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iheartVT Virtual Conference

Top Five Vision Therapy Tools

Understand how to utilize traditional therapy procedures and when to move forward with modern alternatives. 1 hour – English – ODs, VTs, Optometry students

Course Handout Top Five Vision Therapy Tools iHeartVT 2020

Products from this course:

  1. Virtual Reality
  2. MFBF Game
  3. Stereoscope
  4. Vectograms
  5. Facility Rock

Virtual Reality Platforms

Vivid Vision: https://www.seevividly.com/

Optics Trainer VR: https://www.opticstrainer.com/

Monocular Fixation in a Binocular Field (MFBF)

MFBF Game: https://www.bernell.com/product/MFBFMG/398

Sherman Cards: https://www.bernell.com/product/KEY4102/Games

Carl’s Cards: https://www.bernell.com/product/RGCC/398

Franzblau Cards: https://www.bernell.com/product/FZKIT/398

Franzblau Anaglyph Rock

*Lens flipper set: Optego (Canada)

https://optego.com/product/home-therapy-flipper-set/

Home Therapy Flipper Set (each flipper sold individually)

Flipper A +0.75/-1.50 -2.50/+1.25

Flipper B +1.75/-3.50 -4.00/+2.00

Flipper C +2.25/-4.50 -5.00/+2.50

Stereoscopes

Bernell-o-scope: https://www.bernell.com/product/BC200/Cheiroscopes

Cheiroscope:

https://www.bernell.com/product/BACT/Cheiroscopes

iPad Stereoscope:

https://www.good-lite.com/gLab Stereoscope

Headline Stereoscope Cards:

https://www.bernell.com/product/HDSC/Stereoscopic_Cards

Vectograms

Vectograms and Vectographs (Polarized glasses):

https://www.bernell.com/category/Vectograms-Vectographs

Vectographs produced by Vision Assessment Corporation (note – these manuals are great and indicate the stereopsis demand of each 3-D target)

https://www.visionassessment.com/polarized-variable-vectographs

Anaglyphs (Colored Glasses)

Red/Green Emergent VT Anaglyphs:

https://www.emergentvt.com/remote-vision-therapy-kit

Tranaglyphs:

https://www.bernell.com/category/Tranaglyphs

Red/Cyan Opto iPad app: http://gerull-labs.com/red-cyan

Red/Blue Home Therapy System (HTS): https://visiontherapysolutions.net/hts-inet/

Red/Blue Vision Builder: http://www.visionbuilder.no/

Facility Rock

Facility Rock Test Set: https://www.good-lite.com/Details.cfm?ProdID=940&category=0&Secondary=0

Flipper Sets from Good-Lite: https://www.good-lite.com/flippers.pdf

Prism Flippers: https://www.bernell.com/category/Prism_Flippers

**If you have similar products in other countries and you would like me to add links, just send the information to drjsimonson@yahoo.com. Thanks!

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50th CVTC Research Article List 2019

Resources for: A New Neurofunctional Approach to the Treatment of Amblyopia and Strabismus

When a link or .pdf to the article was available, it was attached. If not, a more detailed reference was listed.

  1. Birnbaum MH , Koslowe K , Sanet R American Journal of Optometry and Physiological Optics [01 May 1977, 54(5):269-275]
  2. Occlusion for amblyopia: A comprehensive survey of outcome: F Hiscox, N Strong, J R Thompson, C Minshull & G Woodruff in Eye volume 6, pages300–304 (1992)
  3. Neuron-V48-Oct-2005-Neuroscience-Critical-Periods
  4. http://www.fixingmygaze.com/

20191011 201435

  1. https://visionhelp.com/the-psychosocial-and-emotional-consequences-of-occlusion-therapy-an-antiquated-treatment-for-amblyopia/
  2. Elbow splinting as a method to increase patching compliance in amblyopia therapy
  3. Why is compliance with occlusion therapy for amblyopia so hard? A qualitative study: https://www.ncbi.nlm.nih.gov/pubmed/16531452
  4. Patching may be strengthening rather than reducing the binocular imbalance that characterize amblyopia: Binocular Plasticity in Adults
  5. Under-correction of hyperopia reduces risk of becoming strabismic: https://www.ncbi.nlm.nih.gov/pubmed/8776448
  6. Refractive error change and vision improvement: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0175780
  7. Awan, M & Proudlock, Frank & Grosvenor, D & Choudhuri, I & Sarvanananthan, N & Gottlob, Irene. (2009). An audit of the outcome of amblyopia treatment: A retrospective analysis of 322 children. The British journal of ophthalmology. 94. 1007-11. 10.1136/bjo.2008.154674.

