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What Is Kaleidoscope Vision?

Kaleidoscope vision is not a stand-alone condition, but rather a visual symptom of migraines or conditions like a stroke or brain injury. A person experiencing kaleidoscope vision may perceive their visual field to be fractured, vividly colored, or scrambled — similar to looking through a kaleidoscope.

Visual symptoms like kaleidoscope vision can affect one or both eyes and can occur with or without a headache. In many cases, visual auras precede headaches and migraines.

Episodes of kaleidoscope vision usually last between 10-30 minutes, but can persist up to an hour.

What Can Cause Kaleidoscope Vision?

The most common cause of kaleidoscope vision is an ocular migraine, which is a migraine accompanied by visual symptoms. About 20% of people who suffer from migraines experience some type of aura, also known as a sensory disturbance. Other forms of auras include tingling in the hands or face, muscle weakness, and difficulty speaking.

Visual Symptoms of a Migraine

Kaleidoscope vision is a component of only one type of visual aura. Understanding the other types of visual disturbances that may accompany a migraine can provide more clarity.

The 3 types of visual auras are:

1- Positive Visual Aura

This is when a person sees something that isn’t actually there. For example, a person experiencing a positive aura may see zig-zag or squiggly lines, flashes, stars, or dots. These perceived shapes may be colorful and move around the visual field or grow larger. A visual hallucination is also considered a positive aura.

2- Negative Visual Aura

This is characterized by any loss of vision during a migraine, whether partial or total. With negative auras, one may experience blind spots, loss of peripheral vision, or a brief period of total vision loss.

3- Altered Visual Aura

This type of aura distorts what you see without adding or subtracting anything. For example, one may perceive a straight line as wavy or blurred. Kaleidoscope vision is considered an altered aura.

Other forms of altered aura include misperceiving the size of an object (seeing it as larger or smaller than it really is), distorted distance perception, and distorted or absence of color.

If you experience any of the above symptoms with a migraine, seek medical attention to rule out more serious conditions, like retinal tearing or stroke.

What Causes an Ocular Migraine?

It is difficult to pinpoint the exact cause of ocular migraines, but research suggests that structural abnormalities of the visual cortex could play a role.

Another possible trigger of ocular migraines is visual dysfunction. There are several types of visual dysfunction that can trigger migraines, but a common one is binocular visual dysfunction (BVD). A binocular vision problem refers to a misalignment of the eyes.

Ordinarily, our brain receives an image from each eye and unifies those images to make one clear picture. This can only occur efficiently when the eyes are properly aligned. With BVD, the eyes and brain struggle to form a clear and unified image, which can cause the eyes to become overworked and strained. This high amount of ocular stress can produce painful physical symptoms, like a migraine with aura.

Reducing the amount of stress your eyes endure can lessen the frequency or intensity of migraines, visual auras, and their debilitating symptoms.

How A Neuro-Optometrist Can Help

If you or a loved one is experiencing ocular migraines, the first step is to schedule a functional visual evaluation. By assessing your vision, we can narrow down the cause of your symptoms and determine if visual problems could be amplifying them.

If a visual problem is detected, Dr. Moshe Roth and Dr. Steffani Tiomno will create a custom neuro-optometric rehabilitation program to strengthen your visual system and correct the problem at its source.

Neuro-optometric rehabilitation therapy can improve visual skills like eye movement, eye tracking, and eye teaming. This specialized form of vision therapy trains the eyes and brain to work in unison, increasing the efficiency of the visual system.

We may also recommend certain changes, such as rethinking your workspace, that can relieve some eye strain and stress, which may lessen the number of migraines you experience.

Start your journey to healing and call Family Eye Care to schedule a functional visual evaluation today.

Our practice serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, New Jersey and surrounding communities.

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Sensitivity To Light And Your Vision

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Sensitivity To Light And Your Vision

Experiencing sensitivity to light — a condition called photophobia — is a symptom of a multitude of conditions and disorders. In its mildest form, photophobia causes discomfort in the presence of bright light. More severe cases of photophobia can produce eye pain, headaches, nausea, and dizziness even in a dimly lit environment.

