Neuro-Optometric Vision Rehabilitation

This sub-specialty of optometry focuses on the variety of visual disorders that occur as a result of brain injuries, developmental delays and other neurological disorders.

Our eyes are a part of the brain. When someone suffers any type of injury to the brain, whether it is a stroke, car accident or developmental delay, their vision will be adversely affected.  For example, common vision symptoms after concussion include double vision, difficulty shifting from looking at things up close (such as reading distance) and then shifting to look at things in the distance and vice versa.

A Neuro-Optometric Evaluation involves in-depth testing which evaluates how well your vision functions and to what degree it is interfering with the overall performance of activities of daily living such as reading, balance and movement, tying shoes, pouring liquids, etc.

The

Neuro-Optometric Evaluation

Is a unique process because, in addition to a traditional eye exam, basic binocular visual skills, and eye health, it includes specific tests designed to determine how the visual process is interacting with other sensory feedback systems.   In addition, visual information processing skills are evaluated as they relate to work, school and other activities of daily living.

Vision problems that occur after a brain injury can range from being very subtle to dramatic.  The more subtle vision disorders can often be the most irritating because they require very specialized testing to detect, and the patient often feels as though no one believes them.

 

The impact of concussion on vision

– Video courtesy of TheVisionHelp Group (Used by permission)

It is vital to the rehabilitation process that double vision is treated as soon as possible; otherwise the overall rehabilitation be significantly delayed.

Double vision can cause problems with:

Handwriting Skills

Anxiety with visual tasks

Reach and grab inaccuracies

balance and movement difficulties like drifting when walking, stumbling or falling

Driving difficulties with lane positioning, proper speed maintenance, multitasking, navigation

Early Signs

Decreased Performance of Daily Living

People who suffer from Acquired Brain Injury (ABI), Neuro-Developmental or Neuro-Degenerative Disorders commonly have various Functional Vision Problems leading to decreased performance of Activities of Daily Living (ADL’s). 

Vision problems associated with brain injuries can be disabling and increase dependency on others, as well as risk of secondary injury unless treated.

Treatment can involve special therapeutic lenses (worn similar to glasses) or may involve a more in-depth program.  Neuro-Optometric rehabilitative therapy is a non-invasive process for the rehabilitation of visual, perceptual, and motor disorders. Individualized programs working one on one with a vision therapist, one can learn how to regain control of your vision.

Sometimes when one suffers a head injury their sense of where the middle of their body is can change.  This can cause: 

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Dizziness or nausea

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Spatial disorientation

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Consistently stays to one side of hallway or room

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Bumps into objects when walking

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Poor walking or posture: leans back on heels, forward, or to one side when walking, standing or seated in a chair

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Perception of the floor being tilted

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Associated neuromotor difficulties with balance, coordination and posture

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For a more in-depth checklist please email us at: info@sunshinevision.com

If you or a loved one has had a concussion or other type of head injury, please give our office a call

Dr. Azadeh Kelly, OD, FAAO