What is Neuro-Optometric Rehabilitation?

Neuro-Optometric Rehabilitation is a sub-specialty of optometry that focuses on the variety of visual disorders that occur because of concussions, brain injuries, developmental delays, or other neurological disorders.

As a part of the brain, our eyes are adversely affected by head trauma such as strokes, TBI’s, etc.

The Neuro-Optometric Vision Evaluation is unique because it has the patient undergo performance testing to determine how well the visual system is interacting with other sensory feedback in addition to the traditional eye exams performed at traditional optometry clinics.

A Neuro-Optometric Vision Evaluation involves in-depth testing which evaluates how the visual system functions and to what degree it is interfering with the performance of everyday activities. Our visual system is intimately related to everything we do from specific tasks such as reading, to the motor control involved in walking. Knowing the wide range of activities that are dependent on vision, it is no surprise that vision problems that occur after a brain injury can range from subtle to dramatic. Vision problems associated with brain injuries can be disabling and increase dependency and the risk of secondary injuries. More subtle vision disorders are often be the most irritating because they require very specialized testing to detect, so the patient often feels that no one believes them.

Double vision is a common occurrence after stroke or head injury. Promptly correcting this double vision is vital to the rehabilitation process, otherwise the effects of the doubling will significantly delay overall rehabilitation.

Double vision is associated with problems such as:

  • Hand-writing
  • Anxiety with visual tasks
  • Inaccuracies when reaching for and grabbing objects
  • Difficulty with movement and balancing (drifting when walking, stumbling, falling, etc.)
  • Driving difficulties with lane positioning, proper speed maintenance, multi-tasking, navigation

This is an example of what it can look like for someone who is trying to drive with double vision:

People who suffer from concussions, acquired brain injuries (ABI), neuro-developmental, or neuro-degenerative disorders have various functional vision problems that can cause decreased performance of Activities of Daily Living (ADL’s).

When one suffers a head injury their sense of where the middle of their body is often changes.

Symptoms associated with midline shift can include but are not limited to:

  • Dizziness or nausea
  • Spatial disorientation
  • Staying to one side of hallway or room
  • Bumps into objects when walking
  • Poor posture when seated or in movement (leans back, forward, or to one side when on
    heels, walking, standing, or seated)
  • Perception of the floor being tilted
  • Neuro-motor difficulties with balance and coordination

Neuro-Optometric Rehabilitative Therapy y is a non-invasive process for the rehabilitation of vision, visual information processing, and motor disorders. Working one on one with our staff, you learn how to regain control of your vision.