Those who are light-sensitive can experience discomfort from any source of light, whether natural or artificial. A photophobic individual may feel the need to blink frequently or close their eyes in bright indoor or outdoor environments.

In some cases, light sensitivity may be caused by a problem with the visual system. That’s where a neuro-optometrist can help. If you suspect you have photophobia or are experiencing eye discomfort in bright or dim settings, call Family Eye Care for a functional visual evaluation.

What Can Cause Photophobia?

light sensetive 500

Eye conditions and diseases that can trigger photophobia include:

  • Dry eye
  • Iritis or uveitis
  • Eye burns
  • Glaucoma
  • Corneal abrasion
  • Eye surgery
  • Blepharospasm
  • Keratitis
  • Conjunctivitis (pink eye)
  • Retinal damage
  • Cataracts
  • Dilated pupils

Light sensitivity can also accompany:

  • Headaches or migraines
  • Brain injury and concussions
  • Meningitis
  • The use of certain drugs
  • Bacterial and viral infections

The Visual System and Photophobia

All cases of photophobia should be addressed by an eye care professional to rule out an underlying inflammatory condition, infection, or concussion. If that has been done yet symptoms persist, there could be a problem with visual functioning — the way the eyes and visual system function together.

If the connection between the eye’s light-detecting cells and the optical nerve becomes disrupted, it can result in light sensitivity.

Furthermore, if the eyes don’t work in unison with each other or don’t communicate with the brain efficiently, this could strain the visual system and lead to photophobia.

Post-concussion photophobia can stem from the dysfunctional operation of 1 or more of the 4 regions of the brain.

  1. The thalamus filters all visual information that enters the brain. If the brain isn’t sending enough oxygen to the thalamus, which can occur after a traumatic brain injury (TBI), the thalamus may not perform efficiently, causing the brain to be overwhelmed by an influx of visual stimuli — such as bright light.
  2. The autonomic nervous system (ANS) regulates things like breathing, heartbeat, blood pressure, and more. If the ANS becomes dysregulated, it can cause the pupils to overly dilate, letting in too much light for the visual system to process.
  3. A malfunctioning vestibular system can also cause photophobia. This system consists of the inner ear, eyes, and sensory detectors in our limbs to regulate balance and motion. If there is a discrepancy between either of those areas, the brain may compensate by increasing sensitivity in one of the areas — such as the eyes.
  4. The superior colliculus in the midbrain manages visual mapping as well as coordination with other senses. An imbalance in this area can cause vision and other senses to become hypersensitized.

How a Neuro-Optometrist Can Help

A functional visual evaluation with Dr. Moshe Roth and Dr. Steffani Tiomno will determine if a problem with the visual system is causing or contributing to your photophobia.

If visual dysfunction is detected, we may recommend a personalized neuro-optometric rehabilitation program to treat the underlying cause of your symptoms. This specialized form of therapy involves the use of various filters and prisms, as well as visual exercises to strengthen the eye-brain connection.

If you or a loved one suffers from photophobia, call Family Eye Care to schedule a functional visual evaluation and start your journey towards healing.

Our practice serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, New Jersey and surrounding communities.

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What is BVD

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What is Binocular Visual Dysfunction?

Having binocular vision means that your eyes are successfully working together to see an object as one clear image. With binocular visual dysfunction (BVD), your eyes cannot align with each other so they send separate images to the brain. Someone with BVD may be unable to easily fuse them into one clear image.

With BVD, the eye muscles and the brain will strain to correct the misalignment. This effort to see a single, clear image often results in:

  • Headaches
  • Dizziness
  • Nausea
  • Seeing double
  • Neck pain
  • Reading problems
  • Difficulty with depth perception
  • Anxiety
  • Tension
  • Blurry vision
  • Imbalance

BVD affects people of all ages. It can hinder an adult’s performance at work, making reading and other vision-centered tasks, such as driving, a chore. Diagnosing and treating children with BVD early on will allow children to see and read comfortably and meet the demands of school and sports.

Diagnosing & Treating BVD

Because someone with BVD may successfully see one image (albeit by straining), and otherwise possesses clear vision and good eye health, general practitioners, ophthalmologists and even neurologists may be baffled as to what the eye problem is. In addition, the eyes’ misalignment often is so minimal as to go undetected.

