Tuesday, April 3, 2012

Optometric Vision Therapy: Answering those Questions

 My friend and colleague, Dr. Len Press wrote an article some time ago where he discussed the interplay between optometry and ophthalmology when it comes to optometric vision therapy and ophthalmology's seemingly inability (my phrasing not his) to understand optometric vision therapy and the role it plays in patients' lives. Here are some of the questions discussed ....with the always well thought out answers by Dr. Press .I've added a few links below as well. DM
 
QUESTION 1:
Where is the scientific basis for Optometric Vision Therapy?
ANSWER 1:
As mentioned, Dr. Cooper’s scholarly article provides references that clearly
substantiate the scientific basis of vision therapy. Clinical Practice Guidelines
are available from the American Optometric Association on the Care of
the Patient with Learning Related Vision Problems, Accommodative and
Vergence Dysfunction, Amblyopia, and Strabismus. Each of these has references
incorporating scientific method. The research presented is commensurate with clinical research
in fields such as occupational therapy, and is equal to or better than research
traditionally presented for clinical methods in pediatric ophthalmology.


[ I would also add the outstanding article by Dr. Kenneth Ciuffreda's article:The scientific basis for and efficacy of optometric vision therapy in nonstrabismic accommodative and vergence disorders.]


QUESTION 2:
How do optometrists know which patients might benefit from vision therapy?
ANSWER 2:
The Four Clinical Practice Guidelines from the AOA mentioned above provide
clear guidelines for differential diagnoses. Textbooks referenced in this
article, in addition to others available, provide this as well.


[AOA Guidelines: Pediatric Eye And Vision ExaminationCare of the Patient with Amblyopia, Care of the Patient with Strabismus, Care of the Patient with Accommodative and Vergence Dysfunctions, Care of the Patient with Learning Related Vision Problems.]

QUESTION 3:
Is it true that vision therapy patients are “in for life?”
ANSWER 3:
Nothing could be further from the truth. The clinical practice guidelines above,
in addition to guidelines issued by the College of Optometrists in Vision Development
(COVD) based on ICD codes for various conditions, are proof that this is not the case.


QUESTION 4:
How might I judge if a patient is in need of vision therapy, or if a person I am referring the patient to is a credible provider?
ANSWER 4:
All optometrists receive graduate education in and are licensed to practice vision
therapy. The Optometric Extension Program (OEP) provides
post-graduate education in the areas encompassing vision therapy. The Collegeof Optometrists in Vision Development (COVD) provides a board
certification process, and has a national directory of providers. The American

Academy of Optometry (AAO) has a diplomate program in binocular vision
and perception as well as in pediatric optometry.
 

QUESTION 5:
Why is vision therapy so expensive?
ANSWER 5:
It is intriguing that physicians don’t ask the same questions regarding the expense,
scientific underpinnings, and pertinence to learning of occupational
therapy, which they endorse far less critically, despite the obvious parallels
between the two fields. To answer the question directly, the fees for vision
therapy services are commensurate with other therapy procedures involving
similar bodies of knowledge and time expended. Aside from the doctor’s
time in evaluating the patient, there are often prior reports to read that
are pertinent to decisions about optometric intervention, time spent
programming and sequencing activities to strike an effective balance between
office and home therapy, and time spent with therapists to discuss ongoing
progress.


QUESTION 6:
Why does vision therapy work when it does? Eye problems shouldn’t have anything to do with LD or ADD since these are CNS or brain problems.
ANSWER 6:
The retina is brain tissue. Dissociating the role of the eye in visual processing
from brain function is an artificial distinction. With regard to learning and
attention systems, principles of cognitive neuroscience substantiate that interventions
directed toward sensory and motor eye functions have a salutary
and pervasive effect on central processes of the brain.


[A paper by pediatric ophthalmologist Dr. David Granet, disputes the claims that ADD and vision are not related. He notes that "...We report an apparent three-fold greater incidence of ADHD among patients with CI when compared with the incidence of ADHD in the general US population (1.8-3.3%). We also note a seeming three-fold greater incidence of CI in the ADHD population...."]

