According to the American Optometric Association, 25% of all children, or 1 in 4 students, have a vision problem significant enough to impact their learning (Lazarus, 2020). Visual perceptual difficulties can impact adolescents throughout development, including areas of academic success, leisure/sporting events, and community integration/driving. These deficits are often misdiagnosed, leading to prolonged performance deficits, reduced self-esteem, and limited participation in meaningful and purposeful occupations. Using a case study approach, this presentation assists the occupational therapist to identify visual deficits and provides functional and targeted treatment approaches as well as appropriate service line referrals to maximize independence and safety in IADL tasks of community integration, leisure, and academic success.