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What’s the Connection Between Sleep Apnea, Concussion, and Your Vision?

Sleep Apnea 640A recent comprehensive sleep study on people with post-concussion syndrome showed that 78% were diagnosed with sleep apnea.

What came first: the concussion or sleep apnea? Determining the answer can be difficult. People who don’t get enough sleep already exhibit some of the symptoms of post-concussion syndrome even when they haven’t had one.

What we do know is that there is a connection between sleep apnea and concussion. Sleep apnea affects the recovery from a concussion, and at the same time, the condition may result from a traumatic brain injury (TBI).

Where does vision come in?

Sleep Apnea and Concussions

For those having sustained a concussion, sleep is very important for a speedy and thorough recovery. A poor night’s sleep, as in the case of sleep apnea, may lead to impaired decision-making, cognitive loss, and symptoms of depression—all of which can interrupt the recovery process.

Obstructive sleep apnea, the most common form of sleep apnea, is caused by a physical collapse or blockage of the upper airway that interrupts breathing during sleep. This also reduces blood and oxygen flow to the brain, making it difficult for those with a concussion to recover.

A lesser known type of apnea is central sleep apnea. Unlike obstructive sleep apnea, this type is caused by a dysfunction in the brain that regulates breathing and sleep, which could also be affected by a TBI.

Sleep Apnea and Vision

As we all know, getting a good night’s sleep is essential to good health. There are a number of eye conditions that are exacerbated by poor sleep patterns and therefore may be associated with sleep apnea.

These include:

  • Floppy eyelid syndrome
  • Nonarteritic anterior ischemic optic neuropathy
  • Papilledema
  • Glaucoma
  • Swelling of the optic nerve
  • Retinal conditions

Getting your eyes checked regularly is important as it allows your eye doctor to rule out any eye disorders and prevent potential vision loss. This is all the more important if you’ve been diagnosed with sleep apnea.

Concussions and Vision

Concussions can have a significant impact on the functioning of the visual system. Post-trauma vision syndrome is a group of symptoms that cause eye coordination problems, dizziness, and blurred vision after a concussion.

The symptoms of post-trauma vision syndrome can include:

  • Headaches
  • Double vision
  • Dizziness
  • Focusing problems
  • Problems with walking and stride

Severe concussions can cause double vision and blindness, while mild concussions can affect vision and cause visual dysfunction.

How a Neuro-Optometrist Can Help

Neuro-optometrists can help post-TBI patients in ways that other health care providers may not be able to.

Neuro-optometry deals with how the visual system impacts daily functioning. By training the brain to control and communicate with the eyes more effectively, symptoms like headaches and dizziness can be significantly reduced or disappear altogether.

If you have experienced a concussion or suspect you may have sleep apnea, contact Family Eye Care to follow up on a diagnosis and treatment for any vision problems you may be having due to either condition.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, all throughout New Jersey.

Frequently Asked Questions with Dr. Moshe Roth

Q: What’s the connection between sleep apnea, concussion, and your vision?

  • A: After sustaining a concussion, you may begin to experience sleep apnea. This not only affects the healing process but your vision as well.

Q: Is there a way to treat vision problems due to a concussion?

  • A: Yes. Neuro-optometric rehabilitation therapy can retrain the brain to relieve dizziness, headaches, double vision, and other TBI-related problems.

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Call Us 732-993-3420

10 Things About Vestibular Disorders You Probably Didn’t Know

tired woman 640The vestibular system enables us to stand straight, stable, and balanced. It also sends signals to the brain to tell us if we are speeding up or slowing down. People who have vestibular disorders often feel dizzy, unstable, or vertigo. They complain of feeling disoriented, falling, or stumbling.

There is a direct connection between the visual system and the balance system. When there is a mismatch between the two systems, or a break between the two, people have those symptoms. Creating a better input and connection between the visual and vestibular systems is precisely what Neuro-Optometrists do. Read on to learn more about visual-vestibular disorders and how we may be able to treat your dizziness.