20191011 193554

  1. https://www.cell.com/trends/neurosciences/fulltext/S0166-2236(00)01967-6 Environmental complexity stimulates visual cortex neurogenesis.
  2. Duffy, F. H., Snodgrass, S. R.: Bicuculline reversal of deprivation amblyopia in the cat. Nature 260, 256-257 (1976).
  3. https://www.nyas.org/events/2007/plasticity-of-sensory-systems/ “Alleviating neural inhibition in adulthood with drugs or training paradigms may unmask the full capacity for lifelong learning”
  4. Birch-Amblyopia-and-Binocular-Vision “Unless the binocular dysfunction is treated, abnormal binocular vision may result in residual amblyopia, and may trigger recurrence of amblyopia”
  5. https://www.ophthalmologytimes.com/modern-medicine-feature-articles/new-perspective-posits-amblyopia-secondary-binocular-problems
  6. Binocular Vision in Amblyopia: Hess Binocular Vision in amblyopia
  7. User’s Guide to the Brain: Dr. John Ratey
    users guide to the brain
  8. Franz and Sherman: Amblyopia-Therapy-Rationale-for-Refractive-Correction-Occlusion-VT
  9. Greenwald: Brock A Binocular Approach to Amblyopia Therapy brock_-_a_binoc_approach_to_amblyopia-therapy-Greenwald
  10. “The anatomical changes that we find in the eye muscles are minimal and only in rare instances are they of any importance in the total picture” https://visionhelp.wordpress.com/2012/04/04/a-ruede-re-awakening/
  11. ELISSS Study: Early vs. Late Infantile Strabismus Surgery Study. Note: At age six, 13.5% of the early vs. 3.9% of the late group recognized the Titmus Housefly; 3.0% of the early and 3.9% of the late group had stereopsis beyond Titmus Housefly. https://www.ncbi.nlm.nih.gov/pubmed/16361188
  12. Reoperation rates were between 60% and 80% for children first operated around age 1 and approximately 25% for children operated around age 4: https://www.ncbi.nlm.nih.gov/pubmed/20843185
  13. “It has not been possible to resolve the controversies regarding type of surgery, non-surgical intervention, and the optimal timing” The Cocharan Collaboration https://www.ncbi.nlm.nih.gov/pubmed/15674970
  14. Strabismus Surgery and its complications: https://www.springer.com/us/book/9783540327042
  15. https://eyewiki.aao.org/Strabismus_Surgery_Complications
  16. The_Prevalence_of_Reoperation_and_Relate d Risk Infantile Esotropia: As can be seen in the decision tree, the most appropriate age for the first operation is 37 months, if a minimum number of operations and achieving gross stereopsis inpatients older than 5 years old is desired.
  17. Pilar Vegara: Crossed and Lazy Eyes (I was unable to find this on Amazon Books) It is currently available here – https://www.oepf.org/product/643 crossed and lazy eyes
  18. Cook-Incomitant-Strabismus-JBO-2004

2019 Colorado Vision Training Conference (CVTC)

Title: A New Neurofunctional Approach to the Treatment of Amblyopia and Strabismus

Registration Link: https://www.regonline.com/registration/checkin.aspx?eventId=2563295

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Dr. Bob Sanet

This 2-day course will provide attendees with an understanding of amblyopia and strabismus including eccentric fixation and anomalous correspondence and effective evaluation techniques to determine the prognosis in amblyopia, exotropia and esotropia. The course will provide an overview of myths and misconceptions regarding amblyopia and strabismus and review scientific studies on the underlying cause of amblyopia and strabismus and treatment options including patching, surgery and optometric vision therapy. This course will conclude with easy-to-follow, sequential and effective vision therapy treatment procedures for amblyopia, exotropia, and esotropia.

Dates: October 11-13, 2019

Location: Barclay Lodge, YMCA of the Rockies, Estes Park, Colorado

 

 

This event is held next to Rocky Mountain National Park. The closest airport is Denver International Airport. I recommend renting a car for the 2 hr(ish) drive. Fastest route takes the E-470 Toll Road. If you have more time, take Pena to 36 and visit Pearl Street in Boulder, CO for lunch on your way up. There are also several restaurants in the City of Estes Park, Colorado. Even more time? visit the National Park for a hike or scenic drive. Our event starts with dinner at 5 pm at the Barclay lodge. YMCA of the Rockies

50th Annual Colorado Vision Training Conference

 

Bob Pub photo

ROBERT B. SANET, O.D., F.C.O.V.D.

