"So will an eye report with normal acuities and full visual fields make it less likely that the TVI would explore this possibility?" No! Actually many individuals with normal or near normal visual acuity are the ones most likely to be missed. They also may have a lower field loss that is not picked up. But many individuals (students and adults alike) are the very ones who struggle the most. These people are not like my daughter, for example, who had optometric vision therapy. It did wonders for her. But she did not have neurological challenges. Many individuals may not have a diagnosed neurological problem because people do not have brain scans unless there is a dramatic event requiring such testing. But there are lots of benchmarks beyond the eye report, including intake information and observations, that really should be looked at before automatically deciding that someone with normal visual acuity does or does not qualify for a closer look. For those of you who are concerned about this, or may not feel you have the expertise, you might find AFB's Vision and the Brain - Lueck, A. & Dutton, G., Eds. a very helpful resource. Mary Morse, Ph.D.