Friday, April 18, 2014

Want to read the latest about vision therapy and intermittent hypertropia and exotropia? Check this out!!

A Sit Down with Dr. Dominick Maino

Robert Nurisio, a certified optometric vision therapist, writes a blog entitled: VT Works. He will, from time to time, interview those involved in functional optometry. He was kind enough to interview me recently and posted this on his blog:

A Sit Down with Dr. Dominick Maino

Tuesday, February 4, 2014

Journal of Interprofessional Healthcare

There's a new journal in town called: Journal of Interproffessional Healthcare. This is a publication by the National Academies of Practice in Washington, DC. I am a Distinguished Practitioner of the NAP and am lucky enough to serve on  the Editorial Board of this journal. 
 Read these fascinating articles and tell your friends all about JIHC as well. DM
Journal of Interprofessional Healthcare 

Monday, February 3, 2014

Neurofeedback and cognitive attention training for children with attention-deficit hyperactivity disorder in schools.

Neurofeedback and cognitive attention training for children with attention-deficit hyperactivity disorder in schools

I have written a review of this program, but will now need to update it since this study has come out. One of my initial concerns about reviewing this program was that there was little research to support this technique of modifying attention. This program is available from Philip Brotman, PhD. Play Attention also has an email newsletter to keep you up to date about their product.

The Play Attention website noted that: This reviews the randomized clinically controlled study of Play Attention completed by Tufts School of Medicine in the Boston Public Schools..... Students enrolled were randomly selected to participate in either Play Attention (referred to in study as Neurofeedback or NF); or a computer based cognitive training system (referred to as CT); or no intervention. 
Results:  Parents of children who received Play Attention (NF) training reported significant improvements in attention and executive functioning. Parents of children who received cognitive training (CT) did not report significant improvements compared to those in the control condition.
The parent-reported improvements of participants in the Play Attention (NF) condition on the learning problems subscale might reflect important generalization of skills to the academic setting. It is noteworthy that parents of children in the Play Attention (NF) condition did not seek an increase in their children’s stimulant medication dosage, although these children experienced the same physical growth and increased school demands as their CT and control peers. Stimulant medication dosage in methylphenidate equivalencies significantly increased for children in the CT and control conditions
The full paper is available here. DM

Saturday, February 1, 2014

Exploring inhibitory deficits in female premutation carriers of fragile X syndrome: Through eye movements.

Shelton AL1Cornish K1Kraan C1et al .Exploring inhibitory deficits in female premutation carriers of fragile X syndrome: Through eye movements. 2014 Jan 11;85C:201-208. doi: 10.1016/j.bandc.2013.12.006. [Epub ahead of print]

.......Group comparisons revealed poorer inhibitory control for female premutation carriers on ocular motor tasks, in addition to demonstrating some difficulties in behaviour self-regulation, when compared to controls. A negative correlation between CGG repeat length and antisaccade error rates for premutation carriers was also found. Our preliminary findings indicate that impaired inhibitory control may represent a phenotype characteristic which may be a sensitive risk biomarker within this female fragile X premutation population......

Wednesday, January 29, 2014

British Medical Association Award for First Prize in Health and Social Care: Visual Diagnosis and Care of the Patient with Special Needs

British Medical Association Award for First Prize in Health and Social Care
Visual Diagnosis and Care of the Patient with Special Needs

 We were notified of this award last month or so, but they just sent the official certificate this week!

Absolutely awesome if I say so myself!

When was the last time a national medical association recognized the work of an optometrist?

Thank you to the British Medical Association and to Lippincott, Williams and Wilkins our publisher!  DM

Monday, January 27, 2014

What is Strabismus?

This is fairly good explanation of strabismus. It should have spent more time on the role vision therapy can play in the treatment of strabismus....and that oftentimes vision therapy before and after surgery could improve surgery outcomes tremendously.

Sunday, January 5, 2014

Slower rate of binocular rivalry in autism.

Slower rate of binocular rivalry in autism.

....An imbalance between cortical excitation and inhibition is a central component of many models of autistic neurobiology. .......Overall, these results may provide an index of atypical cortical dynamics that may underlie both the social and nonsocial symptoms of autism.....

Comments: One of the most frequently encountered vision problems in autism includes strabismus and oculomotor anomalies. It should be no surprise that problems with binocular rivalry is also a characteristic of those with autism. See the chapter on autism in Taub M, Bartuccio M, Maino D. (Eds) Visual Diagnosis and Care of the Patient with Special Needs. Lippincott, Williams & Wilkins. New York, NY;2012.

Quick Adult ADHD Screening Test

Quick Adult
ADHD Screening Test

As an optometrist who specializes in children and adults with a number of vision and learning disorders, I frequently encounter those who have been diagnosed with ADHD or show symptoms of ADHD.  Children with ADHD become adults with ADHD.

Various binocular vision problems are often associated with ADHD-like symptoms. There are a number of evaluations I have available to determine if the behaviors are associated with vision dysfunction, various psychiatric disorders or other anomalies. These assessments include a comprehensive eye examination, visual efficiency evaluation, 
Visagraph (computerized assessment of oculomotor ability) and TOVA (Test of Variables Attention). I have found the TOVA to be particularly helpful in differentiating vision problems from problems of attention. 

Here is a quick screening test to help determine if you have problems with attention. 

This test DOES NOT tell you the cause of these behaviors. The doctors and
staff at Lyons Family Eye Care can help you determine the best, most optimal treatment after the appropriate diagnosis is made. DM -