Frequently Asked Questions
What can I expect when I come for my initial evaluation?
Our initial evaluation is a Functional Vision Evaluation (FVE), which is a two hour appointment for adults and children over 5 years old. For patients 5 years old and younger, a one hour appointment is scheduled. Patients should arrive 15 minutes early and bring their glasses or contact lenses.
What kinds of testing will be performed at the initial evaluation?
The doctor will evaluate functional vision skills such as eye movements, eye focusing, binocular skills, depth perception, and determine the most appropriate glasses prescription. Additional testing for visual-motor skills, retained primitive reflexes, visual perceptual skills, and visual-vestibular skills may be performed depending on the patient’s case. There are specific testing protocols for brain injury, strabismus, amblyopia, aniseikonia, and other specialty cases.
Do I need to have a regular eye exam before the initial Functional Vision Evaluation?
It is recommended for all patients to have a comprehensive eye exam with dilation within the last year prior to your FVE to make sure all ocular structures are healthy. If you have not had this done recently, our doctors can perform this testing at another appointment separate from the initial FVE.
Will my eyes be dilated at the initial evaluation?
The patient will not be dilated at the initial evaluation in most cases. The emphasis of the initial FVE is to determine how the eyes are functioning, and the purpose of the dilation process is typically to evaluate the health of the eye. This is often best performed in a separate appointment.
Does your office prescribe glasses?
Our doctors are very skilled at determining the most accurate prescription for your glasses including any considerations for reading glasses, prism, tint, and sectoral occlusion. While we do not sell glasses at our office, we can recommend where you can go to get your glasses prescription filled.
Does the initial evaluation include a contact lens prescription?
We do not prescribe contact lenses at the initial evaluation, since the purpose of that appointment is to assess the function of the visual system. We typically do not prescribe contact lenses (except in cases of myopia management), and we recommend you see your primary care optometrist yearly to renew your contact lens prescription.
How is a Functional Vision Evaluation different from an evaluation by a regular (primary care) optometrist?
An evaluation by a primary care optometrist looks at the health of the eye, prescribes glasses or contacts, and manages ocular health diseases. They may or may not do the testing to test for functional vision problems.
During a Functional Vision Evaluation, the emphasis is on determining how the functional vision skills may contribute to visual or cognitive symptoms. We are testing how the brain controls the eyes, even though the eyeball itself may be fine.
Does insurance cover the initial evaluation?
We are out of network for all insurance providers, and as a result we do not directly bill any medical or vision insurance. We are set up only as private pay in advance of your appointment . We are happy to provide forms you can submit to your insurance in order to receive partial to full reimbursement for the exam.
Vision Therapy and Vision Rehabilitation
What is vision therapy?
Vision therapy is a personalized one-on-one learning experience to help develop, rehabilitate, or retrain the brain, eyes and body to work better as a team and improve visual functioning. While we often say that vision therapy is ‘like physical therapy for the eyes’, it is actually more similar to retraining the brain in how to control and coordinate the eyes more efficiently and improve the processing of visual information.
What is the success rate for vision therapy?
We see a high success rate for vision therapy in our clinic, and research supports vision therapy as an effective treatment approach for many visual conditions. We always use an individualized vision therapy program to maximize a patient’s results, and we only recommend vision therapy for patients who are truly good candidates for improvement.
Does research support vision therapy?
Yes! Hundreds of peer-reviewed articles support the use of vision therapy to remediate many visual conditions including convergence insufficiency, oculomotor dysfunction (tracking problems), strabismus, and post-concussion syndrome. Check out our Research and Media Library to see the research on vision therapy.
How often do I have to come in for vision therapy sessions?
For most patients we recommend weekly therapy sessions. This allows our therapists to review patient progress and tailor the program to meet their needs on a more frequent basis.
Do you offer remote vision therapy (online)?
We offer weekly remote vision therapy sessions for patients who are unable to attend weekly in-office sessions. The patient must be able to come into the office for progress evaluations with the doctor every 3-4 months, and if the patient is a child then the parents must be present and involved during each session. We have found great success using this model, which has allowed patients without access to a local vision therapy office to experience the benefits of vision therapy.
Does insurance cover vision therapy?
We are out of network for all insurance providers and as a result we do not directly bill any medical or vision insurance directly for vision therapy. We do provide forms you can submit to your insurance in order to receive partial to full reimbursement for the vision therapy sessions.
Color Light Therapy (Syntonics)
What is Color Light Therapy?
Color light therapy, also called syntonics or photobiomodulation, uses specific wavelengths of light to treat vision problems. We know that certain colors have a specific and predictable impact, and we can use this to help improve the balance in the brain, which will help restore balance and function in the visual system.
How does the CLT program work?
The doctor will determine if the patient is a good candidate for color light therapy based on the findings from the initial evaluation. If a CLT program is recommended, the patient will come in for an initial CLT appointment where the doctor will determine which color protocol is best for the patient. The patient then takes home the color light unit and the therapy is completed at home, with follow up appointments in the office every 2-4 weeks. The CLT program is often completed before the in-office vision therapy program is started to help reduce visual symptoms and lay the foundation for changes that occur through vision therapy.