The optometrists at Family Eye Care are experienced in diagnosing and treating patients with BVD. Vision therapy is tailored to each patient to train and develop brain-eye communication. The therapy will help your eyes move properly, stay aligned, and work as a team. The result: Your eyes will see an object as one image, providing you with clear, comfortable vision. A vision therapy regimen can run from a few weeks to several months.

As part of the treatment, Dr. Moshe Roth and Dr. Steffani Tiomno may also prescribe eyeglasses with prisms. The prism glasses help the eyes and brain to create a unified image, sometimes immediately.

Our practice serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, New Jersey and surrounding communities.

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Vision Related Motion Sickness

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Vision-Related Motion Sickness

Motion sickness refers to that woozy sensation one gets when traveling by car, boat, plane, on roller coasters and ferris wheels. Motion sickness and visual vertigo (dizziness and unsteadiness brought on by visual triggers) can produce similar symptoms, and are sometimes mistaken for one another. Both conditions can be due to issues in your visual system, so if you find yourself becoming disoriented, dizzy, or nauseous, it may be time to visit a neuro-optometrist.

Those who suffer from motion sickness often find it difficult or impossible to drive, play sports, go on amusement park rides, or be in an environment with fast or moderate motion. Engaging in these activities or being in visually-busy settings can produce uncomfortable — even debilitating — symptoms.

Fortunately, a neuro-optometrist can offer help. If you or a loved one is experiencing symptoms of motion sickness, contact Family Eye Care to schedule a functional visual evaluation.

Exhausted tired woman with closed eyes touching head

What is Motion Sickness?

Motion sickness occurs when the body’s motion receptors send conflicting messages to the brain. For instance, some people experience nausea or other uncomfortable symptoms when reading from a book (or screen) while riding in a moving vehicle. This is because the eyes are focused on a still object — the words on a page — while the motion receptors in the inner ear sense motion. These conflicting messages are what contribute to the feeling of motion sickness.

How Can Vision Cause Motion Sickness Symptoms?

The visual input that comes from the eyes helps the brain understand where you are in relation to your surroundings. Other sensory information about the body’s position and stability come from receptors in the inner ear (vestibular sensors) as well as receptors in the legs and feet that inform the brain about any body movements and where they are located in relation to the rest of the body. The visual system, along with the other sensory receptors, all work together to keep you feeling balanced and stable.

Someone with visual dysfunction may experience motion sickness due to the inaccurate visual information being processed by the brain. This mismatch of visual input with vestibular cues causes you to experience vision-related motion sickness.

One visual condition that commonly causes motion sickness symptoms is binocular vision disorder (BVD). In BVD, the eyes are misaligned and each eye sends a separate image to the brain. To compensate for the conflicting visual messages, the brain works very hard to create a unified image and sometimes forces the eyes into correct alignment. This process can cause several symptoms, including those of motion sickness.

Symptoms of Vision-Related Motion Sickness

It’s common to experience any of the following symptoms of vision-relation motion sickness:

  • Upset stomach
  • Nausea
  • Vomiting
  • Dizziness
  • Disorientation
  • Trouble maintaining balance

How Our Doctors Treat Vision-Related Motion Sickness

At Family Eye Care, we treat the problem at its source — the brain and its connection to the visual system. Neuro-optometric rehabilitation therapy is a process by which the brain is “rewired” to work in unison with the eyes. This method is highly effective in treating motion sickness if the problem is a dysfunction in the visual system.

At the initial consultation, Dr. Moshe Roth and Dr. Steffani Tiomno will thoroughly evaluate your eyes and various visual skills to determine whether your visual system is contributing to your motion sickness. If a problem with visual function or processing is detected, Dr. Moshe Roth and Dr. Steffani Tiomno may prescribe neuro-optometric rehabilitation therapy.

Neuro-optometric rehabilitation therapy is a highly personalized program of exercises that develop the communication between the brain and the eyes. The program may also use several therapeutic tools, such as specialized lenses and prisms, to aid in the developmental process. Some practices offer only prism lenses as a treatment for motion sickness or visual vertigo. While this can lessen symptoms in the short term, prism lenses alone don’t offer lasting relief since the condition itself isn’t corrected. Neuro-optometric rehabilitation is unique in that it can actually reverse the cause of the condition, offering long-lasting relief.

