- Case A — which level is the breakdown point, and what does the clean floor rule out?
- Breakdown is Level 5 functional writing (L3 with 40% legibility loss after five lines), on clean L1 floors and L4 processing. The clean acuity and discrimination/form constancy performance rules out a sensory access problem and rules out a pure perceptual discrimination explanation for the "reversals." The signal is output under sustained demand — endurance and motor grading, not letter knowledge.
- Case A — what is the disposition: OT plan, referral, or monitor?
- OT plan. No ocular triggers are present and the floors are clean, so there is nothing to refer. Target graded motor output inside the writing occupation, dose it, and set the re-probe at the same five-line sample. Reversals themselves are not the goal — legibility retained across the writing bout is.
- Case B — which findings are OT-reportable and which trigger an eye-care referral?
- OT-reportable: the 38% rate decay between minute 1 and minute 8 and the 9 place-loss events, both recorded under a stated condition. Referral trigger: self-reported blur at 40 cm. Report the first two as performance data; route the third out immediately while your OT plan continues.
- Case B — how do you word the referral without naming a diagnosis?
- Model: "During an 8-minute near reading task at 40 cm, this student’s reading rate declined 38% with 9 loss-of-place events, and the student reported that print became blurry. We are requesting an eye examination and are sharing these observations; we are not offering an ocular diagnosis." Observations, conditions, the student’s own words, and a clear question.
- Case C — what does the condition-dependent change tell you about intervention targets?
- Capacity is intact — L1–L2 performance is clean in a quiet room. The deficit is tolerance for environmental load. Intervention targets graded exposure to noise, glare, and screen demand while holding the task constant, plus self-monitoring and pacing strategies. Working on the visual skill itself in a quiet room will not touch the problem.
- Case C — what accommodations follow directly from your recorded data?
- Only those you tested: matte screen/anti-glare and reduced screen brightness, seating away from high-noise and high-glare zones, scheduled breaks aligned to the minute at which decay appeared, and extended time or reduced volume for sustained near work. Each one is written with the condition and the measured change beside it.