Dr. Robert B. Sanet graduated with honors from the Southern California College of Optometry. He has served as President of the College of Optometrists in Vision Development, Chair of the A.O.A. Sports Vision Section, Board of Directors of the Neuro-Optometric Rehabilitation Association, International Clinical Director of the Special Olympics Opening Eyes Program, Staff Optometrist San Diego Rehabilitation Institute at Alvarado Hospital, Consultant to the Centro de Optometria International in Madrid, Consultant to the Domus Nova Hospital in Ravenna and Adjunct Associate Professor at the Southern California College of Optometry.

Dr. Sanet has worked with amateur and professional athletes including the USA Men’s and Women’s Olympic Volleyball teams, San Diego Chargers, San Diego Padres, and LPGA Golf Professionals.

Dr. Sanet is the developer of the Sanet Vision Integrator, an automated state of the art touch-screen biofeedback Vision Therapy instrument that is beneficial for the rehabilitation of numerous types of visual problem and the enhancement of visual performance.

Dr. Sanet’s numerous awards include the San Diego County Optometrist of the Year, COVD G.N. German Award for Excellence in Children’s Vision Care, NORA Founders Award, COVD President’s Award, OEP Ralph Barstow International Award, Guiseppe Rico Award (Italy) for Excellence in Clinical Practice, International Optometrist of the Year- SIODEC (Spain), International Optometrist of the Year (Mexico), the OEP Armand Bastein International Award (OEP). Dr. Sanet was named as a Distinguished Practitioner in the multidisciplinary National Academies of Practice. He is one of only 100 Optometrists in the USA to have received this award.

Sanet2019

 

Registration Link

Special event in 2019: Learn about the vision of Birds of Prey with Dr. Jennifer Redmond

http://www.birds-of-prey.org/

A room in the Barclay Reunion lodge or the Wind River Lodge (through the registration site) is $300 for the weekend (either 2 double beds or a double bed and bunk bed set). You can also make your own arrangements off-site if you prefer to stay in a hotel instead of a rustic lodge. Catered meals & entertainment plan is $100 for the weekend per person. Registration: Vision therapist $325, Optometrist is $395. Lecture will be in the Wind River lodge this year. Meals and entertainment will be in the Barclay lodge (our normal cabin).

Stereopsis Course for the Oregon Study Group

The Oregon COVD Study Group

presents:

017 BVVT round1

See in 3D: Stereopsis

Everything you need to know about sensory and motor FUSION

by

Jen Simonson, OD, FCOVD

Boulder Valley Vision Therapy

Registration form: Oregon-study-group-invite

Location: The Hampton Inn, 730 SW Columbia Street, Bend, OR 97702. Phone (541) 385-5045.

Lecture Schedule:

Friday August 9th 1pm-5pm
Saturday August 10th 8am-noon, 1 pm-5 pm
Sunday August 11th 8am – 10 am, 10 am – noon Vivid Vision Training

BVVT 2018 03 17 080

Building Blocks for Vision Development

Building Blocks for Vision Development

http://studtfoundation.org/

Join us Sunday February 24, 2019 at Western University College of Optometry
At this year’s practicum, Dr. Simonson will share some of her most coveted pearls and strategies for young patients with special needs/developmentally delayed and physical handicaps. She will review normal versus delayed visual development from general motor concepts to development of visual perception and motor output for reproduction. You will gain insight into a systematic approach to vision therapy procedures for these young cases.

Registration Form:

http://studtfoundation.org/Studt%20165%20Registration%20Form-.pdf

Additional resources:

Chapters visually guided gross motor

2018 Eastern States Congress of Optometry

Thank you for your interest in the 2018 Eastern States Congress of Optometry courses taught by Dr. Jen Simonson

2018 Eastern States Optometric Congress
Baby Steps to Vision
October 27-28, 2018
White Plains, New York

Additional resources:

VISION TESTING:

  1. Wach’s Analysis of Cognitive Structures testing kit:
    https://www.bernell.com/product/WACSKIT/Perceptual_Skills
  2. Gesell Copy Forms:
    https://gesellinstitute.org/products/copy-form-cards
  3. Copy Form Test:
    https://www.bernell.com/product/BC11985/Games
  4. NSUCO Oculomotor Test Summary:
    http://drboulet.com/wp-content/uploads/2012/08/NSUCO-Oculomotor-Test-via-PUCO.pdfGrab-a-Bubble (pack of 12)
  5. Standing Angels Testing:
    Standing Angels

VISION THERAPY RESOURCES:

  1. Brand of bubbles that you can catch and stack: “Grab-a-bubble”
  2. Attribute Blocks:
    1. attribute Blocks
    2. Junior-Learning-Attribute-Block-Activities
  3. Parquetry Blocks: Parquetry Blocks
  4. Emergent red/green glasses and therapy activities: https://emergentvt.com/collections/a-le-carte
  5. Red/Green Toybox http://www.redgreentoybox.com/
  6. Craft Store items:
    1. Black felt (large)
    2. Red felt sheets
    3. Green felt sheets
    4. Pom poms (red/green/white) pom poms
    5. Pipe cleaners (red/green/white) Pipe Cleaners
    6. Wood clothes pins

Please contact Dr. Jen Simonson with any other suggestions and resources to add to this list.