10 Quick Facts About Vestibular Disorders

  1. Vestibular disorders affect more than 35% of adults over the age of 40.
  2. The vestibular system is made up of 3 canals that have tiny fluid-filled parts within the inner ear, and they and act like a carpenter’s level. It sends signals to areas in the brain that process balance and movement.
  3. Some of the other symptoms of vestibular disorders include nausea, fatigue, difficulty focusing on objects, poor concentration, difficulty reading, hearing loss, and ringing in the ear. Many of these symptoms may overlap with other conditions. An Neuro-Optometrist is the professional who is skilled in this area, and can help.
  4. Vestibular disorders can be caused by injury, disease, drug or chemical poisoning, aging, and autoimmune diseases.
  5. Certain nutritional and lifestyle changes such as reducing salt intake, caffeine, and alcohol could improve your condition and ease symptoms of vestibular disorders.
  6. Vestibular disorders can be challenging to diagnose. Many patients report visiting four or more physicians over the course of several years before arriving at correct diagnosis.
  7. Some common vestibular disorders are benign paroxysmal positional vertigo (BPPV), labyrinthitis, vestibular neuritis, Meniere’s disease, and vestibular migraine.
  8. Patients with undiagnosed vestibular disorders may sometimes be perceived as lazy, anxious, inattentive, or attention-seeking.
  9. Neuro-Optometric Rehabilitation is a form of vision therapy, and can be life-changing for some patients. At times, doctors may prescribe special prisms to help alleviate symptoms.
  10. There is hope! Neuro-Optometrists offer Neuro-Optometric Rehabilitation. Neuro-Optometric Rehabilitation improves and re-establishes the link between the visual and vestibular information. Patients who suffer from dizziness or other symptoms of vestibular disorders learn how to coordinate the visual and vestibular systems. This then reduces or even eliminates the symptoms such as the feeling of dizziness and disorientation.

If you are experiencing dizziness, contact Family Eye Care to schedule a Functional Vision Evaluation. We also work closely with other professionals in this area.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, Edison, all throughout New Jersey.

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Call Us 732-993-3420

Experiencing Headaches? Visual Problems May Be the Cause

woman suffering from CVS

A vision problem may be at the root of your Headaches

If you’re experiencing frequent headaches, certain eye conditions may be causing your pain:

  • Strabismus: (also called visual misalignment or crossed eyes) when the eyes aren’t lining up with each other and produce images in double vision
  • Binocular Vision Dysfunction: when the eyes’ line of sight don’t match, and the eye muscles strain to produce a focused image
  • Convergence Insufficiency: when the 2 eyes don’t easily point at what you are trying to see on the computer.
  • Presbyopia: commonly referred to as “40-itis” or “40-eye-tis” is difficulty in reading small text, and that starts at about age 40. The lens in the eye has become inflexible so as it is difficult to focus on things at near.
  • Astigmatism, farsightedness and nearsightedness: when a cornea does not focus the light so that it lands on the macula and things appear blurred or out of focus.

A note of caution.

If your headaches are severe, there may be a host of reasons for that, some being sight threatening, and some even being life threatening. Either way, a visit to the eye doctor may be able to solve your problem and sometimes may even be able to save your life.

These can include:

Acute angle-closure glaucoma: This occurs when fluid pressure builds inside the eye, leading to severe headaches, eye pain, blurry vision, and seeing halos around lit objects.

Giant cell arteritis: This occurs when the blood vessels’ inner linings swell, restricting blood flow. Symptoms include decreased vision and throbbing pain in the temples.

Stroke: this can be a leak of blood in the brain, or a clot that prevents blood from getting into parts of the brain.

Get to the Root of Your Headaches

A comprehensive eye exam by a neuro-optometrist is the best way to determine if you have a vision problem that is at the root of your headaches. This eye examination checks for so much more than visual acuity; it often evaluates eye tracking and eye teaming, focusing, depth perception, oculomotor control, visual processing, peripheral awareness, and visual-vestibular integration.

If the exam determines that a vision problem is at the root of your headaches, we, at Family Eye Care in Old Bridge can provide a comprehensive treatment plan to rebuild your visual skills through a program on neuro-optometric rehabilitation therapy. This can help you improve the eyes-brain connection. At times, special eyeglasses may be prescribed to solve your problem. A program of Neuro Optometric Rehabilitation helps re-integrate visual skills with the vestibular sense. This then helps someone improve balance, coordination, and cognitive abilities. It will reduce eye strain and alleviate (or even eliminate) vision-related headaches.

If you’re experiencing frequent headaches, visit Dr. Moshe Roth and Dr. Steffani Tiomno for a thorough assessment of your symptoms, and to determine whether the underlying reason is a vision problems. If there is a vision problem, that’s a good thing because then we can help you solve that problem and then alleviate your pain. Our vision is to help you improve your your vision.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, Edison, and throughout New Jersey.



