment
  • About Us
  • FAQ
  • Contact
    • Locations
  • Resources
Reversing Letters

Many may often assume a sign or symptom of dyslexia when they observe a child having letters reversals.

Dyslexia, a language-based learning difficulty, can cause difficulty in writing, reading, and spelling. Children with dyslexia often reverse letters; however, while letter reversal in writing can be a symptom of dyslexia, this does not mean that every child who reverses letters has dyslexia.

As a developing preschooler begins to practise writing, they will make mistakes or their fine motor skills might not be well developed yet, and this may show as letter reversals. Parents and educators should continue to observe if the child makes improvement with guidance and practice.

A lesser-known cause to explain the child’s letters reversals, such as ‘p’ and ‘q’ or ‘b’ and ‘d’ is a Learning-related vision problem, as they can interfere with the visual processing system and cause affected children to reverse letters. Without detection, diagnosis, and intervention, the child will continue to reverse letters and struggle with reading, writing, and spelling.

Many studies show that there is a relationship with letter reversals these visual skills.
Poor visual memory:  the ability to recall a visual image
Poor visualisation: the ability to create a mental image
Poor visual-motor integrations:  the ability of the visual and muscular system to reinforce each other
Poor visual association: the ability to link what you see with something you saw, heard, or felt in the past

If a child is lacking in his visual skills ability in the areas of visual integration, visual-motor, and visual perception, he will be more likely to continue reversing letters when writing. Intensive vision therapy training and practice can eliminate letter reversals, and learning performance can begin to improve.

If your child is reversing letters beyond second grade or 8 years of age, we recommend screening for dyslexia and vision problems.

​At Vision and Learning Developmental Practice, we provide the latest equipments and skills to assess a child's eye tracking matched with norms, visual perceptual skills, visual information processing skills, and more to fully understand their learning abilities.

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Please fill this form and get a complimentary short consultation at our office.


Midpoint Orchard
220 Orchard Road
#03-05, S238852 
Contact: 9641 2430



Practice Locations

Upper Bukit Timah
​64 Eng Kong Road S599057
Contact : 9641 2430
(Appointment only. Facility in ELF Preschool)


Indonesia Jakarta
​​Rukan Taman Meruya Blk N No. 38, Meruya Utara, Kembangan, Jakarta Barat
(Appointment only)