If you have been referred to our office for a vision problem that cannot be resolved with typical glasses, we would like to welcome you. You will go through a series of tests to help you find the best solution for your problem.
In order to determine if there is a binocular visual problem that is affecting your life, a Full Evaluation will need to be done. This Evaluation goes beyond a typical regular eye exam. To help you to feel comfortable in knowing that you are in the right place for your problem, this testing is split into two evaluations.
The first evaluation is a Functional Visual Skills Exam. In this exam, Dr. Amy Thomas, who is board certified in this field, will make an assessment of the functional visual skills for both near and distance vision. This testing will show if there is, in fact, a vision problem that is affecting daily life and the extent of the problem.
The exam will take approximately one hour to complete. Dr. Thomas will be checking the following:
- Visual Symptoms
- Visual Acuity at Near and Far
- Ocular Posture (aiming skills)
- Eye Movement Skills
- Tendency to Suppress (shut off) an eye
- Refractive Condition
- Eye Teaming Skills
- Eye Focusing Skills
- Integration of Developmental Reflexes and General Coordination of the eyes and body
At this point, Dr. Thomas will be able to offer a diagnosis and possible treatment options for you. Depending on the symptoms and findings, Dr. Thomas may recommend the 2nd part of the exam.
The next part of the evaluation is the Visual Perceptual Exam. This exam will take approximately 1 hour and 30 minutes to complete. It will help determine your ability to take in visual information, process that information, and act on it.
Dr. Thomas will be checking the following:
- Eye-hand Coordination
- Reversal of Letters/Words
- Visual Discrimination
- Visual Spatial Relations
- Visual Memory
- Visual Memory with Graphic Output
- Color vision
- Focusing Endurance
- Visual Form Constancy
- Visual Figure Ground
- Visual Closure
- Tracking while reading text
- Preferred dominance of brain, eye, ear, hand, foot
- Eye-Body coordination
- Ability to learn new visual information
Once the Full Evaluation is complete, a complimentary consult will be scheduled with Dr. Thomas to discuss the results of the testing. At the consult, the discussion will be about the doctor’s findings, how those findings affect your life, recommended actions for treatment (glasses, therapy, referral to another specialty and/or observation), and the length of a vision therapy program if it is necessary.
Vision Therapy Schedule
If vision therapy is recommended, it is typically provided in 50 minute sessions one time per week. These are one-on-one sessions in which the therapist will introduce and monitor various visual exercises and assign home support activities. The home support activities are expected to be done 15 minutes per day on the days that you are in not in the office. Dr. Thomas will monitor the therapy throughout the program and also provide progress evaluations approximately every 10-12 sessions. Progress evaluations will also be necessary 1, 3, and 6 months after the therapy is completed to ensure that all concepts were learned fully.
The length of our Vision Therapy program is based upon the severity of your symptoms, diagnoses, age, and learning challenges. It is typically prescribed from 24 - 48 sessions.
What are some Vision Problems?
To determine if you have a vision problem, look at the check list below and see how many symptoms occur on a regular basis:
- Skips and re-reads lines
- Loses place when reading
- Reverses letters or numbers
- Uses finger to mark place when reading
- Reads slowly
- Holds head close to material
- Squints, closes, or covers an eye
- Poor comprehension when reading
- Headaches after near work
- Fatigue after near work
- Double vision
- Blurry vision after near work
- Unusual clumsiness or poor coordination
- Decreased attention when performing activities at near
If you have 2 or more of the above symptoms on a regular basis, it is strongly recommended that you schedule a Functional Visual Skills Exam with Dr. Thomas.
Are you still not sure if this treatment is the right treatment for you or your child? Our practice offers FREE Vision Screenings where the doctor will discuss how this program would apply to you or your child specifically. Please call the office for more information.