Many people with dyslexia can read, but the strategies they use are quite different than those used by skilled readers, and they often do not read well enough to keep up with their classmates.
After studying patterns in the way the brains of both strong readers and struggling readers acquire language, scientists found distinct differences in the areas of the brain accessed by struggling readers versus skilled readers when reading. Results were consistent across all age groups (Shaywitz, 2003).
Upon learning to read, children with dyslexia experience significant difficulty understanding how to segment and manipulate sounds, and associate letters with sounds, which are the underlying essential skills required to becoming skilled readers. They experience significant difficulty sounding out new and unfamiliar words phonetically, and have dealt with this by memorizing hundreds of high frequency words (Shaywitz, 2003). As a result, they will often rely on picture cues or context cues to decipher new and unfamiliar words.
These problems often do not become apparent until a child is required to read many new and unfamiliar words. This usually happens around third grade, when they are no longer able to rely on context and picture cues to infer meaning.