Saturday, June 8, 2013

Optometric Vision Therapy is....

A Vision Therapy Success Story at Lyons Family Eye Care
(L to R: Dr. Dominick Maino, a successful VT patient and Mom, Lauren (therapist))
Optometric Vision therapy is -
  • a program of therapy  procedures;
  • performed under doctor supervision;
  • individualized to fit the visual needs of each patient;
  • generally conducted in-office, in once or twice weekly sessions of 30 minutes to an hour;
  • often supplemented with procedures done at home (HVT or home vision therapy);
  • depending on the diagnosis, the therapy procedures are prescribed to:
    • help patients develop,  improve and/or enhance basic visual skills and abilities;
    • improve visual comfort, ease, and efficiency;
    • change how an individual processes or interprets visual information.
Those who benefit from vision therapy include:
  • Individuals (children and  adults) with strabismus (an eye that turns in/out/up/down)
  • Amblyopia (lazy eye, one or sometimes both eyes have reduced vision)
  • Anyone who has vision problems that cause them to
    • lose their place, have headaches, or tired eyes when reading or working on the computer. Many times, those who simply avoid close work all together.
    • Individuals who have visual processing or visual skill difficulties which hinder their academic performance or learning.
    • Individuals who have visual problems related to a stroke or brain injury.
Want to find out more about optometric vision therapy? See the fine doctors and professional staff at Lyons Family Eye Care. DM

Friday, June 7, 2013

What to do to make you eyes feel better!

These are some good ideas from Michael N. Flynn, Executive Director l Vision Intervention Program........

Do you experience headaches or burning, tired eyes when working at your computer, reading, or doing other "near work"? 
You don't have to live in pain. Vision Intervention Program knows how to alleviate these symptoms AND maximize your eyesight! Keep reading to learn more...
Back Off - Place all "near" activities (reading, computer, games, etc.) at, or a little further from, the Harmon Distance. Harmon Distance is the distance from the center of your middle knuckle to the center of you elbow (about 16-18 inches).
Use good posture - Sit upright and practice arching your back when reading, writing, using the computer, etc.  Do not lie down! People who lie down when participating in visual activities are more likely to have visual problems. If you choose to do any visually based activities in bed or on the couch, make sure to prop yourself up.
Light it up! - When reading, make sure the room is, to some extent, lit and not dark. Reading material should be at least three-times brighter than the light in the room.
Take a break - Ideally you should take a five-minute break for every half hour of "near work" you complete. Start by focusing on something in the distance every time you turn a page or start a new level. Get up and walk around after every chapter. Once every ten minutes, it is very important to look at and focus on objects far away.
Move your seat - Researchers found the ideal distances from a seat to a TV screen is 16-19 feet at maximum and ten feet at minimum. If your favorite watch spot is too close or too far to the TV, take a few minutes to rearrange or at least sit somewhere within the ideal distances.
Relax! - Eliminate headache-causing, muscular tension by relaxing and breathing deeply when participating in any sort of "near work."

Comments: I would like to add that if it "hurts to see" see your OD (optometrist) especially one who has been residency trained in the area of binocular vision and vision therapy and/or has received Board Certification in this area (Fellow of the College of Optometrists in Vision Therapy). If you live in the Chicago area, Lyons Family Eye Care has doctors that meet this criteria.

Don't forget to check out Vision Intervention Program Impact on Learning Educational Conference!


Are Infants and Preschoolers Too Young for Vision Therapy?

Are Infants and Preschoolers Too Young for Vision Therapy?

...People are usually surprised to discover that vision therapy can improve the visual systems of adults.  But many are equally as surprised to discover we can help infants and preschoolers, too.  In truth, it can be even more effective and efficient at a younger age because the visual system is in its formative stage.  ...
Comments: The Discovering Vision Therapy blog offers great information. This article tells you about infants, toddlers, preschoolers and optometric vision therapy. Click on the title above to read more. DM

Thursday, June 6, 2013

The 14th Biennial Meeting of the Child Vision Research Society will occur in just a matter of days. I hope to see you there....if not plan to attend the next meeting in 2015!

Click here for the full program.

Wednesday, June 5, 2013

Vision therapy helping correct poor vision

Many parents don’t know what to do when their child has 20/20 vision, but still complains of headaches and just can’t seem to track words across the page when reading .

Many parents are now turning to vision therapy, a series of eye exercises [vision therapy]  that studies show can be helpful for some conditions.

Macey Webber is one of those people who says vision therapy works for her.  The 14-year-old from Jefferson County used to have double vision and would get terrible headaches, especially from reading.....

Comments: Click on the title above to watch the video. DM

Tuesday, June 4, 2013

Prismatic Correction of Consecutive Esotropia in Children after a Unilateral Recession and Resection Procedure

Prismatic Correction of Consecutive Esotropia in Children after a Unilateral Recession and Resection Procedure

....Prismatic correction can lead to good motor outcomes while maintaining favorable sensory status in most patients with consecutive esotropia. Patients showed different clinical manifestations and outcome according to the period of prismatic correction. Patients in the prism-weaned group showed a faster change in esodeviation after prismatic correction and more exotropic drift after prism weaning, resulting in a higher rate of recurrence of exotropia.....