If you or a loved one suffers from motion sickness, speak with Dr. Moshe Roth and Dr. Steffani Tiomno about how we can help.

Our practice serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, New Jersey and surrounding communities.

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Headaches And Migraines

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Common Headaches And Migraines | How A Neuro-Optometrist Can Help

Pinpointing the cause of a headache can be difficult because headaches are a symptom of a multitude of conditions, rather than a disease itself. What many don’t know is that headaches can actually be rooted in visual dysfunction, especially following a traumatic brain injury (TBI) or stroke. And while migraines are a more severe form of headache, they too can be related to visual dysfunction. If you suffer from sporadic headaches or migraines, make an appointment with Dr. Moshe Roth and Dr. Steffani Tiomno to rule out visual dysfunction as the cause or contributing factor.

Common Headaches Vs. Migraines: What’s The Difference?

What Is a Headache?

Those unpleasant pains in your head that feel like achy pressure are headaches. The pain can range from mild to severe, usually affecting both sides of your head. Some target areas include the temples, forehead, and upper neck. A headache can last anywhere from 10 minutes to several days.

Tension headaches are the most common type of headache, and patients say they feel like their forehead is being forcefully squeezed by a tight band. Eye pain commonly accompanies a tension headache. While the cause of tension headaches is unknown, visual misalignment can produce identical symptoms to a tension headache, as will be discussed below.

What Is a Migraine?

A migraine is a more intense form of headache, and its symptoms tend to be more debilitating and frequent than common headaches. Migraines also tend to target one side of the face or head, and pain can last for hours or days. For some patients, a migraine starts with the presence of an aura, which can include visual disturbances such as flashing lights or blind spots. During a migraine, one may find it difficult to speak or think clearly. Furthermore, migraines can produce a tingling sensation or numbness in the limbs or extremities. Migraines are often accompanied by vomiting, nausea, and heightened sensitivity to light and sound.

woman with headacheHow Does Visual Dysfunction Impact Headaches and Migraines?

There are several types of visual deficiencies that can lead to headaches or migraines. One of the most common types is binocular visual disorder. A binocular vision problem refers to a misalignment of the eyes and can result from a stroke or TBI. When the eyes struggle to function together, they may become strained and overworked in an effort to correct the problem. This high amount of ocular stress can produce painful physical symptoms that can sometimes be mistaken for other conditions. For example, a headache that is rooted in visual misalignment is often mistaken for a sinus headache.

Convergence insufficiency and accommodative dysfunction are both well-studied forms of binocular dysfunction and can cause or exacerbate symptoms of both common headaches and migraines.

How Can I Tell If My Headache Is Vision-Related?

The only way to properly determine whether vision is at the root of a common headache or migraine is to have Dr. Moshe Roth and Dr. Steffani Tiomno assess your condition with a complete functional vision evaluation. Patients who suffer from headaches and seek our treatment are usually experiencing one or more of the following symptoms:

  • Stabbing or dull pain around the eyes
  • Headache that impairs your ability to perform daily tasks or remember things
  • Throbbing pain in the head or around the eyes
  • Dizziness
  • Sensitivity to light
  • Frontal headache (“brow ache”)

Whether you experience one or more of the above symptoms regularly or occasionally, know that treatment is available.

We Can Treat Your Headaches

Standard headache treatments aren’t going to be effective if the cause of the symptoms is visual misalignment. Our job is to treat the misalignment with neuro-optometric rehabilitation therapy, resulting in long-term headache relief.

By assessing your vision with a functional vision evaluation, we can narrow down the cause of the headaches and determine if vision could be amplifying your pain, even if it isn’t directly causing it. Once the diagnosis is confirmed and a visual problem is detected, Dr. Moshe Roth and Dr. Steffani Tiomno will create a custom neuro-optometric rehabilitation program to strengthen your visual system and correct the problem. It is also important to refer to your complete medical history during the evaluation so that we can offer the best advice on how to holistically approach the situation in the way that best suits your lifestyle and health, taking all factors into account.