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Call Us 732-993-3420

Does Your Head Hurt? You Might Have Binocular Vision Dysfunction

headache womanHave you been struggling with headaches or migraines with little to no relief? If so, you might be suffering from Binocular Vision Dysfunction (BVD).

A standard eye exam generally won’t identify BVD. That’s why it’s important to consult a neuro-optometrist if you’re experiencing headaches or migraines.

What is Binocular Vision Dysfunction?

Binocular Vision Dysfunction is a condition where your eyes are misaligned, leading the eye muscles to strain when trying to transmit one clear image to your brain. This can result in head pain, migraines and several other symptoms. If the problem is BVD, a neuro-optometrist can diagnose the condition and provide effective treatment.

Common Symptoms of Binocular Vision Dysfunction

People with BVD typically experience some of these symptoms:

  • Sensitivity to light and glare
  • Double vision
  • Headaches and migraines
  • Eye strain
  • Fatigue or tiredness
  • Reduced attention span and concentration difficulties
  • Shadowed, overlapping or blurred vision
  • Dizziness
  • Light-headedness
  • Nausea
  • Anxiety
  • Motion sickness
  • Poor depth perception
  • Neck, upper back or shoulder pain

If BVD is the cause of your symptoms, there are several treatments including specialized prismatic optical lenses, syntonic phototherapy, and vision therapy. This then enables you to regain alignment and solve the problem.

Learning Disabilities and Reading Symptoms

Even a slight misalignment of the visual system can make learning and reading more difficult. Symptoms include: feeling tired while reading of after reading. Words may blend together, and you may skip lines or lose your place while reading.

A routine eye exam typically will not diagnose BVD, so if your child complains of headaches and is struggling with schoolwork, it is important to see the help of a behavioral, developmental, or neuro-optometrist.

Treating Headaches and Binocular Vision Dysfunction

Unlike standard eyeglasses, BVD lenses are specialized aligning lenses that allow your eyes to work together. Once your eyes are working together, the brain will receive one clear image. This may be sufficient to solve the majority of your problem. The eye muscles will then be able to relax and release the tension that can cause headaches and migraines. We can help you treat and solve these problems so you no longer have these symptoms.

If you suffer from headaches, you may have BVD or another vision problem. Schedule a vision evaluation at Family Eye Care as soon as possible. The earlier we identify a vision problem, the sooner you can receive a comprehensive treatment plan to achieve clearer and more comfortable vision.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, Edison, and throughout New Jersey.


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Call Us 732-993-3420

A Brain Injury Can Be Caused by Even a Mild Hit to the Head

TBIs Can Be Caused by Even the Mildest of Head InjuriesTraumatic Brain Injury (TBI) is a disruption in the normal function of the brain. Most are caused by a blow, bump or jolt to the head.

A concussion may seem trivial, but it is actually a Brain Injury, even if it did not cause a loss of consciousness. Any brain injury can interfere with the brain’s visual pathways and can cause a disruption in the brain and eyes communicating properly. It can bring on many visual dysfunctions.

Studies show that 90% of TBI patients experience some form of vision disruption. These can bring on long-term, life-altering consequences, including blurred vision, visual field loss, and reading problems. It can cause symptoms similar to dyslexia and ADD/ADHD. It can cause difficulty in knowing where someone is in space, and that can cause dizziness, changes in posture, and difficulty with balance. Some individual then have to tilt their head or turn their head to avoid seeing double.

Some brain injuries, called Traumatic Brain Injuries are caused by motor accidents, blasts due to explosions, falls, physical abuse, or sports-related injuries. At times, what may seem to be a milt hit to the head, can bring about changes that seem to be disproportional to the injury. Some injuries may bring on a brain bleed while others may not bleed at all.

It may not cause pain. Symptoms may not appear for days or weeks.

TBIs and related visual symptoms must be taken seriously. If you sustained even a mild head injury but feel like you have a reason for concern, call us, Family Eye Care in Old Bridge, NJ. We can help determine the right course of treatment, and can prevent potential long-term damage. We can often help you get back to the person you were before the injury.

How Common Are TBIs?

