For our Optometric & Ophthalmologic Colleagues
Here are some common visual findings to be on alert for that support a referral to Vision & OpticNeuro Care:
Oculomotor dysfunction
- Inaccurate fixation, pursuits and/or saccades
- Symptom provocation during fixation, pursuit and/or saccade testing
- Resistance to supraduction or mild asthenopia in certain fields of gaze
- Subtle (or not so subtle) extra-ocular muscle incomitancies
Binocular dysfunction
- Excessive blinking or symptom provocation during Cover Test—especially when the phoric posture appears to be small
- Vertical heterophoria, or inconsistent small vertical heterophoria measurements
- Reduced stereopsis
- Unstable or poor fixation disparity
- Convergence insufficiency
- Reduced or effortful NPC, especially on repeated trials, and/or reduced NPC recoveries
- Asthenopia or rejection observed during NPC testing
- Convergence excess, divergence insufficiency, or divergence excess
- Acute onset strabismus
- Positive response to sectoral binasal occlusion
- More exophoria suggested in phoropter than in free space (e.g. during Cover Test)
- Asthenopia or rejection observed during NPC testing
- Asthenopia or rejection observed during NPC testing
Accommodative dysfunction
- Reduced amplitudes, BCC/PRA/NRA, and/or accommodative facility (monocular or binocular)
Other neurological signs
- Visual motion hypersensitivity
- Failed or symptom-provocation during vestibular-ocular reflex testing
- Visual midline shift (or egocentric spatial localization shift)
- Subtle physiological anisocoria
- Observed head turn or tilt
- Excessive light and/or sound sensitivity
- Comes in wearing sunglasses, ball cap, earplugs and/or walking sticks
Prescribing difficulties
- Visual symptoms remain (or even worsen) despite correcting for the ametropia and/or prescribing plus at near
- Difficult adapting to multifocal lenses or monovision
For a greater understanding of what we do from the personal experiences of our patients follow the link below: