Are you are case manager or solicitor?

More than 50% of visual and visual-cognitive disorders occur in neurologically-impaired patients Rosalind Gianutsos  PhD

Vision is a function of both eyes and brain. When the brain is insulted, the entire Central Nervous System can be affected.

Free demonstrations

Ruth and Fiona are happy to give demonstrations to groups of Case Managers and solicitors to demonstrate the effect of various lenses. This has to be experienced to understand how lenses can affect your balance and sense of space. Each case is unique and as the saying goes, once you have seen one TBI, then you have seen one TBI. Addressing the symptoms with precision tints, prisms and lenses can be an interesting challenge. Field loss can be addressed with Peli lenses and exercises to improve location and motion  

Bedside Screening Checklist

 

Ask if there is any perceived changes in vision

Check for the following:

Near and distance acuities

Ability to sustain attention for one minute

Co-ordination of smooth movements (pursuits) and moving from one target to another (saccades)

Convergence – measured from the tip of the nose (patient may report double vision, or the examiner might see one eye turn outwards.)

Pupils respond to presence of light

Visual fields (one eye at a time

Observe for squinting, clumsiness, changes in memory, gait disturbance, diminished path-finding, neglecting object etc. 

- Severe visual deficits may be present regardless of 20/20 acuity.

What we may do

 

Strengthen eye co-ordination

Increase the flexibility of the visual system

Develop fields awareness

Enhance Environmental Visual perception

Improve integration with other sensory systems

Correct acuities with lenses and magnifiers

Improve performance of daily activities such as reading, self care, medication administration, driving, vocational and academic endeavours.