Colorado Vision Training Conference 2022 Registration is now Open!
Let’s Talk Toddlers: A Vision Therapist’s Guide
Speaker – Jessica Zwilling, COVT
September 16-18 2022
YMCA of the Rockies, Estes Park CO
Here are some helpful resources to learn more about vision development:
I also highly recommend the following book for parents:
Active Baby, Healthy Brain: 135 Fun Exercises and Activities to Maximize Your Child’s Brain Development from Birth Through Age 5 by Margaret Sassé
What does a baby see?
Symptoms of refractive errors vary per individual and may include: – headache – fatigue – eye strain – squinting – blurred or distorted images, up close and/or in the distance
My colleague Sarah Lane, OD, FCOVD has some great videos on helping your child’s sensory (sight, touch, balance, pressure, hearing) and motor (movement of the body) systems development here:
Children are often not aware that they are experiencing vision challenges since they don’t have a point of reference for optimal functional vision. This makes regular comprehensive eye exams important for children as they approach and advance through classroom learning.
Misdiagnosis of visual challenges is also common, and these visual issues can look similar to the following ADHD symptoms:
The best way to determine if these academic challenges are due to visual issues is to see an optometrist who will assess how well the child’s eyes work together. Additionally, some individuals who have ADHD also have vision issues that can compound the ADHD symptoms when not addressed. This makes seeing an eye doctor important to fully understand if vision therapy can assist in alleviating some of the symptoms.
Symptoms that may indicate a need for vision therapy:
Colorado’s doctors of optometry recommend a comprehensive eye exam if a child is experiencing one or more of these symptoms. Early identification and intervention are key in preventing impact on school performance and student confidence. Vision therapy can also help avoid or improve outcomes of surgical intervention. If you think your child may need vision therapy, call us today!
Thank you Dr. Derron Lee for sharing this research list about strabismus (Crossed, turned, or wandering eyes):
Thank you Dr. Derron Lee for sharing this research list: Amblyopia (Lazy Eye)
Brain injury can affect a person in many ways, extending from physical limitations to changes in perception and cognition. In the United States, an estimated 1.7 million people sustain a TBI each year1, with about 75 percent of them a result of concussions or other forms of mild traumatic brain injury2. “Studies show that at least 50 percent of TBI patients suffer from visual dysfunctions, with one such study3 finding a 90 percent incidence of post-trauma visual complications, such as blurred vision, sensitivity to light, reading difficulty, headaches with visual tasks, and difficulties with eye movements,” says NORA president Susan Daniel, O.D. “About two-thirds of stroke survivors have visual impairment that typically relates to diminished central or peripheral vision, eye movement abnormalities, or visual perceptual defects4,” she adds.
“Clinicians regularly assess a concussion or other acquired brain injury to the symptoms that an individual manifests at the time of injury but, unfortunately, vision-related problems are often overlooked during initial evaluation,” says COVD President, Dr. Christine Allison. “Some symptoms, like visual discomfort and vision-mediated functional difficulties such as slowed reading and compromised attention, may not be present until days, weeks, or even longer following the incident. The consequences of these occurrences may also include cognitive problems such as headache, difficulty thinking, memory problems, attention deficits, mood swings and frustration, along with motor and sensory issues leading to impaired academic, work, and sport performance.”
Given the high rate of visual symptoms and known impact, both COVD and NORA urge healthcare professionals to consider the possibility that a patient’s ocular or visual signs or symptoms may have been a result of a brain injury and refer him/her to an optometrist who has special expertise in the assessment and treatment of visual disturbances associated with damage to the central nervous system. “Doctors of Optometry who have been educated and trained to diagnose and manage ocular dysfunctions and visual processing deficits related to brain injuries will examine not only the visual issues, but also other subtle factors involved in the complex visual process, such as posture, spatial awareness, visual memory, and motor output — all areas that can have wide-ranging effects on daily activities and on quality of life,” explains Dr. Allison. “Left untreated, they can have serious consequences,” she warns.
Both COVD and NORA stress the importance of an interdisciplinary, integrated team approach in the diagnosis and rehabilitation of patients with concussions, stroke or other neurological deficits. “When a person has a brain injury, often a single-approach to rehabilitation is not enough to address all of his/her needs,” says Daniel. “An integrated team approach that incorporates the training and expertise of a variety of professionals can play a vital role in rehabilitation.” In addition to optometrists, rehabilitation team members may include such specialists as neurologists, physical medicine and rehab physicians, nurses, physical and occupational therapists, speech-language pathologists, chiropractors, neuropsychologists, audiologists, and ophthalmologists.
Both COVD and NORA offer resources to help patients and caregivers find the help they need following a concussion as well as tools and resources for optometrists and other healthcare professionals. Both associations also feature doctor locaters on their websites for access to providers who specialize in brain-injury related visual problems. For more information, visit them at www.covd.org and www.noravisionrehab.org.
1. Faul M, Xu L, Wald MM, Coronado VG. Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations and Deaths 2002–2006. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2010.
2. Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health Problem. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2003.
3. Ciuffreda KJ, Kapoor N, Rutner D, Suchoff IB, Han ME, Craig S. Occurrence of oculomotor dysfunctions in acquired brain injury: a retrospective analysis. Optometry 2007;78(4):155-61.
4. Rowe F.J. Stroke survivors’ views and experiences on impact of visual impairment. Brain and Behavior, 2017; e00778 DOI: https://onlinelibrary.wiley.com/doi/epdf/10.1002/brb3.778
Dr. Simonson will be participating in a vision training conference in Monterrey, Mexico in February 2018. This meeting is coordinated by COMOF – Consejo Mexicano de Optometria Funcional (http://comof.mx/). She is excited to exchange ideas with her colleagues in Mexico.
Please contact us with any questions you might have at email@example.com.