Rose Eye Clinic, Hot Springs, AR - Angela Finley Rose O.D.
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What is Vision Therapy?

Optometric Vision Therapy is a progressive program of vision procedures performed under the supervision of an optometrist who has been trained in Behavioral (also known as Developmental) Optometry. Each therapy program is individualized to fit the visual needs of that particular patient. The sessions are conducted in-office, in once or twice weekly sessions of 45 minutes and they are usually supplemented with procedures done at home between office visits.

A learning-related visual problem directly affects how we learn, read, or sustain close work. Visual problems in any of the following areas can have a significant impact on learning:

  • eye tracking skills - eyes following a line of print
  • eye teaming skills - two eyes working together as a synchronized team
  • binocular vision - simultaneously blending the images from both eyes into one image
  • accommodation - eye focusing
  • visual-motor integration - eye-hand coordination
  • visual perception - visual memory, visual form perception, and visualization

As vision and learning are intimately connected, a vision problem can be easily mistaken for a learning problem. Youngsters with visual problems can be misdiagnosed as having Learning Disabilities, ADHD, or Dyslexia. There are various reasons for this misdiagnosis. For example, children who have learning-related visual problems cannot sustain their close work at school. They may be misdiagnosed as ADHD because children with ADHD also can't sustain attention on their work. Same behaviors, different diagnosis.

What is Neuro-Visual Rehabilitation?

Following a neurological event such as traumatic brain injury, multiple sclerosis or even a cerebrovascular accident, patients may experience vertigo and dizziness that affects balance, stability and movement in space. Often these difficulties relate to Post Trauma Vision Syndrome (PTVS). Patients who have PTVS have unstable ambient (peripheral) visual processing. A common symptom is extreme difficulty with orientation and mobility when there is random movement in the patient’s periphery.

Visual balance disorders can also be caused by Visual Midline Shift Syndrome (VMSS), oculo-motor dysfunction in fixations, nystagmus, and disruptions of central and peripheral visual processing.

Visual neglect is a perceptual loss of vision. The person is unaware of their sight and will ignore or not attend to vision on the affected side.


Prescription lenses with or without the addition of prism and visual rehabilitation activities either at home or in-office are all beneficial treatment strategies.