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.

Blog
  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 you 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
  Eye tracking, also referred to as visual tracking, is the ability of one's eyes to ?track? from left to right in an efficient manner, and ?follow? the movement of objects. Eye movements should be smooth and consistent, with the ability to be completed quickly.    ... Read More
  As children with undetected vision problems continue year after year, frustration with academic activities can be observed in behavior.  ... Read More
  The human brain measures time continuously, and has developed three general classes of timing systems: circadian, interval, and millisecond timing. Neuroscientists believe that we have distinct neural systems for processing these different types of time. Poor timing or synchronization between the three major brain networks has been implicated in several conditions.   ... Read More
  Well folks, Idaho has officially been taken over by ?Snowpocalypse.? While this record amount of snow poses a lot of challenges (school cancellations, treacherous driving, shoveling, flooding, etc.) it can also be an exciting time for outdoor enthusiasts! Anytime there is precipitation coming down in town winter sports enthusiasts can be spotted with enormous grins. What does that grin mean? Powder day, the best day of the year!   ... Read More
In this blog we are going to discuss Binocular Vision Assessments, how they differ from annual comprehensive eye exams and what type of doctor performs Binocular Vision Assessments. Binocular Vision Assessments diagnose and establish a treatment plan for Binocular Vision Dysfunction (also referred to as Binocular Vision Disorders); while annual comprehensive eye exams diagnose and establish a treatment plan for myopia (near-sightedness), hyperopia (far-sightedness), astigmatism, presbyopia,... Read More
Hockey is a fast paced, dynamic sport that requires a myriad of skill sets. Players aspiring to move up to the next level train year-round, both on and off the ice. Highly competitive players, and those on the brink of moving up, are using sports visual training to give them an edge against the competition.   ... Read More
Contact Us

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