For additional information on vision, vision and learning and optometric vision therapy go to:

Position Papers and Joint Organizational Policy Statements
Optometry & Vision Development Journal
Research Update on Visually-Based Reading Disability
Randomized Clinical Trial of Treatments for Symptomatic Convergence Insufficiency in Children

Research on Vision Therapy

Just Awesome! Let me Refract YOU!!

Upcoming Events!

Upcoming
COVD Event Calendar
Events 

OptoWest 2012
April 12-14, 2012
Indian Wells, California
More Information


NORA 2012 Annual Conference
April 18 - 22, 2012
University of Memphis Holiday Inn
Contact: Robert Williams - 866.222.3887
Email: noraoptometric@yahoo.com

The American Conference on Pediatric Cerebral Visual Impairment
Speaker: OVD Editor Dominick M. Maino, OD, MEd, FAAO, FCOVD-A
April 20, 2012
Children's Hospital & Medical Center
Omaha, Nebraska
More Information: Brochure


80th International Conference on Light & Vision
College of Syntonic Optometry
May 2-5, 2012
Colorado Springs, Colorado
Contact: Ron Wahlmeier, Administrative Director

3rd Int'l Congress of Behavioral and Developmental Optometry
May 17-20, 2012
Hotel Silken Al-Andalus Palace Sevilla
Sevilla, Spain
More Information

COVD Seminar & Education
at Optometry's Meeting®

June 27, 2012
McCormick Place
Chicago, IL
More Information

Optometry's Meeting® 2012
American Optometric Association
June 27-July 1, 2012
McCormick Place
Chicago, Illinois
More Infomation


Colorado Vision Summit
July 12-15th, 2012
The Steamboat Grand
Steamboat Springs, Colorado
More Information
COVD 42nd Annual Meeting 
College of Optometrists in Vision Development
October 16-20, 2012
Omni Fort Worth Hotel
Fort Worth, Texas
Contact: www.covd.org 

Monday, April 2, 2012

Lecturing at OptoWest Next Week!


I will have the privilege of lecturing at the California Optometric Association's OptoWest meeting in Indian Wells, Ca. See information below. If you need continuing education....this looks like a great program to attend.

                                            THURSDAY, APRIL 12, 2012
 
Optometrist Program

9:00 AM - 10:40 AM

103 - To BV or Not to BV: VT in the Primary Care Office (OTHER)
Dominick Maino, MEd, FAAO, FCOVD-A
33637--FV
This course presents the latest information concerning the assessment and treatment of binocular vision disorders. Emphasis will be placed on what the primary care optometrist can accomplish utilizing out-of-office or home vision therapy. (2 hrs)

111 - Diagnosis and Management of Special Populations (Other)
Dominick Maino , MEd, FAAO, FCOVD-A
COPE# 33636-GO
This course presents the latest in the assessment and treatment of those with physical, cognitive, and behavioral abnormalities. Up to date information concerning the etiology, prevalence/ incidence and physical/cognitive findings of individuals with developmental disabilities (cerebral palsy, Down syndrome, fragile X syndrome) will be discussed. (2 hrs)

3:00 PM - 4:40 PM

117 - 3D Vision Syndrome: A Technologically Driven Visual Impairment (OTHER)
Dominick Maino, MEd, FAAO, FCOVD-A
COPE # 31535-GO

Info about simulated 3d movies, tv, video games, and 3D in the classroom. Info about simulated 3D/Virutal 3D, 3D glasses, etc. Case discussion, practice management, public relations, etc. COPE Approved. I can also spend a bit of time on how to examine the visual system for binocular vision problems....a bit of a board review. (2 hrs)

Paraoptometric Program

3:00 PM - 4:40 PM

117 - 3D Vision Syndrome: A Technologically Driven Visual Impairment
Dominick Maino, MEd, FAAO, FCOVD-A

