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Neuro-Optometric Rehabilitation

Vision is fundamentally a function of the brain. The way we process depth, direction, speed, color contrast—it all comes down to how the brain interprets the information the eyes provide.

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Traumatic brain injury such as a concussion or stroke, or diseases such as MS, cerebral palsy, or chronic traumatic encephalopathy (CTE), can result in potentially devastating visual problems. Likewise, there are inherited brain conditions which, at birth, prevent the normal development of the visual system, which can also result in a range of visual-processing problems.

digital eye

Is a Brain Injury or Concussion Affecting
Your Vision?


Not all of these problems will be immediately noticeable, and they aren’t always obviously related to problems in the neuro-visual system. Sadly, many health care providers and therapists lack the training and/or skills to recognize when neural-visual problems as the root cause of the negative side effects and conditions resulting from brain damage. Even when they are recognized, the treatment required is from a neuro-optometrist, and the symptoms will not simply “go away on its own”. Fortunately, a tremendous amount of research and technology has gone into treating these problems. An optometrist or vision therapist trained in neuro-optometric rehabilitation can effectively treat and rehabilitate the vision-related problems in those who have or are suffering from visual deficits and dysfunction from brain injury or disease.

Don’t Try and “Wait it Out” Headed by Dr. Moshe Roth, the Vision Therapy Center at Family Eye Care provides advanced neuro-optometric rehabilitation from our clinic in Old Bridge, New Jersey. We work with patients to overcome these symptoms and challenges, to improve visual function, alleviate symptoms, and regain quality of life. In fact, we provide neuro-optometric rehabilitation to patients from Old Bridge, East Brunswick, Sayreville, and Manalapan.

What is Neuro-Optometric Rehabilitation?


The brain is surprisingly elastic, meaning it can rewire and retrain itself after injury. Neuro-optometry—often lumped in with vision therapy—is a specialized field of optometry which works to actively retrain and reprogram the visual processing we rely on to properly interact and interpret the world around us. Neuro-optometric rehabilitation uses a highly-customized combination of visual exercises, specialized lenses, and targeted visual stimuli—often with the use of digital aids—to retrain the patient’s brain to process visual input properly.

Dr. Moshe Roth will uniquely tailor a treatment plan to the individual vision conditions and medical background. Neuro-optometric rehabilitation is an important component of the rehabilitative process and is often essential to reclaiming full day-to-day functionality.

brain injury

General Symptoms of Vision Conditions Treated by
Neuro-Optometric Rehabilitation

  • Spatial disorientation
  • Focusing problems
  • Double-vision (diplopia)
  • Blurred vision (asthenopia)
  • Headaches
  • Nausea and dizziness (vertigo)
  • Eye strain
  • Fatigue
  • Problems accurately gauging movement, direction, and speed
  • Trouble differentiating colors
  • Hand-eye coordination and motor problems

Frequently Asked Questions About Neuro-Optometric Rehabilitation

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


Anyone with the above symptoms or conditions should have a neuro-visual or vision therapy assessment. This will pinpoint exactly what visual skill has been disrupted and Dr. Moshe Roth will use this information to formulate the appropriate rehabilitative approach that will work for you.

In general, anyone with motor, perceptual, or visual problems resulting from brain injury or disease can benefit from neuro-optical 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. Moshe Roth will then perform a Neuro-Visual Assessment to pinpoint the exact visual conditions(s) present. The Vision Therapy Center at Family Eye Care 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 or your loved one should see some improvement fairly quickly, however, don’t expect a complete turn-around overnight. Progress is usually steady, but also gradual. It takes time to retrain the brain and eyes to function together in unison the way they should, particularly if the cause of the problem was severe or extensive. The full amount of time required depends on multiple factors, including the cause, the individual patient, and the diligence with which the regimen is held to.

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


Neuro-optometry or vision therapy is not covered by vision plans. Occasionally, some of the treatment can be covered by some medical insurance plans, but not all. The total cost will depend mainly on how long a treatment series is required.

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.

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.

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.

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

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

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

Serving Neuro-Optometry Patients From:

Old Bridge | East Brunswick | Sayreville | Manalapan | and the state of New Jersey