Thursday, January 24, 2013

TOVA, Visagraph and Lyons Family Eye Care

Lyons Family Eye Care, the private practice where I hang my hat when I am not at the Illinois College of Optometry/Illinois Eye Institute or off lecturing somewhere in the world, has some exciting news!

We now offer advanced, computerized testing to assist in the diagnosis and treatment of ADHD, ADD, other attentional disorders and eye movement dysfunctions associated with reading problems (dyslexia), poor academic performance, poor sports performance and brain injury.

TOVA: Objective Assessment of ADHD

Frequently asked questions about ADHD:

  • Does my child really have ADHD? Should he be receiving so much medication?
  • Can I have ADHD, even though I'm an adult?
  • Is there a better way for doctors to measure attention than only rating someone's behaviors? Something that's objective?
The Test of Variables of Attention (T.O.V.A.®) is a computerized test of attention that assists in the screening, diagnosis, and treatment monitoring of attention disorders, like Attention Deficit Hyperactivity Disorder (ADHD).

The TOVA (Test of Variables Attention) is a somewhat boring (it's supposed to be boring) continuous computerized task that assesses ones ability to attend and levels of impulsivity. The advantages of using a TOVA evaluation include:

Increases Diagnostic Accuracy
Improved Response to Treatment
Improved Patient Care, Management and Planning
Promotes Cost Savings for the Patient
Increased Patient and Family Satisfaction with Therapy Outcomes

The TOVA results can help your doctor, psychologist, teacher and other members of your health and educational team to better understand the issues involved and how to treat them. Current research shows that those with ADHD tend to have a high level of binocular vision problems and conversely, those with binocular vision problems have attentional issues. Unfortunately a number of children and adults are diagnosed with ADHD when they really have vision problems instead. The professional staff at LFEC can help you determine just what the problem is and what treatment is most appropriate.

For those diagnosed with ADHD sometimes both medical and non-medical treatments are indicated. Let Lyons Family Eye Care help you decide what form of treatment is best after the correct diagnosis is made.

Make and appointment today by clicking here

My next blog will discuss reading problems (dyslexia), reading eye movement disorders and how to better diagnose their presence so that appropriate treatment can be given. DM

CALL FOR ABSTRACTS — 141st APHA Annual Meeting

CALL FOR ABSTRACTS — 141st APHA Annual Meeting

Theme: Think Global, Act Local: Best Practices Around the World

Vision Care Section

Submission Deadline: February 4th

The Vision Care Section invites presentations of original research on public health issues pertaining to vision and eye care. Submissions from all disciplines are welcome, and interdisciplinary work and student abstracts are highly encouraged. Abstracts should be no more than 250 words. All presenters must be Individual members of APHA and register for the meeting in order to present. Abstracts cannot be presented or published in any journal prior to the APHA Annual Meeting. The 2013 APHA Meeting's “Think Global, Act Local: Best Practices Around the World" theme provides an opportunity to highlight a spectrum of public health concerns for vision and eye health, from vision loss prevention to eye health promotion. We are interested in promoting a multi-faceted program. The following topics are intended to stimulate, rather than to limit, the scope of submissions.

Barriers and facilitators to access to eye care

Children's vision and eye care needs

Economic burden and cost-effectiveness analysis in vision and eye care

Evidence-based policy and practice in eye care

Health promotion and vision loss

Impact of vision impairment on health, functioning, social participation, and the environment

Integrated medical, oral health and vision care delivery models (Organized Jointly with Vision Care Section)

Preventing vision loss and promoting eye health across the lifespan

The right to sight: A global perspective

Translating ocular research into community health

Vision and aging


For more information, visit the APHA Abstracts webpage or contact John Crews at or 404-498-3013 or Nita Patel at or 312-363-6019.

Wednesday, January 23, 2013

Second Impact Syndrome: A Devastating Injury To The Young Brain

...SIS rarely occurs, but when it does the effect is usually devastating. Often the patient dies. The authors stress the importance of educating coaches, athletes, family members, and treating physicians about the risks and possible consequences of sports-related head injuries. ...

Tuesday, January 22, 2013

Effectiveness of computerized oculomotor vision screening in a military population: Pilot study

Effectiveness of computerized oculomotor vision screening in a military population: Pilot study

The prevalence of oculomotor dysfunctions associated with blast-induced mild traumatic brain injury (mTBI) in warfighters has increased as a consequence of recent conflicts. This study evaluated the effectiveness of computerized oculomotor vision screening (COVS) in a military population. Oculomotor functions were assessed with COVS and by conventional methods in 20 U.S. military personnel with and 20 without mTBI. ....... The results showed that COVS had high sensitivity and specificity for screening near oculomotor functions. Overall, the COVS showed excellent validity and repeatability for assessing near lateral and vertical phorias, Worth 4 Dot, and fixation, as well as pursuit and saccadic eye movements. Despite the strong Pearson correlation, the Bland-Altman analysis identified minor to moderate discrepancies for both positive and negative fusional vergence and their associated recovery as well as for the monocular accommodative facility measurements. This study demonstrated that non-eye-care professionals may be able to use the COVS as a tool to efficiently screen oculomotor functions in a military population with or without mTBI.....

Comments: I am somewhat biased about this study for 5 reasons:

1.) The computer program used is from HTS (Home Therapy Solutions)
2.) Home Therapy Solutions is run by a fellow by the name of Rod Bortel. Rod has been very supportive of optometry and is most generous when we would like to use his products for research purposes.
3.) Many of optometry's finest have worked with Rod to create incredible tools to improve the life of our patients.
4.) I use most of his products in my private office and at the Illinois Eye Institute/Illinois College of Optometry.
5.) He and HTS are supporting a research project by myself, my colleagues and my students that is currently underway.

Having a screening tool that is valid and repeatable is invaluable. It is my hope that more of my colleagues will use this tool to determine the presence of functional or developmental vision problems and then to either further investigate these areas or refer to those of us with expertise in  functional and developmental optometry.

My thanks to Rod and his supportive staff for all they do. DM

Monday, January 21, 2013

Northwest Congress of Optometry

February 23-24, 2013
Pacific University
Forest Grove, Oregon

Removing the Brakes on Plasticity in the Amblyopic Brain.

    Dennis Levi, OD, PhD,

Video-Game Play Induces Plasticity in the Visual System of Adults with Amblyopia
    Dennis Levi, OD, PhD,

Evaluation and Treatment of  Trauma     Patients / Walter Reed National Military Medical Center    
    Hannu Laukkanen, OD

Evaluation and Treatment of  Trauma Patients continued
    Hannu Laukkanen, OD

Making Sense of Size and Distance Judgments
    Greg Kitchener, OD

Spatial Transformations of Yoked Prisms in Testing and Therapy
    Greg Kitchener, OD

Sunday, January 20, 2013

Scientists Construct First Map Of How The Brain Organizes Everything We See

Scientists Construct First Map Of How The Brain Organizes Everything We See

...Our eyes may be our window to the world, but how do we make sense of the thousands of images that flood our retinas each day? Scientists at the University of California, Berkeley, have found that the brain is wired to put in order all the categories of objects and actions that we see. They have created the first interactive map of how the brain organizes these groupings. ...