3D movies, television, and video-games have significantly affected how we interact with our world. Every day a new mechanism for showing 3D content is made available to the public. This 3D content can not only be seen at the theater, but also in the home. Many educational institutions from elementary to graduate schools are now using 3D content to improve their ability to teach a subject. Unfortunately it appears that a significant number of individuals not only have a difficult time seeing simulated 3D but also suffer from numerous symptoms during the experience. These symptoms include blurred vision, headache, double vision, dizziness and vision induced motion sickness. The term 3D Vision Syndrome (3DVS) is just now being used to refer to this condition. It has been estimated that millions of individuals in the United States may have this disability. This course reviews the development and technology behind simulated 3D, how to diagnose and treat those with 3DVS, and how to use 3DVS as a part of your public information and marketing program for your practice.  (2 hrs)

FRIDAY, APRIL 13, 2012

8:00 AM - 9:40 AM

 202P - Special Patients, Special Docs, Special Paras
Dominick Maino, MEd, FAAO, FCOVD-A
ABO Approved Technical/Basic
Special pops...info about syndromes, genetic anomalies, Autism, LD, etc....and screening exam procedures, and management of patients. (2 hrs)

Visual Diagnosis and Care of the Patient with Special Needs

Visual Diagnosis and Care of the Patient with Special Needs

The editors and authors:

Editors:

Marc B. Taub, OD, MS, FAAO, FCOVD
Associate Professor
Southern College of Optometry
Memphis, Tennessee

Dominick M. Maino, OD, MEd, FAAO, FCOVD-A
Professor, Pediatrics/Binocular Vision
Illinois College of Optometry
Chicago, Illinois

Mary Bartuccio, OD, FAAO, FCOVD
Assistant Professor
Nova Southeastern University College of Optometry
Fort Lauderdale, Florida

Contributors

Deborah Amster, OD, FAAO, FCOVD
Assistant Professor
Nova Southeastern University College of Optometry
Ft. Lauderdale, Florida

Susan Barry, PhD
Professor
Mt. Holyoke
South Hadley, Massachusetts

Mary Bartuccio, OD, FAAO, FCOVD
Assistant Professor
Nova Southeastern University College of Optometry
Ft. Lauderdale, Florida

Curt Baxstrom OD, FCOVD
Vision and Learning Center
Federal Way, Washington

Elizabeth Berry-Kravis PhD
Associate Professor
Rush University Medical Center
Chicago, Illinois

Elizabeth Bishop, MSSW
UT Boling Center for Developmental Disabilities
Memphis, Tennessee

Eric Borsting, OD, FAAO, FCOVD
Professor, Southern California College of Optometry
Fullerton, California

Terry Browning, PhD
Bartlett, Tennessee

Garth Christianson, OD

Kenneth Ciuffreda, OD, PhD
Professor
State University of New York College of Optometry
New York, New York

Jason Clopton, OD, FCOVD
Center of Vision Development
Cookeville, Tennessee

Pamela Compart, MD
Developmental Pediatrician
HeartLight Healing Arts
Columbia, Maryland

Charles Connor, OD, PhD, FAAO
Professor
Southern College of Optometry
Memphis, Tennessee

Jeffrey Cooper, MS, OD, FAAO
Clinical Professor
State University of New York College of Optometry
New York, New York

Rachel A. Coulter, OD, FAAO, FCOVD
Associate Professor
Nova Southeastern University College of Optometry
Ft. Lauderdale, Florida

David A. Damari, OD, FCOVD, FAAO
Professor
Southern College of Optometry
Memphis, Tennessee

Robert Donati, PhD
Associate Professor
Illinois College of Optometry
Chicago, Illinois

Dan Fortenbacher, OD, FCOVD
Wow Vision Therapy
St. Joseph, Michigan

Nadine Girgis, OD
Instructor
Nova Southeastern University College of Optometry
Ft. Lauderdale, Florida


Sidney Groffman, OD, FAAO, FCOVD
Professor
State University of New York College of Optometry
New York, New York

Bradley Habermehl, OD, FCOVD
Adjunct Professor
Southern College of Optometry
Flint, Michigan

Paul Harris, OD, FAAO, FVOVD, FACBO
Associate Professor
Southern College of Optometry
Memphis, Tennessee