According to the Centers for Disease Control (CDC), an estimated 13.5 million individuals live with a disability caused by traumatic brain injury in the U.S. alone. Approximately 47% of traumatic brain injuries are caused by falls, particularly among young children, young men, and men and women over age 65. Fortunately, most TBIs (commonly called concussions), are mild.

How Does a TBI Affect Vision?

There are more areas of the brain that process vision than any other system. The brain is essentially a “vision machine”. Most of the information we take in from the world around us is through our visual system, and in turn, our brain also then directs our eyes to point where we want to look, so we can take in more visual information. That is why a traumatic brain injury can often cause visual problems. Such injuries can disrupt the communication between the brain and the visual system and interfere with the processing of visual information, leading to blurred vision, reading difficulties, sensitivity to light, and double vision, among other symptoms.

Visual problems tend to be overlooked during the initial treatment of brain injury, especially with mild TBIs such as a concussion or whiplash. A regular eye exam rarely identifies the extent that the visual process has been affected since the vision complications that develop are not related to visual acuity (20/20), but rather to eye teaming, focusing, and tracking.

If you are experiencing post-concussion visual symptoms, there is always the risk that they will worsen over time. Some patients notice visual problems only while experiencing additional stress, such as illness, family or work stress, or when there is a disruption to normal routines.

A Neuro-Optometric Assessment with Dr. Roth or Dr. Tiomno of Family Eye Care in Old Bridge, can determine both the severity of the impact of a TBI on your visual system, and the treatment required for your recovery.

What Treatment Can a Neuro-Optometrist Offer?

If you’ve sustained a TBI, we, at Family Eye Care in Old Bridge, NJ, offer Neuro-Optometric Vision Rehabilitation. NOR is an individualized treatment regimen to rehabilitate the connection between the brain and the eyes and the visual system. This therapy can minimize or even eliminate TBI-related visual symptoms weeks, months, or even years after the injury.

Please call our office, Family Eye Care in Old Bridge NJ if you have any questions, or to schedule a Neuro-Optometric Assessment. We serve patients from Old Bridge, Aberdeen, East Brunswick, Manalapan, Matawan, Marlboro, Monroe, Parlin. Sayreville, South Amboy, South River, Spotswood, Lawrence Harbor, Cliffwood Beach, and throughout New Jersey.


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Traumatic Brain Injuries Breaks the Visual System — And Self Esteem

Traumatic Brain Injuries Can Harm the Visual System And Self EsteemA traumatic brain injury (TBI) often breaks the vital communication between the brain and the visual system, and this brings on disabling symptoms. People often have symptoms of blurred vision, double vision, difficulty reading, and dizziness. Individuals may then feel anxious, depressed, and have low self-esteem.

When someone suffers a brain injury due to a car crash, a concussion, or a stroke, they may no longer be able to do the things they were able to do before. They may have recurring headaches that require the individual to take breaks frequently when working or studying. They may have chronic dizziness, and this can lead to difficulty driving, making the individual dependent on others. A child that has suffered a TBI or a concussion may be not be able to play group sports or activities. They may then feel “alone” or “different.”

That’s where we come in. If you or a loved one has suffered even a mild TBI, speak with Dr. Roth or Dr. Tiomno. We can often help. We begin with a comprehensive examination and then a functional vision evaluation to determine what specific course of Neuro-Optometric Rehabilitation program will help you.

Signs of Emotional Distress Following a TBI

A brain injury can cause double vision or eye tracking problems. Reading a book or catching a ball can then become a struggle and extremely frustrating. That can then lead someone who has suffered a brain injury to become sad, have lowered self-esteem, or even become depressed. Be alert for these signs:

  • Social withdrawal
  • Persistent feelings of sadness
  • Lack of interest in personal hygiene or appearance
  • Negative self-talk
  • Lack of motivation
  • Being irritable or moody
  • Reduced or lack of appetite

How a Neuro-Optometrist Can Help

It can be discouraging to hear from other health professionals that there’s nothing to be done for lingering TBI symptoms. Many professional just say to take time off or sit in a darkened room. The good news is that we, Neuro-Optometrists, can help post-TBI patients in ways that few other health care providers can.

Neuro-Optometry deals with the visual system and how it impacts daily functioning. The eyes as the most direct way to get information to the brain. The brain then sends signals to the eyes where they should move or point to. When we work on the brain through the visual system so the two communicate more effectively, symptoms like dizziness, headache, and nausea are significantly improved.

We can help patients regain abilities by retraining the eye to brain communication.

