So his uncorrected nearpoint vision is weak, which would be consistent with writing challenges, since that's all nearpoint work. You've mentioned previously that he was having difficulty writing on the lines. It may be that his bottom-up letter formation is related to that, or to fine-motor planning/coordination challenges, since one work-around when one has difficulty making two lines meet is to start from where they join. That is, the impetus for forming letters from the ground up may be that then he is always assured that they are on the lines. The odd pencil grip could be an OT issue (hand coordination, grip strength, etc.).
Nice to hear that he is still doing well in class this school year, especially that his teacher enjoys and appreciates him!