Start your journey to recovery and call Family Eye Care to schedule your appointment today.

Our practice serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, New Jersey and surrounding communities.

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Traumatic Brain Injury Rehabilitation

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Traumatic Brain Injury Rehabilitation

The statistics on TBIs are quite startling. Over 2.8 million Americans suffer a form of traumatic injury each year, which is close to 1 in 100. Traumatic brain injury causes damage to the brain, resulting in headaches, confusion, poor concentration, and vision dysfunctions, among other problems. Fortunately, vision rehabilitation treatment, as part of an integrated team approach, can effectively help in the rehabilitation of patients with traumatic brain injuries.

What Is a Traumatic Brain Injury?

Traumatic brain injury (TBI) occurs when a sudden injury damages your brain. There are two types of TBI: a closed head injury that doesn’t break through the skull (yet may still cause brain damage), and a penetrating head injury, which causes the skull to break.

Approximately 47% of traumatic brain injuries are caused by falls, particularly among young children and those over 65 years of age. Other TBI injuries can result from blunt force trauma (15%), car accidents (14%), and violent physical assaults (9%).

The symptoms experienced following a TBI include headaches, confusion, dizziness, convulsions, poor concentration, memory issues, and personality changes. Because more areas of the brain are used to process vision than any other system, traumatic brain injuries can often result in vision problems.

In order to recover from a TBI, one needs to undergo rehabilitation, which can come in many forms — depending on your specific case and requirements. It may include physical, occupational, and speech therapy, as well as neurological, and psychiatric care. Neuro-optometric rehabilitation, however, is one of the most effective ways to resolve a range of traumatic brain injury vision problems.

Rehabilitation for Traumatic Brain Injuries

kissing wifeDuring its acute stage, moderately to severely injured TBI patients will typically be treated and cared for in the intensive care unit of a hospital. As your needs and abilities change, so will the rehab program. Rehabilitation can take place in various settings, such as inpatient or outpatient rehab hospitals, home-based rehab, day programs, and independent living centers.

What Does Rehabilitation Resemble Following Brain Injury?

Everybody’s needs and functions vary following a brain injury, and each rehab program is designed to match the patient’s unique needs and goals. The program generally includes a case coordinator and several healthcare providers.

The treatments below are offered based on your functions and abilities, such as visual skills, speech ability, mental and behavioral state, language comprehension, among others.

  • Physical therapy
  • Physical medicine
  • Occupational therapy
  • Neuro-optometric rehabilitation
  • Psychiatric and psychological care
  • Speech and language therapy

How Does TBI Affect Vision?

Studies indicate that 90 % of TBI patients experience some form of vision disruption, which is caused by interrupted communication between the eyes and the brain.

Symptoms include:

  • Blurred vision
  • Eyestrain
  • Increased sensitivity to light (photophobia)
  • Reading difficulties
  • Visual periphery defects
  • Color contrast issues
  • Vestibular dysfunction
  • Decreased visual acuity

These visual aberrations may affect professional, educational and other aspects of daily living.

Unfortunately, TBI-related vision problems may often be overlooked during the initial brain injury treatment as visual disruptions may not be present until some time has passed following the accident.

holding handsHow Can an Optometrist Help in the Recovery of a TBI?

Optometrists, who typically work as part of an interdisciplinary team, play a crucial role in treating patients with TBI. Neuro- optometric rehabilitation optometrists (neuro-optometrists) assess and treat TBI-related visual disorders that impact the patient’s rehabilitative progress and quality of life.

At Family Eye Care, we see a variety of patients who have had TBI, whether due to a sports injury, motor vehicle accident, or fall, with visual problems range in complexity and severity. By staying on top of the most recent research, Dr. Moshe Roth and Dr. Steffani Tiomno can properly tailor a treatment plan to the patient’s unique needs for maximum results.

Two Types of Eye Doctors Specialize in the Detection and Treatment of TBI

Neuro-optometrists

A neuro-optometrist is a Doctor of Optometry (OD) who is highly trained in diagnosing and treating neurological conditions that impact the visual system. The treatment of TBI by a neuro-optometrist is called neuro-optometric rehabilitation (also known as vision rehabilitation).