Neuro-Optometric Rehabilitation is like putting the “tools” back into the “toolbox”, and once that is done, the individual can return to doing the things they want to be able to. This can be life-changing. Children can then return to being able to play with friends on the soccer field or basketball court. Adults can then return to being the person they once were and can be more productive at work. They can then return to being able to exercise and socialize. Returning to these activities can boost self-esteem and feelings of self-worth.

We understand the challenges that accompany a traumatic brain injury and how it can affect self-esteem.

Call us to schedule a Neuro-Optometric Evaluation so we can help you solve the visual problems you have after your brain injury.

We serve patients from Old Bridge, and the surrounding towns of Aberdeen, East Brunswick, Manalapan, Matawan, Marlboro, Monroe, Parlin. Sayreville, South Amboy, South River, Spotswood, Lawrence Harbor, Cliffwood Beach, and throughout New Jersey.


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Call Us 732-993-3420

Prism Glasses for Post-Concussion Patients

Concussions Can Affect the Visual System

Prism Glasses for Post Concussion PatientsConcussions are brain injuries resulting from physical trauma, such as a car accident, a fall, or a collision while playing sports. Left untreated, they can adversely affect one’s health for months or years to come. Because the visual system relies on the brain, a concussion can cause:

  • blurred vision
  • double vision
  • eyes misaligned while focusing
  • sensitivity to light
  • depth-perception problems
  • headaches
  • vertigo
  • balance problems
  • eyestrain
  • difficulty reading

People who experience a concussion often sustain other injuries, so medical professionals may initially overlook visual problems. Fortunately, when these problems arise, vision therapy can help.

Prisms Aid in Vision Therapy

If you’ve suffered a concussion, Dr. Moshe Roth and Dr. Steffani Tiomno will ask about your visual symptoms post-concussion and how your daily routine is affected. Then Dr. Moshe Roth and Dr. Steffani Tiomno will perform a comprehensive eye exam to check for severe optical consequences like retinal detachment or traumatic uveitis, and will evaluate your depth perception, binocular vision, and ability to focus.

Vision therapy for a concussion often includes the wearing of eyeglasses with prisms, which compensate for any changes to the visual system caused by the concussion. Prisms address spatial challenges — such as posture, depth perception, coordination, and balance — by shifting the perceived position of objects and adjusting part of the person’s visual field. You should begin to notice improvement while wearing prism eyeglasses during therapeutic exercises like walking in a corridor, taking heel-to-toe steps, and reading. If the concussion’s visual effects are more severe, Dr. Moshe Roth and Dr. Steffani Tiomno will prescribe prism eyeglasses for your daily use.

Prisms’ effects are real. One study found that prisms led to a 71.8 percent reduction of headache, dizziness, and anxiety symptoms in some patients with traumatic brain injury. That study also found that the use of prisms allows other post-concussion therapies — physical therapy, occupational therapy, and medication — to work more effectively.

That means a better quality of life.



At Family Eye Care, Dr. Moshe Roth and Dr. Steffani Tiomno uses prisms for post-concussion patients in Old Bridge, East Brunswick, Woodbridge, Edison, and throughout New Jersey.


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How Vision and the Brain Work Together

How Vision and the Brain Work Together 640

There’s more to a healthy vision than meets the eye. Eye Health is certainly important, but eye health alone does not ensure that someone has good visual functional skills.

The human visual system has three components: the eyes, the visual cortex, and the connecting pathways between the two. When communication between the eyes and brain is not as smooth as it should be, then information cannot get into the brain and then the brain has difficulty making sense of that information. It could be that the connection has not developed to begin with, or it could be that it was disrupted, such as after a brain injury or stroke. The individual may then have visual symptoms that can interfere with day-to-day tasks. Even a mild brain injury, a concussion, can harm this communication. That’s where neuro-optometry comes into play.

What Is Neuro-Optometry?

Neuro-optometry treats vision-related symptoms at their source — the brain. Neuro-Optometric Rehabilitation re-establishes the connection between the eye and the brain. Neuro-optometrists treat the underlying reason for the symptoms and conditions caused by neurological diseases, whether they are due to congenital or metabolic conditions, or due to a brain trauma.

