Neuro-Optometric Vision Rehabilitation

Neuro-Optometric Vision Rehabilitation is a treatment protocol prescribed by, and performed under the direction of, an optometrist with residency training in neuro-optometry. Neuro-Optometric Vision Rehabilitation addresses many of the visual changes that result from a neurological event (trauma, stroke, neuro-degenerative condition, etc) that would not otherwise respond to treatment to refractive correction (glasses) or surgery.



For many patients, Neuro-Optometric Vision Rehabilitation is performed as part of a comprehensive rehabilitation process. Neuro-Optometric Vision Rehabilitation is often critical in the early stages of recovery as visual reorganization allows for improvement in several areas. Vision, for example, is a critical component in mobility, hand-eye coordination and visual-motor tasks. This means that vision deficits can negatively impact one's progress in physical therapy, occupational therapy and speech therapy. Additionally, vision deficits can prevent a person from re-gaining their ability to participate in hobbies, returning to work, or performing activities of daily living (including driving). Including Neuro-Optometric Vision Rehabilitation as part of your comprehensive recovery program improves success and allows you to achieve higher levels of success.

It was once thought that once a skill was lost it was impossible to gain it back. This lead to fairly disheartening conversations with patients who has suffered an acquired brain injury. They were told that they had to give up hobbies, stop working and were going to be severely limited for the rest of their life. With time, health care provides began to realize that some level of recovery was possible with time. This lead to a 'wait and see' approach to care where health care providers acknowledged that deficits were present but told the patient that they would have to see if anything got better.


More current research has shown that change can be actively influenced. The concept of neuroplasticity enables anyone of any age to actually change the way they use their brain. There are obviously limitations to what can be accomplished, however neuroplasticity allows someone to regain abilities that were once thought to be forever lost following a brain injury.


For several decades we have known that the visual system is affected by a brain injury. Acquired brain injury, which includes concussion, traumatic brain injury, stroke and neuro-degenerative conditions, can have several effects on the visual system. These conditions include:

  • Accommodative dysfunction (impaired eye focusing)

  • Binocular vision dysfunction (impaired eye teaming, including convergence palsy)

  • Dry eye syndrome

  • Impaired visual working memory

  • Oculomotor dysfunction (impaired eye movement or tracking)

  • Prolonged visual processing speed

  • Ptosis (sagging or drooping eye lid)

  • Pupil anomalies

  • Strabismus (eye turn, wandering eye, crossed eye)

  • Visual field loss (peripheral vision or 'side vision' loss)

  • Visual attentional neglect (inability to attend to information on one side of the body)

  • Visual perceptual deficits or visual agnosia – including visual-spatial deficits


These conditions in turn result in several symptoms. Some symptoms are easily related to the visual system, while others may not initially be associated with vision by the patient or their health care provider. Symptoms due to post-trauma vision conditions include:

  • Abnormal posture (head posture, leans to one side, forward or backwards)

  • Asthenopia (eyes feel strained, uncomfortable, or sore)

  • Attention or concentration difficulties

  • Balance difficulties

  • Blurred or fluctuating vision

  • Bumps into objects or walls

  • Difficulties moving through crowded spaces

  • Difficulties with reading fluency or comprehension

  • Diplopia (double vision)

  • Dizziness or nausea

  • Fatigues easily (especially with near work, reading, computer)

  • Glare sensitivity

  • Headaches

  • Motion sickness or difficulties with mobility

  • Photophobia (light sensitivity)

  • Poor depth perception or 3D vision


We have also known that recovery is possible following an injury through the use of therapy (such as Neuro-Optometric Vision Rehabilitation). Recovering from an acquired brain injury is a long process that involves several professionals working as a collaborative team. More importantly, it requires a great deal of work by you, the patient.


Neuro-Optometric Vision Rehabilitation is a sub-specialty of optometry that treats a range of visual disorders that occur as a result of systemic disease, brain injury (ABI or TBI), stroke, developmental delay, and other neurological conditions. Neuro-Optometric Vision Rehabilitation is an individualized therapy program prescribed by a residency trained neuro-optometrist. This differs from other types of vision exercises that teach compensatory skills in order to “adapt” to the symptoms. In other words, they teach you to deal with the symptoms rather than treating and eliminating the underlying cause for the symptoms.