Monday, June 3, 2013

COVD Call for Posters/Papers Due Soon

Call for Papers/Posters

  is soliciting abstracts for papers and posters to be presented at the 2013 Annual Meeting.
  Any person wishing to make a presentation is invited to submit a proposal. All abstracts will be reviewed by the Research    Committee and will be judged on the basis of overall quality, completion of required information, relevance to behavioral  and functional vision, subject matter, innovation, and attention to key questions in the field. Proposals may include  research results, case studies, or new and innovative diagnostic procedures or treatment techniques.
Deadline for submission of abstracts is June 10, 2013

CE in Victoria

To BV or Not to BV 
Vision Therapy in the Primary Care Office

3D Vision Syndrome

If you want to know how to offer optometric vision therapy within your practice and the importance of 3D Vision Syndrome, please come to the Victoria Conference July 18-21st  sponsored by the Pacific University College of Optometry.

Click here for the brochure.  Click here to register for the meeting.

ICO Graduate and Faculty Choir 2013

Click here to hear (but not see so well) the
2014 Illinois College of Optometry Graduate and Faculty Choir under the direction of yours truly. We sang at the Rockerfeller Chapel, University of Chicago. DM

Sunday, June 2, 2013

AOA's Optometry's Meeting

Last year, the Illinois College of Optometry Choir sang the Star Spangled Banner at the opening ceremonies of the  2012 American Optometric Association meeting held in Chicago, Il at McCormick Place. Who could the AOA possibly get to surpass this outstanding performance for this year's meeting in San Diego? You have to go to this AOA to find out!

In the meantime, listen again to the ICO Choir.

AOA Call for Courses: 2014

117th Annual AOA Congress & 44th Annual AOSA Conference

                      June 25 - June 29, 2014 Philadelphia, PA

Call for Courses!

The American Optometric Association is pleased to invite your submission of optometric, optometric staff, and future optometrist education courses at the 2014 Optometry’s Meeting®. Continuing education courses will be held from Wednesday, June 25 through Sunday, June 29, 2014.
Deadline is August 2nd. Need to know more? Click here!

Identification and treatment of amblyopia

Amblyopia is the leading cause of vision loss in children. It is treatable if diagnosed early, making identification of affected children critical. The American Association for Pediatric Ophthalmology and Strabismus and the American Academy of Pediatrics recommend that clinicians routinely perform age-appropriate vision chart testing, red reflex testing, and examination for signs of strabismus. The U.S. Preventive Services Task Force recommends vision screening for all children at least once between three and five years of age to detect the presence of amblyopia or its risk factors. Photoscreening may be a useful adjunct to traditional vision screening, but there is limited evidence that it improves visual outcomes. Treatments for amblyopia include patching, atropine eye drops, and optical penalization of the nonamblyopic eye. In children with moderate amblyopia, patching for two hours daily is as effective as patching for six hours daily, and daily atropine is as effective as daily patching. Children older than seven years may still benefit from patching or atropine, particularly if they have not previously received amblyopia treatment. Amblyopia recurs in 25 percent of children after patching is discontinued. Tapering the amount of time a patch is worn each day at the end of treatment reduces the risk of recurrence.

Comments: I usually edit abstracts before putting them on MainosMemos, but this particular abstract has several  problems and inaccuracies that I had to call to your attention.....

What they said/What they should have said/Statements not supported by science

What they said:...It is treatable if diagnosed early.....
What they should have said:...It is treatable at any age.....

Several studies with adults who have amblyopia have clearly shown that amblyopia is treatable in adults. (Dichoptic training enables the adult amblyopic brain to learn., The effect of video game training on the vision of adults with bilateral deprivation amblyopia., Prentice award lecture 2011: removing the brakes on plasticity in the amblyopic brain., Perceptual learning reduces crowding in amblyopia and in the normal periphery., Video-game play induces plasticity in the visual system of adults with amblyopia., Can human amblyopia be treated in adulthood?) and many more......

What they said:...The U.S. Preventive Services Task Force recommends vision screening ....
What they should have said:...The U.S. Preventive Services Task Force was completely wrong when they recommend  vision screening ...

What they said is NOT supported by science. Vision screenings are so bad that the data collected cannot even determine if they are worthwhile or not according to Cochrane's Reviews. Vision screenings are a waste of time. Our children deserve full comprehensive eye and vision examinations

Cochrane Reviews notes that depending upon the study.....

"...The aim of this review was to find studies that evaluated the effectiveness of school vision screening programmes in first identifying children with reduced vision. No eligible randomized studies were found. There is a clear need for reliable evidence to measure the effectiveness of vision screening;....... The authors concluded that there is, therefore, a need for some robust evaluation of the screening programmes that are in place to see if they are truly effective or not. Any such evaluation would have to also look at how much screening programmes cost and what effect untreated amblyopia has on quality of life...."...and...additional information from this blog

The said: ...Children older than seven years may still benefit from patching or atropine, particularly if they have not previously received amblyopia treatment...What they should have said: Children and adults will benefit from treatment no matter their age...

The bottom line on all this is that vision screenings do not have any science behind them, amblyopia can be treated at any age, and glasses and patching may be only the beginning when it comes to treating amblyopia. Amblyopia is a BINOCULAR vision dysfunction. To treat amblyopia you should include binocular vision therapy. Optometric vision therapy does just that. For a doctor who can help go to the College of Optometrists in Vision Development, Optometric Extension Program Foundation....or  if you live in Chicago, see me at Lyons Family Eye Care or the Illinois Eye Institute. DM