Fred Higadi, MD

Danielle L. Hinton, MD
Baptist Hospital Rehabilitation
Germantown, Tennessee

Robert Hohendorf, OD
Vision and Sensory Center of Michigan
Wyoming, Michigan

Erin Jenewein, MS, OD
Assistant Professor
Nova Southeastern University College of Optometry
Ft. Lauderdale, Florida

Robert C. Jespersen, MD
Victor C. Neumann Family Services
Chicago, Illinois

Neera Kapoor, OD, MS
Associate Professor
State University of New York College of Optometry
New York, New York

Karen Kehbein, OD
Assistant Professor
Michigan College of Optometry
Ferris State University
Big Rapids, Michigan

Monika Kolwaite

Barry Kran, OD
Professor
New England College of Optometry
Boston, Massachusetts

William Kress, OD
Instructor
Southern College of Optometry
Memphis, Tennessee

Patricia S. Lemer, M. Ed., NCC
Executive Director
Developmental Delay Resources
Pittsburgh, Pennsylvania 

Robin Lewis, OD, FCOVD
Family Optometry
Chandler, Arizona

Dominick M. Maino, OD, MEd, FAAO, FCOVD-A
Professor
Pediatrics/Binocular Vision
Illinois College of Optometry
Chicago, Illinois

Julie L. Marshall, MA, CCC-SLP
Clinical Associate Professor AUSP
University of Memphis
Memphis, Tennessee

Luisa Mayer
Associate Professor
New England College of Optometry
Clinical Assistant Professor
Harvard Medical School
Boston, Massachusetts

Kelley Meehan, OD
Clinical Assistant Professor
Mid-Western University College of Optometry
Glendale, Arizona

Jon Neal, OD
Instructor
Southern College of Optometry
Memphis, Tennessee

Maryke Neiberg, OD, FAAO
Associate Professor
Western University College of Optometry
Pomona, California

James Newman, OD, FAAO
Professor
Southern College of Optometry
Memphis, Tennessee

Yi Pang, OD, PhD, FAAO
Associate Professor
Illinois College of Optometry
Chicago, Illinois

Len Press OD, FAAO, FCOVD
Family Eyecare Associates
Fairlawn, New Jersey

Ashley Reddell, OD
Levenworth, Kansas

Andrew Rixon, OD
Memphis, Tennessee

Jackie Rodena, OD
Assistant Professor
Nova Southeastern University College of Optometry
Ft. Lauderdale, Florida

Pam Schnell, OD, FAAO
Assistant Professor
Southern College of Optometry
Memphis, Tennessee

Deborah Schrager-Hoffnung PhD
Nebraska Medical Center
Omaha, Nebraska

Samantha Slotnick, OD, FAAO, FCOVD

Daniel Smith, OD, FAAO
Assistant Professor
Southern College of Optometry
Memphis, Tennessee

Glenn Steele, OD, FCOVD, FAAO
Professor
Southern College of Optometry
Memphis, Tennessee

Scott Steinman, OD, PhD, FAAO, FCOVD-A

Marc B. Taub, OD, MS, FAAO, FCOVD
Associate Professor
Southern College of Optometry
Memphis, Tennessee

Yin Tea, OD, FAAO
Assistant Professor
Nova Southeastern University College of Optometry
Ft. Lauderdale, Florida

Nancy Torgerson OD, FCOVD
Alderwood Vision Therapy Center
Lynnwood, Washington

Denise A. Valenti, OD
Haverford Vanguard Medical Associates
Braintree, Massachusetts

Stephen Viola, PhD
Affiliate Assistant Professor
University of Missouri-St. Louis
St. Louis, Missouri

Orli Weisser-Pike, OTR/L, CLVT, SCLV
University of Tennessee Medical Group
Memphis Medical Center
Hamilton Eye Institute
Memphis, Tennessee

Margaret Woodhouse, PhD, BSc, FSMC
Senior Lecturer
Cardiff University College of Optometry and Vision Sciences
Cardiff, Wales, United Kingdom