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Soccer player with potential brain injury

Vision Therapy For Brain Injury: Neuro-Optometric Rehabilitative Therapy At Southwest Family Eye Health Center In Fort Worth, Texas

Contrary to what you might think, it is the brain, and not the eyes, that is the key to seeing well. Your vision is really the sum total of how your brain receives visual information and then interprets and processes that information to permit you to see. The accuracy of that process depends on a healthy brain correctly going about this processing.

There are many potential causes of brain injuries that can result in vision problems.

A Neuro Optometrist Can Help With


  • Concussion
  • Stroke
  • Traumatic Brain Injury (TBI)
  • Mild Acquired Brain Injury
  • Post-Concussion Syndrome also called (PCS)



  • Cerebral Palsy
  • Post Traumatic Vision Syndrome
  • Hemianopsia or Hemianopia
  • Mild Closed Head Injury
  • Cervical Trauma Syndrome


A Brain Injury Or The Resulting Condition Such As The Ones Listed Above Can Result In Serious Vision Problems...

A brain injury or the resulting condition such as the ones listed above can result in serious vision problems, which can have a devastating effect on one's ability to complete basic day-to-day tasks. The damage can also be cumulative over time. Multiple concussions, even minor ones, can result in serious long-term complications. Our vision therapy practice in Fort Worth, Texas specializes in Neuro-Optometric Rehabilitation ― a  specific Vision Therapy program for those who have suffered a brain injury. Using series of custom and personalized exercises, the brain can be retrained to accurately receive, process, and interpret visual signals again. Research has shown that recovery from vision problems is essential to recovery from any brain injury.

Types Of Vision Problems Resulting From A Brain Injury

Brain Injuries Can Result In A Range Of Vision Problems

 This includes:

      • Diplopia (double-vision)
      • Tracking issues
      • Maintaining physical eye focus
      • Difficulty staying mentally focused
      • Strabismus  (eye turns)
      • Binocular Vision Dysfunctions  (the ability to coordinate the two eyes to work together)
      • Abnormal posture
      • Head tilts or turns
      • Bumping into objects
      • Closing or covering one eye
      • Balance and coordination problems
      • Reduced ability to sustain attention on visual tasks
      • Poor depth perception
      • Confusion related to visual tasks
      • Difficulty reading localized objects
      • Reduced visual acuity at far  (perceptual accuracy at a distance)
      • Reduced visual acuity at near  (perceptual accuracy up close for reading and other tasks)
      • Accommodative Disorders  (problems with focusing the eyes)
      • Difficulties in visual perception  (are objects where I think they are?)
      • Visual Field loss  (loss of vision in one or more areas)
      • Deficits in visual motor  (eye movement problems)
      • Ocular Motility Disorders Integration  (problems coordinating our eyes with our bodies )
      • Problems with accurate visual information processing

Problems such as these can drastically affect day to day functioning even at the most basic levels. It’s only once such vision problems are addressed that the victim of a brain injury can get the most out of other treatments such as physical, occupational, and cognitive therapies.

Problems such as these can drastically affect day to day functioning even at the most basic levels. It’s only once such vision problems are addressed that the victim of a brain injury can get the most out of other treatments such as physical, occupational, and cognitive therapies.

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Sakteboard flipping, possibly causing brain injury

Vision Therapy Evaluation For Brain Injury In Fort Worth

The evaluation of the patient with brain injury may include, but is not limited to, the following:

  • Comprehensive eye and vision examination
  • Extended sensorimotor evaluation
  • Higher cerebral function assessment of visual information processing
  • Low vision evaluation
  • Extended visual field evaluation
  • Electrodiagnostic testing

Three Main Types Of Vision Loss From Brain Injuries

The vision problems highlighted above can be broken down into three main areas of vision problems. At Southwest Family Eye Health Center, a Developmental Optometrist uses Vision Therapy techniques to help with each of these Vision Loss problems:

girl suffering vision loss, eyes closed, smelling rose

Visual Field Loss

Visual Field Loss

Visual field loss refers to a condition where the patient loses vision in a portion of their field of vision. This can quite literally mean that the patient is blind or impaired in half of the field of vision. This can be dangerous as it often results in walking into objects, falling, and being hit by approaching objects and people.

Treating Visual Field Loss

With Vision Therapy, the patient will undergo visual rehabilitation exercises which teach the brain to relearn how to effectively scan and focus on the impacted fields of vision where the vision loss occurs. This can be a long process, requiring patience and force of will. However, with time and temerity, Vision Therapy is highly effective at correcting and regaining a lost field of vision.

Prism Lenses For Visual (Peripheral) Field Loss

Special visual field awareness prism lenses are used in treating peripheral field loss. As the patient scans into the prism, the optics are shifted so as to perceptually gain about 15 to 20 degrees of visual field recognition. Looking into these prisms, however, results in double-vision (diplopia), so active scanning is done in brief spurts. The lenses are used to sense the need to paid attention to something in the peripheral vision. Once spotted, the patient turns their head to view it in detail with their intact central vision.

illustration of double vision after brain injury

Double Vision & Brain Injury

Double Vision (Diplopia) And Brain Injury

Diplopia, or, “double-vision” is a very common result of a brain injury. Prisms, special lenses, and Vision Therapy can be used to help the patient achieve fusion (alignment of the eyes) and alleviate the diplopia. If and when these means are employed, the patient may be able to adapt by suppressing the vision of one eye to eliminate the diplopia. If lenses, prisms, and/or a course of Vision Therapy are not successfully undertaken and applied, the result is often what’s called intractable diplopia.

In this population of patients, patching has frequently been used to eliminate the diplopia. Although patching is effective in eliminating diplopia it causes the patient to become monocular. Monocular vision, as opposed to binocular vision, will affect the individual primarily in two ways; absence of stereopsis and reduction of the peripheral field of vision. These limitations will directly cause problems in eye-hand coordination, depth judgments, orientation, balance, mobility, and activities of daily living such as playing sports, driving, climbing stairs, crossing the street, threading a needle etc.

Vision Therapy, combined with the appropriate lenses and prism use, is the most effective means of treating the diplopia while retaining and improving the visual functions necessary for daily life.

Rocks that look colored after brain injury and visual balance disorder

Visual Balance Disorders

Visual Balance Disorders

Visual balance disorders are conditions where the patient feels dizzy or unsteady. Often, it feels as if the sufferer or the world is spinning or moving even while lying down. Visual balance disorders can be caused by viruses, ear infections, and problems with visual processing. It’s also a frequent problem with patients who have suffered a brain injury. Lenses, prisms, and visual rehabilitation activities through Vision Therapy are highly effective at treating visual balance conditions.

illustration of boxing and potential brain injury

Neuro-Optometric Rehabilitation For Brain Injury May include The Following:

  • Treatment of ocular disease or injury either directly or by co-management with other healthcare professionals.
  • Treatment of the visual dysfunction with lenses, prisms, occlusion, and optometric Vision Therapy.
  • Counselling and education of patient, family, or caregiver about the patient's visual problems, functional implications, goals, prognosis, and management options.
  • Consultation with other professionals involved in the rehabilitation and health care of the patient.

Call Us 817-373-5117

Request An Appointment

Serving Patients From:

Fort Worth | River Oaks | Westover Hills | Dallas | and the state of Texas