Services offered by neuro-optometrists include:

  • Neuro-Optometric Evaluation
  • Neuro-Optometric Rehabilitation Therapy
  • Visual Processing Assessment
  • Extensive Functional Visual Evaluation
  • Eye health examination

A Functional Vision Evaluation with Dr. Roth or Dr. Tiomno will assess:

  • How well the eyes work together
  • Eye Tracking
  • Visual Memory
  • How vision is integrated with balance and coordination
  • Ability to focus and aim

Who Could Benefit From Neuro-Optometric Rehabilitation Therapy?

A brain injury and other neurological conditions can affect multiple parts of the body (balance, dizziness, are examples), so patients and physicians may overlook problems in the visual system due to more pressing concerns. This is why a consultation with a Neuro-Optometrist is crucial.

Patients with any of the following conditions are urged to visit a neuro-optometrist for a complete evaluation:

  • Traumatic brain injury – (even a Concussion that may seem minor)
  • Stroke
  • Chronic brain inflammation
  • Multiple Sclerosis
  • Balance and mobility issues
  • Parkinson’s disease
  • Any condition that affects the nervous system
  • Post traumatic vision syndrome
  • Light Sensitivity
  • Visual Midline shift syndrome
  • Diabetic Neuropathy
  • Autism
  • Dyslexia

The above conditions can impair any of the following visual skills:

  • Eye Tracking
  • Eye Teaming
  • Eye Movement
  • Visual Perceptual
  • Focusing

Individuals who experience the following visual symptoms may also benefit from a consultation with a Neuro-Optometrist:

  • Blurred Vision
  • Double Vision
  • Light Sensitivity
  • Reduced cognitive abilities related to visual tasks

Treatment typically involves specialized lenses, special filters, prism, and/or in-office Neuro-Optometric Rehabilitation Therapy that are tailored to each patient’s visual needs. Just as with other forms of therapy, an interdisciplinary approach, with cooperation from other health-care providers, is often required to facilitate a complete recovery from a neurological event.

Please contact us with any further questions you may have.

We, at Family Eye Care in Old Bridge serve patients from Old Bridge, Aberdeen, East Brunswick, Manalapan, Matawan, Marlboro, Monroe, Parlin. Sayreville, South Amboy, South River, Spotswood, Lawrence Harbor, Cliffwood Beach, and throughout New Jersey.

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Call Us 732-993-3420

Nystagmus — Is That a Super Villain or Something?

close up photo of a clown 2970498Although the word “Nystagmus” sounds like something out of a comic book, it actually refers to a condition characterized by repetitive involuntary eye movements. The eyes may move from side to side, up and down, or in circular motions. Those affected by nystagmus will often experience reduced vision and difficulty with depth perception, balance, and coordination due to the unstable vision. At Family Eye Care, we treat a wide range of eye conditions— including nystagmus—with our neuro-optometric rehabilitation program.

Types of Nystagmus

Congenital Nystagmus

Nystagmus can begin in infancy, affecting babies as young as 2 or 3 months of age. With infantile nystagmus, the eye movements tend to be horizontal. In many cases, no treatment is required and the condition will fade on its own.

Spasmus Nutans

This form of nystagmus develops in children between the ages of 6 months and 3 years and will likely improve without any medical intervention by age 8. Children affected by this type of nystagmus will exhibit eye movements in any direction, and may tilt or nod their heads to compensate for the unstable vision.


Acquired nystagmus develops later on in childhood or adulthood and is often associated with problems in the central nervous system or metabolic disorders.

What Can Cause Nystagmus?

Nystagmus is generally caused by a neurological problem but can also be a symptom of another disease or condition. Additionally, several factors can worsen the condition, such as stress and fatigue.

Other causes include:

  • Albinism
  • Very high myopia (nearsightedness) or astigmatism
  • Underdeveloped eye movement control
  • Inner ear inflammation
  • Certain medications
  • Congenital cataracts

Nystagmus Treatments

In rare cases of nystagmus, surgery may aid in improving vision by changing the position of the eye muscles that control their movement.

A more holistic approach to treating nystagmus is through neuro-optometric rehabilitation therapy. Recent research has shown that this specialized form of vision therapy improves visual function in most patients with nystagmus. Neuro-optometric rehabilitation therapy refines and improves visual skills by strengthening the brain’s control over the eyes, thereby treating the problem at its source.

Family Eye Care offers the latest in neuro-optometric rehabilitation and treats patients with several forms of visual disorders, including nystagmus. If you or a loved one are affected by this eye condition, speak with Dr. Moshe Roth and Dr. Steffani Tiomno to learn how we can help.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, Edison, and throughout New Jersey.


