We take our time to understand the history of each patient and how the eyes, brain, and body work together.Learn more...
Vision therapy develops and enhances the eye-brain-body connection and improves binocular vision.Learn more...
A person with 20/20 vision can still have vision problems!
At InSight Vision Therapy, we take our time to understand the history of each patient related to their development, total-body health, and visual function. A thorough history and questionnaire will be obtained and reviewed before each new patient's appointment (see Forms). We understand that every part of development, including in-utero history, affects how our eyes, brain and body work together.
Our examination will focus predominantly on how the eyes work together. So often, people with 20/20 vision believe they could not have a vision problem. This is simply not true. Conditions such as eye movement disorders, double vision, suppression, eye strain or fatigue, intermittent blurry vision and dizziness could all occur in patients with 20/20 vision. During the examination, you will play with toys, watch little pictures of yourself, grab 3-D objects (hopefully!), see double on purpose, and much more. In other words, the examination will be fun, interactive, and educational for everyone involved.
Although most patients bemoan the dilated eye examination, we do recommend it for patients starting at 6 months old. The best way to evaluate the health of the retina (inside lining of the eye) is through an enlarged pupil. In addition, the dilation drops relax the focusing power of the eyes, which enables our doctor to double-check the prescription of the eyes.
We understand that children may have a fear-response to the dilation drops. For this reason, our doctor strives to obtain trust with the child from the beginning of the examination. The doctor will give the child options on how to get the eye drops in the eyes, which gives the child control over the situation. It is important that we maintain trust through the appointment, so we request that parents/guardians don't tell their child, "this won’t hurt." Instead, hold their hand if they desire, and we'll all count to ten together until the sensation subsides.
Strabismus (eye turn) and Amblyopia (lazy eye) are disorders of binocular vision, resulting in reduced depth perception. To see properly in 3-D, our eyes need to be aiming at the same place at the same time. In addition, the vision in both eyes needs to be approximately the same for proper depth perception.
During this exam, we measure the position of your two eyes as well as the size, frequency, and direction of your eye-turn, if present. A variety of tests using red-green and polarized 3D glasses are used to determine your brain’s ability to fuse (bring together) the images from your two eyes. Further, we measure the flexibility and range of inward (convergence) and outward (divergence) eye-teaming movements which is an important skill when playing sports or copying from the board. Your eyes may also be dilated to determine a more accurate prescription of your eyes and to evaluate your eye health. The results from these testing will let us know what the best treatment options are for you, whether it is prescription glasses or contact lenses, prism lenses, vision therapy and/or eye-muscle surgery.
Visual perception occurs throughout the brain. In order to better understand a patient’s visual system, a set of standardized tests is used to evaluate her ability to process visual information. Below are the various aspects of vision that may be evaluated. Since vision is a learned process, these areas can be improved through vision therapy.
The following areas may be assessed:
At InSight Vision Therapy, we take a developmental approach to our vision therapy program. For that reason, we want to make sure the patient’s visual system has matured from all developmental levels. For this reason, we assess certain primitive reflexes (that developed in-utero and early post-natal) that may still be hindering the visual development process. If primitive reflexes are still retained (or present), the patient will be given a series of movement activities to integrate them. This gives the patient control over their movement and cognitive process!
We assess the following primitive reflexes:
For more information, see the Primitive Reflexes paper by Sally Goddard, et al.
What is Vision Therapy?
Vision Therapy (VT for short) helps to build the eye-brain-body connection in patients with binocular vision dysfunction or visual-perceptual challenges.
Who needs VT?
How does it work?
We do this through the following methods:
What steps do I take?
At least 80% of what we learn comes in through the visual system. What’s more, studies have shown that 1 in 5 kids have a vision problem that affects reading and learning. Even if your child has 20/20 vision, there still may be an underlying visual problem affecting their ability to learn.
There are many different aspects of the visual process in addition to clarity of sight. A deficiency in any of these areas may cause a child to struggle to read, learn, retain information, or even move through space accurately.
To see if you or your child may have a learning-related vision problem, take the Vision Symptom Checklist
Syntonics, or optometric phototherapy, is the branch of ocular science dealing with the application of selected light frequencies through the eyes. It is used in the treatment of a variety of vision disorders including: strabismus (turned eyes), amblyopia (lazy eye), focusing, and convergence problems. Specifically, syntonics is used to enlarge the "functional" visual field of patients. Constrictions in this field can affect visual processing, coordination, and learning. At InSight Vision Therapy, we utilize this phototherapy in the office and/or as part of home therapy, depending on the needs of the patient.
Treatment for strabismus and amblyopia involves helping the brain use both eyes together. We utilize interactive games and activities to improve the brain’s awareness and utilization of both eyes. Some patients develop amblyopia due to a high vision prescription in one eye. Traditional glasses can cause an image size difference, where an object appears larger in one eye than the other. This is confusing for the brain! Special glasses called Shaw Lenses http://shawlens.com/ can correct this vision difference without causing an image size difference. Contact lenses provide the same effect. Feel free to talk with Dr. Carter about these options.
Dr. Carter was always so upbeat, caring and really worked hard to connect with Zachary and incorporate ideas that would work well with his sensory issues. She had to be creative and figure out how to motivate him when this was not a pleasant task for him.Read more...