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Neuro-Optometric Rehabilitation

Neuro-Optometric Rehabilitation

Vision is a fundamental function of the brain. Our perception of depth, direction, speed, and color contrast depends on how the brain interprets and responds to the intake of information from the eyes. Traumatic brain injuries, such as concussions or strokes, as well as diseases like multiple sclerosis (MS), cerebral palsy, and chronic traumatic encephalopathy (CTE), can lead to significant visual challenges. Additionally, several inherited brain conditions can also hinder the normal development of the visual system.

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What is Neuro-Optometric Rehabilitation?

The brain has an impressive ability to adapt, allowing it to rewire and retrain itself after injury. Neuro-optometry—a field closely related to vision therapy—specializes in retraining and reprogramming the brain’s visual processing abilities, essential for accurately interpreting and interacting with the world. Neuro-optometric rehabilitation employs a tailored combination of visual exercises, specialized lenses, and targeted visual stimuli, to help retrain the brain to process visual information correctly.

Dr. Dick O'Connor and Dr. Alyssa Fortuna, neuro and developmental-behavioral optometrists trained in neuro-optometric rehabilitation, can help patients regain the functionality of their vision for daily activities.

Is a Brain Injury or Concussion Impacting Your Vision?

A concussion is a mild traumatic brain injury (TBI) caused by a blow to the head, a sudden jolt, or impact that causes the brain to move rapidly back and forth inside the skull. This movement can cause chemical changes in the brain and damage brain cells. An MRI may not show evidence of brain damage – but your functional vision can still be impacted, and you may experience visual limitations. Concussions are often associated with sports injuries, falls, and accidents. Symptoms of a concussion can include:

  • Headache
  • Dizziness
  • Nausea
  • Sensitivity to light and sound
  • Difficulty concentrating
  • Memory issues
  • Mood changes (such as irritability or sadness)

A brain injury or concussion can significantly impact vision because of the close connection between the brain and visual processing. Since more than half of the brain is involved in visual functions, any trauma to the brain can disrupt normal vision.

The effects of brain injuries or concussions on the neuro-visual system may not always be immediately apparent. Many healthcare providers and therapists may not have the specific training needed to identify visual problems caused by brain damage. Even when these issues are recognized, treatment from a neuro-optometrist is essential.

    Common Vision Problems After a Brain Injury or Concussion

    Here are some of the most frequent visual issues individuals experience after a concussion or brain injury:

    • Blurred Vision
    • Double Vision
    • Light Sensitivity
    • Difficulty with Eye Tracking
    • Poor Depth Perception
    • Spatial Disorientation
    • Focusing Problems
    • Trouble Differentiating Colors
    • Eye-Hand Coordination and Motor Problems
    • Visual Field Loss
    • Visual Processing Delays
      brain injury

      Treatment for Vision Problems Due to Brain Injury or Concussion

      For individuals experiencing visual issues due to a concussion or brain injury, neuro-optometric rehabilitation or vision therapy can be highly effective. This comprehensive form of therapy helps retrain the brain and eyes to work together, improving visual skills, restoring function, and enhancing overall quality of life. Treatment is typically customized based on the individual’s specific needs and may involve eye exercises, specialized lenses, prisms, and other tools.

        How Vision Development of WNY Can Help

        As a premier neuro-optometric rehabilitation practice in Western New York, we specialize in treating post-concussion and traumatic brain injury vision problems with intensive, office-based therapy, restoring visual function and expediting the recovery process. Our Optometrists and vision therapists are highly trained in neuro-optometric rehabilitation and can effectively address and rehabilitate vision-related problems for individuals experiencing visual deficits and dysfunctions due to brain injury, concussion, or disease.

          Frequently Asked Questions

          Who is a Good Candidate for Neuro-Optometric Rehabilitation? How Do I Get Started?

          Anyone with the above symptoms or conditions should undergo a neuro-visual or vision therapy assessment.

          People with motor, perceptual, or visual problems resulting from brain injury or disease can benefit from neuro-optometric rehabilitation. It begins with a general eye exam to ascertain the overall health of your eyes. After reviewing any relevant medical documentation from your neurologist, occupational therapist, physiotherapist, etc., Dr. Dick O'Connor and Dr. Alyssa Fortuna will then perform a Neuro-Visual Assessment to pinpoint the exact visual condition(s) present. They will then craft a personalized treatment plan for your recovery.

          How Long Does it Take for Neuro-Optometric Rehabilitation to Work?

          This depends on the severity of the condition or problem. You should experience improvements fairly quickly. Don’t expect a complete turn-around overnight, however. It’s a gradual process— it takes time to retrain the brain and eyes to function in unison in the way that they should, particularly if the cause of the vision problem was severe. The full amount of time required depends on multiple factors, including the cause, the individual patient, and compliance with the regimen.

          How Much Does Neuro-Optometry or Vision Therapy Cost? Is it Covered by Insurance?

          The full cost will depend on the length of the treatment. Neuro-optometry or vision therapy may be covered by some medical insurance plans.

          Please note:  At Vision Development of WNY we do not participate with any insurances.  We prefer to focus on patient care and therefore leave the paper care of insurance reimbursement between the patient and their insurance company.  

          Get Started Today – There’s Hope in Sight!

          References


          Faul M, Xu L, Wald MM, Coronado VG. Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations and Deaths
          2002–2006. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2010.

          https://www.cdc.gov/traumaticbraininjury/pdf/blue_book.pdf

          Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health Problem. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2003.

          https://www.cdc.gov/traumaticbraininjury/pdf/mtbireport-a.pdf

          Ciuffreda KJ, Kapoor N, Rutner D, Suchoff IB, Han ME, Craig S. Occurrence of oculomotor dysfunctions in acquired brain injury: a retrospective analysis. Optometry 2007;78(4):155-61.

          https://www.ncbi.nlm.nih.gov/pubmed/17400136

          Rowe F.J. Stroke survivors’ views and experiences on impact of visual impairment. Brain and Behavior, 2017; e00778 DOI: /onlinelibrary.wiley.com
          /doi/epdf/10.1002/brb3.778

          https://onlinelibrary.wiley.com/doi/full/10.1002/brb3.778

          Leslie S. Myopia and Accommodative Insufficiency Associated with Moderate Head Trauma, Opt Vis Dev 2009;40(1):25-31.

          https://cdn.ymaws.com/www.covd.org/resource/resmgr/ovd40-1/article_myopiaaccominsuff.pdf

          Cohen, Alen H. Vision rehabilitation for visual-vestibular dysfunction: The role of the neuro-optometrist, NeuroRehabilitation, vol. 32, no. 3, pp. 483-492, 2013
          HAN M.E. (2007) The Role of the Neuro-Rehabilitation Optometrist. In: Elbaum J., Benson D.M. (eds) Acquired Brain Injury. Springer, New York, NY

          https://www.ncbi.nlm.nih.gov/pubmed/23648603

          Serving Neuro-Optometry Patients From:

          Elma | Buffalo | SouthTowns | Western New York | and beyond