2018 Colorado Vision Training Conference

Optimal Vision Performance: Enhancing Visual Function from Development to Rehabilitation to High Level Athletic Skill

Friday September 21, 2018 – Sunday September 23, 2018

CVTC 2018 Brochure

Registration is now open for the 2018 CVTC featuring past-President of COVD Dr. Kara Heying! Twelve hours of CE offered in the gorgeous Rocky Mountains.

Register Here:

https://www.regonline.com/builder/site/Default.aspx?EventID=2444336

Breaking through Boundaries

Part 1 of the presentation will focus on the vision and learning testing strategies and therapeutic interventions specific to children with general binocular vision disorders, tracking delays, and visual abnormalities that are compounded due to other learning disabilities, autism, dyslexia and attention deficits. They will explore the early intervention protocols for the very young children in their practice that they utilize for establishing better visual development despite developmental delays, strabismus or risk of amblyopia. These protocols are coined “early intervention vision therapy” and delivered in a very specific manner for maximum outcome. Strabismus surgery co-management and professional opinions regarding their pre and post-operative therapeutic care will be discussed. In addition, the use of visual evoked potentials, exploration of yoked prism and use of tints for improved remediation and performance, and integration of nutrients and supplements will be explored. Coordination of care with clinical and educational psychologists, reading teachers, occupational therapists, counselors and chiropractors will be investigated.

Part 2 will focus on how we incorporate sports vision both in and outside of our office setting. We have been fortunate to have extensive experience with D1 and D3 level athletic programs in our state, and will give you a glimpse into how we deliver the very exciting performance work we do with these highly successful teams. More awareness for vision therapy is necessary when developing relationships with area colleges and universities, and we will share our strategies and triumphs in opening the minds of medical doctors, athletic trainers, coaches and student athletes. Conclusions on how the technology and tools available for sports vision are not a replacement for the knowledge of a developmentally trained optometrist and strategies for aligning yourself with more local programs will be discussed. We will also present a practice management plan for adding more sports vision work into your vision therapy practice, and help you create a template for empowering coaches as the first line of defense for undiagnosed vision problems. We recognize that sports vision is an enormous underutilized pathway to reducing the amount of undiagnosed vision problems in our country.

Part 3 encompasses our role in the multi-disciplinary care of the traumatic brain injured patient. As a busy primary care practice, we believe in fully educating our patients about the role the developmental optometrist has in the rehabilitation of these complex clinical cases. We will describe the pitfalls we encountered in developing such procedures and the current success of our baseline testing program called PEP (Prepare, Equip and Protect). This elective fee for service add-on is offered by all our doctors to all our patients during their comprehensive vision examination. Additionally we will discuss our clinical and therapeutic methods for sorting out the visual and vestibular etiologies for dizziness. We will incorporate hands-on demonstrations, review specific post-concussion and ABI cases and share our best referral successes for treating additional vestibular, medical or cervical needs of these patients.

Bridging science and common sense for better outcomes, improved clinical care, development of professional relationships and patient experience.

Dr. Kara Heying graduated from the Illinois College of Optometry in 1998. Upon graduating, Dr. Heying received highest honors in the area of pediatric clinical training and also received the Cribb Scholarship for exemplary patient care performance. After graduating, she returned to her home town of Cedar Rapids, IA and began in private practice. Building upon her interest in children’s eyecare, she developed an emphasis within the private practice she joined including children’s vision care and vision therapy.

Today, she is a fellowship trained Developmental Optometrist with the College of Optometrists in Vision Development (COVD), serves as a past president of COVD, and consults on VT related services through the Williams Consulting Group. She is married and has 3 daughters.