Book An Appointment
Call Us 732-993-3420

Is It Normal To Have Long-Lasting Symptoms After A Head Injury?

man in blue and brown plaid dress shirt touching his hair 897817Perhaps you can relate to one of these scenarios:

After sustaining a mild head injury in a car accident, you now have trouble focusing when you read. You can’t concentrate and feel the need to shut or cover your eyes to find some relief.

Or maybe your child fell and took a blow to the head while playing sports and has complained of headaches ever since. Traditional headache remedies just aren’t effective, and your primary care doctor assures you that no obvious brain damage has occurred and that the headaches will resolve shortly — but they persist. MRI’s and CT scans’s usually can’t identify a brain injury. Medccations often don’t solve the problem either.

For the estimated 1.5 million Americans who suffer from traumatic brain injuries (TBI) every year, these scenarios are common of post-TBI struggles. Concussions and other forms of TBI can seriously impact lives by generating long-lasting symptoms. Fortunately, a Neuro-Optometrist can provide a crucial component to the healing process with neuro-optometric rehabilitation therapy.

If you or a loved one has suffered even a mild TBI, call our office, Famiy Eye Care in Old Bridge NJ to schedule a Functional Vision Examination to determine if you could benefit from Neuro-Optometric Rehabilitation Therapy.

What Types of Symptoms Follow a Head Injury?

The brain controls much of what goes on in our bodies, so it’s no surprise that a TBI can produce a wide range of symptoms. Below we’ll discuss the most common symptoms and how we can help treat them.

Visual Difficulties

Approximately 90% of all TBIs result in some degree of visual dysfunction. When the eye-brain connection is disrupted, a decrease in visual ability results. Some visual difficulties that may follow a TBI include:

  • Blurred or double vision
  • Photophobia (sensitivity to light)
  • Convergence insufficiency — the inability of the eyes to focus on a near object
  • Binocular vision disorder — eye turn or lazy eye
  • Problems with eye-tracking or eye-teaming
  • Difficulty reading or often losing your place while reading
  • Color contrast issues
  • Peripheral vision defects
  • Eye strain or tired eyes
  • Decreased visual acuity

Headaches and Migraines

In many cases, headaches, including migraines, can be caused by a visual dysfunction. Following a Traumatic Brain Injury it takes more effort to control and coordinate the 12 muscles that control eye position. This additional effort then leads to eye strain. It can bring on symptoms such as pain in the temples and forehead. It may have symptoms similar to, and may be mistaken for, a tension headache or migraine. Addressing the visual problem will, in many cases, alleviate the intensity and frequency of headaches, or eliminate them entirely.

Dizziness and Balance Problems

The eyes provide the brain with vital information regarding balance and coordination, so when the eye-brain connection is affected you may feel off-balance. This is especially true when a binocular vision disorder is present. Even the slightest misalignment of the eyes can make you feel dizzy, light-headed, or lose balance. Small degrees of misalignment can often be overlooked during routine eye exams, making it all the more important to see a neuro-optometrist in the presence of symptoms.


Another possible after-effect of a concussion or other TBI is difficulty concentrating, especially when reading. It may be challenging to keep your place on the page or smoothly navigate along a sentence without having to stop and close your eyes momentarily for relief. Other potential challenges include problems with comprehension, memory difficulties, or trouble with multitasking.

Is It Normal To Have Long-Lasting Symptoms After A Head Injury? generic from EyeCarePro on Vimeo.

How A Neuro-Optometrist Can Help

Neuro-optometrists are Doctors of Optometry (OD) who have additional postgraduate training to assess and treat visual disorders related to TBI and other similar conditions. The goal of Neuro-Optometric Rehabilitation is to retrain the eyes and brain to work in unison and regain clear and comfortable vision by using specific sequence of visual tasks or exercises. As with any other rehabilitation therapy, the earlier one starts the rehabilitation program following a TBI, the greater the chance of recovering lost visual skills.

We, at Family eye care in Old Brdige NJ, provide Neuro-Optometric Rehabilitation Therapy and other services to patients from the surrounding areas, including Old Bridge, East Brunswick, Aberdeen, Monroe, Manalapsan, Marlboro, Matawan, South Amboy, South River. People from even further distances throughout NJ come to obtain care in our office.


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