Thursday, August 23, 2012

Concussion Awareness Training Program

Concussion Awareness Training Certificate Awarded to Dr. Dominick Maino

A couple of months ago I had an opportunity to participate in a Concussion Awareness Training program for the Chicago Public School system coaches, nurses, teachers, parents and other health care professionals.

I gave a presentation on the eye and vision problems often associated with brain injury and benefited from several other presentations made by the other lecturers. This program is sponsored by the Sports Legacy Institute, Chicago Concussion Coalition and the Illinois College of Optometry/Illinois Eye Institute.

I have also completed a 2 day seminar by well known are respected experts in traumatic brain injury vision problems, Drs. Ciufredda and Kapoor .... who wrote the chapter on this topic in my latest book, Visual Diagnosis and Care of Patients with Special Needs published by Lippincott.

If your child has suffered a concussion while playing sports, the signs can be very subtle.If you are not sure if a concussion is present, seek out appropriate professional help immediately.

If you are interested in having a program about sports induced concussions at your school...or want to know where the next presentation will be ...please contact Dr. Leonard Messner's office at the Illinois Eye Institute for more information. Dr.Messner is a member of the Chicago Concussion Coalition and a Professor of Optometry, Vice President for Patient Care Services and the Executive Director Illinois Eye Institute.

Also feel free to contact me either at the Illinois College of Optometry, the Illinois Eye Institute or Lyons Family Eye Care. I also work with adults who have had a brain injury as well (traumatic, vascular, etc). DM

A systematic review on 'Foveal Crowding' in visually impaired children and perceptual learning as a method to reduce Crowding

A systematic review on 'Foveal Crowding' in visually impaired children and perceptual learning as a method to reduce Crowding

... This is the first systematic review to compare crowding ratios and it shows that charts with 50% interoptotype spacing were most sensitive to capture crowding effects. The groups that showed the largest crowding effects were individuals with CN, VI adults with central scotomas and children with CVI. Perceptual Learning seems to be a promising technique to reduce excessive foveal crowding effects.

The complete article is available as a provisional PDF. The fully formatted PDF and HTML versions are in production.


9 Ways to Keep an Chronologically Enhanced Brain Sharp

9 Ways to Keep an Chronologically Enhanced Brain Sharp

...Everything slows down with age, especially our brains. Sadly, the old saying, “if you don’t use it, you lose it” is true in the case of plasticity, the brain’s ability to change. As we get older, it becomes harder for the brain to learn new things and recall information from the past. As frustrating as it is to feel disoriented and experience memory loss, it isn’t the end for your brain. Like your muscles, your brain needs daily exercise to stay in shape. Check out these nine ways to keep your brain sharp well into old age. ....

Comments: Click on the title above to learn more. DM

Tuesday, August 21, 2012

Accommodation, Pediatric Cerebral Visual Impairment and Dyslexia

Aurora, OH, Aug. 21, 2012- The latest issue of the journal of the College of Optometrists in Vision Development, Optometry & Vision Development (OVD) Volume 43, Number 3, pays tribute to the honored memory of a giant in the area of learning related vision problems, Dr. Harold Solan. Dr. Solan recently passed away but left a legacy that clearly demonstrated how vision and learning are connected with his many articles, text books and as a teacher. Dr. Dominick Maino’s editorial quotes many of those who benefited from Dr. Solan’s work. He was a true gentle man.

Also in this issue, Jaclyn A. Benzoni OD, MS and Mark Rosenfield MCOptom, PhD note in their article, Clinical Amplitude of Accommodation in Children between 5 and 10 Years of Age, the importance of measuring the focusing ability of children. They found that both the pediatric and adult data is similar to the classic findings of past researchers. However, a relatively high percentage of children appeared to have accommodative insufficiency which suggests that this standard may need to be reexamined in this particular age group.

South African optometrist, SO Wajuihian, discusses various anatomical findings in patients with dyslexia in his article, Neurobiology of Developmental Dyslexia Part 1: A Review of Evidence from Autopsy and Structural Nneuro-Imaging Studies. This is part 1 of a series of articles dealing with dyslexia some of which have been published in the journal, South African Optometrist, but shared in OVD. The author notes that: “Developmental dyslexia (DD) is a language based neurological disorder which impairs reading ability but does not result from low intelligence, lack of motivation, sensory impairment, or inadequate instruction. Although the neurological basis of dyslexia has long been assumed, the exact nature of the altered brain structure associated with DD remains unknown and has been a subject of autopsy and neuro-imaging research. Autopsy studies provide consistent evidence of symmetry of the planum temporale (PT), thalamus and cortical malformations; whereas results from structural imaging studies such as computed tomography (CT) and magnetic resonance imaging (MRI) are inconsistent. To address the possible etiology of DD, this paper reviews evidence from autopsy and structural imaging studies on developmental dyslexia and discusses possible methodological sources of some inconsistent results. The role of the optometrist in the multidisciplinary management of dyslexia is highlighted.” Although language based dyslexia is quite rare, children with learning related vision problems is common. These vision problems can affect reading and other academic skills.

OVD editor, Dr. Dominick Maino’s article, Pediatric Cerebral Visual Impairment: Notes from the American Conference on Pediatric Cerebral Visual Impairment, nicely reviews many aspects of pediatric cerebral/cortical visual impairment (PCVI) and highlights his involvement in this new conference. This conference was sponsored by the Children’s Hospital and Medical Center in Omah, NE and will continue to be sponsored by this organization for several years into the future. The keynote speakers included: Mark Borchert, M.D.; Associate Professor of Clinical Ophthalmology and Neurolog, University of Southern California, The Vision Center, Children’s Hospital Los Angele, Los Angeles, CA; Christine Roman Lantzy, Ph.D.; Director, Pediatric View Program, The Western Pennsylvania Hospital. CVI Consultant, The American Printing House for the Blind Educational Consultant, Pittsburgh, PA; Jacy VerMaas-Lee, M.A., OTR/L; Assistant Professor of Occupational Therapy, Creighton University, Omaha, NE and Dominick M. Maino, OD, MEd, FAAO, FCOVD-A; Professor of Pediatrics/Binocular Vision Illinois Eye Institute/Illinois College of Optometry, Chicago, Il. The program was developed and moderated by neuro-ophthalmologist, Richard H. Legge, M.D.; Adjunct Assistant Professor, Department of Ophthalmology, University of Nebraska Medical Center, Omaha, NE. Although the audience was mostly optometrists, ophthalmologists, other MDs, occupational therapists, physical therapists, speech and language therapists and teachers of the visually impaired; several parents of children with PCVI were also in attendance. The next meeting will again be held at the Children’s Hospital in April 2013.

OVD 43 #3 also includes an update on our Tour de Optometry program, literature reviews, a book review (did you know that optometrists can solve crimes as well?), practice management tips, and the latest news about members of the College of Optometrists in Vision Development. Go to to read all the scientific articles and other features.

About COVD
The College of Optometrists in Vision Development (COVD) is an international, non-profit optometric membership organization that provides education, evaluation, and board certification programs in behavioral and developmental vision care, optometric vision therapy, and visual rehabilitation. The organization is comprised of doctors of optometry, vision therapists, and other vision specialists. For more information on learning-related vision problems, optometric vision therapy, and COVD please visit or call  888.268.3770 .

Sunday, August 19, 2012

Lifetime Recovery Process For Pediatric Brain Injury

Lifetime Recovery Process For Pediatric Brain Injury

....Researchers have gained a new understanding of pediatric brain injuries and their recovery over the last decade, allowing professionals to understand that recovery may be a lifelong process not only for the injured child, but also to the child's family, friends and healthcare providers.....