Featured Lecturer:

Dr. Kara Heying

Cedar Rapids Eye Care

4207 Glass Rd NE

Cedar Rapids, IA 52402

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2018 AOA TBI Panel

Concussion/Traumatic Brain Injury Panel

Part 2: Vision Assessment after Brain Injury

AOA TBI Part2 Simonson LECTURE SLIDES

Visual problems resulting from Traumatic Brain Injury (TBI)

and

Clinical chair-side pearls when working with Post-Concussion Vision Syndrome

Additional Resources:

  1. OCULOMOTOR
    1. VOMS: Vestibular Oculo-motor ScreenSource: Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A brief vestibular andocular motor screening(VOMS) assessment to evaluate preliminary concussion: Preliminary findings. Am J Sports Med; in press.
      Form Sources: https://www.bamc.org/media/1393/voms-exam.pdf
      https://www.physiotherapyalberta.ca/files/vomstool.pdf
      VOMS Instruction Set
      https://www.youtube.com/watch?v=PJLv5zdmEns
    2. The King-Devick Test: https://kingdevicktest.com/
    3. NSUCO Oculomotor Test
      NSUCO-Oculomotor-Test Instruction Set
      Norms for Oculomotor Skills: Pursuits and Saccades: https://www.oepf.org/sites/default/files/journals/jbo-volume-3-issue-6/3-6%20Maples.pdf
  2. PERIPHERAL VISION
    1. Tests for Neglect/Unilateral Spatial Inattention: https://www.strokengine.ca
    2. amsler-grid
  3. PERCEPTION: VISUAL/VESTIBULAR
    1. Visual Vertigo
    2. Balance Error Scoring System manual
    3. BIVSS Symptom Assessment: BIVSS_clinical
      Brain_Injury_Vision_Symptom_Survey__BIVSS_.98478_08.2016
    4. http://www.braininjuries.org/traumatic_brain_injury.html
  4. BINOCULAR (Sensory Fusion/Motor Alignment)
    1. Worth 4 Dot W4D results
    2. Bagolini Lens Bagolini Test Responses
  5. VISION REHABILITATION
    1. Neuro-optometric Rehabilitation Association: https://noravisionrehab.com/
    2. Vision Training can decrease concussions: http://healthnews.uc.edu/news/?%2F26057%2F

Courses for additional training:

Neuro-optometric Rehabilitation Association: https://noravisionrehab.com/clinical-skills/fellowship-program

The College of Optometrists in Vision Developoment: https://www.covd.org/page/braininjury?

The Optometric Extension Program Foundation: http://oepf.org/education

REFERENCES:

Research supporting vision rehabilitation following head injury:

1.Vision Therapy for Post-Concussion Vision Disorders. Gallaway, M, et al. Optometry & Vision Science: Jan 2017 – Vol 94 – Issue 1 – p. 68-73 .

2.A Review of the Current Practice in Diagnosis and Management of Visual Complaints Associated with Concussion and Postconcussion Syndrome. Heinmiller, L and Gunton, K. Curr Opin Ophthalmol 2016; 27(5): 407-412.

3.Current and Emerging Rehabilitation for Concussion: A Review of the Evidence. Broglio, S, et al. Clin Sports Med 2015 April; 34 (2): 213-231.

4.Concurrent Vision Dysfunctions in Convergence Insufficiency with Traumatic Brain Injury. Alvarez, T, et al. Optom Vis Sci. 2012 December: 89 (12)

5.Website (retrieved 2/7/2017) http://casemed.case.edu/clerkships/neurology/NeurLrngObjectives/Vision.htm

6.Review of Optometry, “Save a Life, Neuro-Optometry Primer: The Brain” by Mario Gutierrez, OD, FAAO. https://www.reviewofoptometry.com/CMSDocuments/2009/9/Neuro-Optom-Supp_RO-09.02.09.pdf

7.http://cpdailyliving.com/cortical-visual-impairment-cvi-cerebral-palsy-underdiagnosed-undertreated/

8.http://www.perkinselearning.org/videos/webcast/cortical-visual-impairment-and-evaluation-functional-vision

9.http://www.visiontherapysuccess.com/headtrauma.php

ADDITIONAL INFORMATION:

What did not fit into the alloted time?

Videonystagmography

  1. Ocular Mobility: the eyes follow objects that jump from place to place, stand still, or move smoothly.
  2. Optokinetic Nystagmus: view a large, continuously moving visual image.
  3. Positional Nystagmus: You will have your head and body moved into various positions to make sure that there are no inappropriate eye movements (nystagmus), when your head is in different positions. This test is looking at your inner ear system.
  4. Caloric Testing: Your inner ears (one at a time) with be stimmulated with warm and then cold air. This test in the only test available that can decipher between a unilateral and bilateral loss.

*Please let Dr. Simonson know if there is information that we discussed not included on this page. Thank you for attending this course!