Neuro-optometric rehabilitation should not be confused with vision therapy, as not all doctors who offer vision therapy are trained in neuro-optometric rehabilitation.

Neuro-ophthalmologist

A neuro-ophthalmologist is a medically trained eye doctor ( MD) who specializes in vision problems relating to the nervous system — such as TBI-related visual acuity loss.

Both neuro-optometrists, such as Dr. Moshe Roth and Dr. Steffani Tiomno, and neuro-ophthalmologists can identify TBI-related vision problems. Depending on the type and severity of problems detected, they will develop a treatment plan uniquely designed to eliminate post-TBI vision symptoms and difficulties. Treatments typically include specialized glasses to help with visual processing or in-office and at-home neuro-rehabilitation procedures to reduce symptoms and promote visual recovery.

It is important to note that a single type of vision rehabilitation treatment is often not enough to address all the patient’s needs. That is why an interdisciplinary, integrated team approach can play a vital role in the rehabilitation of patients with traumatic brain injuries.

Neuro-Optometric Rehabilitation for Brain Injuries

Neuro-Optometric Rehabilitation is a personalized treatment regimen for those with visual deficits resulting from traumatic brain injuries, physical disabilities or other neurological issues. The vision complications that develop following a TBI are not related to visual acuity (20/20) but rather to eye teaming, focusing, and tracking. This can result in difficulties in reading and playing sports.

The goal of neuro-optometric rehabilitation is to retrain the visual system and eliminate the visual symptoms that arise from a traumatic brain injury. Fortunately, by using specific eye-training exercises, one can rewire the brain to improve eye function. Just as with other rehabilitation methods, the earlier one starts the eye exercises following a TBI, the better the chance of recovery and sight improvement.

We will use a variety of tools and exercises to train aspects of the visual system in order to improve vision accuracy. The functional skills the doctor will work on will include eye tracking, focusing, and eye teaming, as well as visual discrimination (the ability to discern b’s and d’s), handwriting, and spatial awareness. During the course of the treatment, the patient will be assigned a series of home exercises with specialized equipment. Follow-ups will be regularly scheduled by the optometrist to assess progress.

Should Everyone With a Brain Injury See An Eye Doctor?

If you experience a traumatic brain injury, make sure to see a neuro-optometrist who has special training in TBI-related visual aberrations. This is all the more necessary if you experience any changes in your vision following head trauma.

Children With Traumatic Brain Injury

Though the symptoms of TBI in children resemble those experienced by adults, the functional impact can be very different. Because the brain of a child is in development, a brain injury can result in cognitive impairments. Though not always apparent following the injury, it may manifest itself as the child gets older. Your child may face physical, cognitive, and emotional challenges which can result in struggles for children, their families, schools, and communities.

Therefore, once the child is stabilized following a brain injury, the patient should receive physical therapy, occupational therapy, speech therapy, optometric and neuropsychological testing. Rehabilitation will teach the child how to compensate for impaired or lost functions and will provide strategies on ways to optimize the use of these abilities as they return.

The caring and knowledgeable staff at Family Eye Care are always here to help patients experience the best vision care and treatment possible.

Our practice serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, New Jersey and surrounding communities.

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Dizziness and Balance Problems

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Dizziness and Balance Problems Related to Vision

Maintaining balance is a complex process that is controlled by three different systems in the body:

  • The vestibular system is mainly located in the inner ear and is responsible for providing the brain with information about head position, spatial orientation, and motion
  • The visual system provides input from your eyes to your brain, and is the dominant system providing cues for maintaining balance and preventing dizziness
  • Proprioceptors in the legs and feet provide the body with a stable platform as well as information on movement and motion

How Can Impaired Vision Cause Dizziness and A Balance Disorder?

If you’ve experienced sea or motion sickness, the common advice is to close your eyes. Doing this removes the impact of the visual system, and can alleviate nausea and dizziness. Any disruption in the eye-brain connection or the visual system can result in dizziness and balance problems.