A Neuro-Optometric Vision Rehabilitation program is prescribed following an in-depth, comprehensive Neuro-Optomeric Assessment. This assessment, which is performed by a Residency-Trained Neuro-Optometrist, diagnoses the specific vision conditions that require treatment. Accurate diagnosis allows for appropriate treatment and greater recovery. If you have experienced an acquired brain injury, schedule a Neuro-Optometric Assessment to see if Neuro-Optometric Vision Rehabilitation should be incorporated into your recovery plan. 

Improvement Starts Here

With over 25 years of proven success, you can trust Advanced Vision Therapy Center to provide the care you need.

Our Clinical Director is Idaho's only residency trained optometrist in vision therapy and neuro-optometry and is a Fellow of the American Academy of Optometry.  His residency at University of California, Berkeley means he has the expertise and experience to treat even the most complex cases.

Read what our patients have to say.

  Vision therapy can be a bit unfamiliar to some people. We are going to begin this blog by discussing briefly when vision therapy is used. Many visual conditions can be effectively treated and managed with prescription glasses or contact lenses. However, for other visual conditions (convergence insufficiency, binocular vision dysfunction, etc) prescription glasses or contact lenses cannot correct the vision problem. It is in these cases that vision therapy may be prescribed.   ... Read More
  Many people are unaware of the differences between an optometrist, a neuro-optometrist, and a behavioral or developmental optometrist. Sure, they sound alike but the services they provide are quite different. And if you, or someone you know, has a vision problem that cannot be corrected with glasses or contact lenses this blog is for you.   ... Read More
  At Advanced Vision Therapy Center our results speak for themselves. Jonah, however, wanted to share his story with you. We invite you to watch this short video to learn more about Jonah's experience and success.   ... Read More
  It's a dangerous world we live in today! With October upon us, people are thinking about spooky, creepy crawly things, and of course things that go bump in the night. Most ghoul hunters know that to protect themselves from the evil lurking in the shadows this time of year, they need the necessities such as garlic, silver bullets, a know, for protection.     ... Read More
  Traumatic Brain Injury (TBI) is a term used within the medical community to describe an injury to the brain which is not hereditary, congenital or degenerative. Traumatic Brain Injury can be result from a blow to the head, whiplash, seizure disorders, tumors, stroke, toxic exposure, or infectious diseases to name a few. The incidence of prevalence of brain injury outnumbers breast cancer, spinal cord injury, multiple sclerosis and HIV/AIDs combined.   ... Read More
  Many people have heard of vision therapy, but don't know a lot about it. As with any type of therapy, the effectiveness of the program is dependent upon several factors. It is advisable to ask questions and do your homework. Vision therapy programs vary greatly from provider to provider.   ... Read More
  Everyday in our schools students are presented with information that they are required to look at, interpret, and process that information. For years it was believed that the eyes had nothing to do with learning. That is definitely not the case. Did you know it is estimated that 80% of what we learn is through visual information?     ... Read More
  Convergence Insufficiency (CI) is a common eye-teaming problem which occurs when the eyes are unable to maintain the ocular posture necessary for reading or near tasks. Convergence Insufficiency results from misalignment of the eyes when focusing on up close, such as when reading. The eyes have a strong tendency to drift outward when reading or doing close up work. The exact cause is unknown.    ... Read More
  After this abnormally tedious Boise winter, we are all ready to get outside and play in the sun! Hold on though, before you rush outside, have you taken the necessary precautions to protect yourself for ultraviolet rays? There are three types of ultraviolet rays, these wavelengths are not visible to the human eye and are shorter than violet wavelengths of light.    ... Read More
  Whether you are playing sports as a hobby or competitively there is a lot to consider. Are you using proper form? Is your equipment up to date? Are you warmed up? Are you wearing the appropriate safety gear? Is your opponent looking bigger and stronger than last time? Seriously, did he grow six inches? Whatever your thought process or preparation is you may be missing a key step. Are you wearing your protective eye-wear?   ... Read More
Contact Us

7960 W. Rifleman Street, #155
Boise , Idaho , 83704 USA
Phone:  208-377-1310
Fax:  208-321-1952