Dizziness and Vision

When the visual system is negatively impacted, such as after a concussion, stroke or other traumatic brain injuries (TBI), dizziness can occur.

The most common causes of vision-related dizziness include:

  • TBI
  • Eyestrain
  • Incorrect eyeglass or contact lens prescriptions
  • Binocular vision disorder (eye misalignment)

dizziness balance disorders

In many cases, dizziness is caused by binocular vision problems. When the eyes are misaligned, they receive conflicting signals from the brain and can deviate from their correct position. The eyes therefore strain to put the images back together for a unified and clear view of their surroundings. The extra stress on the eye muscles can cause them to quiver, which can lead to light-headedness or dizziness.

Eye misalignment that causes dizziness can be so slight that it is often overlooked in routine eye exams. For this reason, it is vital for anyone who is suffering from dizziness or balance problems to have a complete functional visual assessment with Dr. Moshe Roth and Dr. Steffani Tiomno to rule out visual dysfunction as a cause of the symptoms.

Balance Problems and Vision

People suffering from a balance disorder can be in a still position but feel as if they’re moving. Additionally, they may find it difficult to walk straight, especially after being in a sitting or reclining position and suddenly standing up.

Vision problems can make it challenging to maintain proper balance. When someone has troubled vision and the eye muscles work harder to compensate for the decreased visual clarity, eyestrain, headaches, and balance disorders can occur.

The most common causes of vision-related balance problems include:

  • Blurry or double vision
  • Binocular Vision Dysfunction (eye teaming)
  • Concussion
  • Hemianopsia (blindness in one half of the visual field)
  • Nystagmus (involuntary and repetitive eye movements)
  • Spatial Disorientation
  • Vertigo
  • Visual Midline Shift Syndrome

Treatment for Vision-Related Dizziness and Balance Problems

Dizziness and balance problems often go hand in hand, and if a visual problem is at the root, a neuro-optometric rehabilitation therapist can offer help.

What Is Neuro-Optometric Rehabilitation Therapy?

At Family Eye Care, we provide neuro-optometric rehabilitation, which is a personalized program of weekly therapy sessions to improve, refine, or develop new or lost visual skills. This specialized treatment involves various techniques and exercises that improve your visual perception and processing, thereby strengthening the eye-brain connection.

Before the neuro-optometric rehabilitation program begins, you’ll undergo a comprehensive eye exam to assess visual skills and determine whether visual dysfunction is present. Aside from visual function and overall eye health, Dr. Moshe Roth and Dr. Steffani Tiomno will also check for eye coordination, blurry or double vision, and any other ocular condition that could be causing symptoms.

Once the cause of the condition is identified, we will recommend a customized treatment plan and treat it. In many cases, vestibular therapy will also be recommended to complement the visual treatment. Vestibular therapy is a special type of physical therapy aimed at restoring correct balance to provide relief for symptoms of dizziness.

When Should You Seek Treatment?

It’s important to be evaluated by a neuro-optometrist as early as possible following even a minor TBI. The sooner treatment begins, the greater the likelihood of success. That said, there is still hope for patients who suffer from symptoms caused by a head injury that occurred months or even years prior; we can still assess your situation and develop a course of treatment to help you recover now.

How Long Does Treatment Take?

No two patients are alike — if you’ve seen one head injury, you’ve seen one head injury. Each person experiences a unique degree of dizziness, balance issues, or vision problems. Some patients may require just a few weeks of treatment, while others may require something more long-term. The good news is that the improvements achieved by neuro-optometric rehabilitation therapy are generally long-lasting.

How We Can Help

If you or a loved one is experiencing any symptoms of dizziness or feeling off-balance, contact Family Eye Care for a consultation. Even if you’ve been told that your symptoms are stress-related, seasonal, or will fade on their own, having a functional visual evaluation can help rule out vision as being the root cause or contributing factor to your symptoms.

It’s also important to note that not every optometrist is trained in this specialized field. Only a neuro-optometrist should assess and treat a post-TBI patient with neuro-optometric rehabilitation therapy. We has the expertise and latest technology to provide you with the top-level care you deserve.

Our practice serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, New Jersey and surrounding communities.
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Call Us 732-993-3420