Vision Therapy Services

Robinson Center For Neuro-Visual Rehabilitation Services in Windham  

At Robinson Center For Neuro-Visual Rehabilitation, our optometrist Dr. Robinson utilizes other forms of vision therapy methods in addition to Neuro-Optometric Rehabiitation.  Dr. Robinson is well trained in  Low Vision, Developmental and Behavioral Optometry to help treat several eye-related conditions without the use of surgery. Dr. Robinson prescribes personalized therapeutic plans, which are individualized to meet the unique needs of each patient in order to ensure the best possible treatments results. Dr. Robinson and our team at Robinson Center For Neuro-Visual Rehabilitation offer the following services to patients in Windham and the surrounding areas. Due to Dr. Robinson's unique specialty in Neuro-Optometric Rehabilitation, he receives referrals for patients from as far away as Fort Kent, Machias, Rockport, Bangor, Augusta, Lewiston, Wells, and North Conway, New Hampshire.  Only about 15% of Dr. Robinson's current patient referrals comes from the local Lake Region area.

Vision Exams

For new rehabilitative patients to this office, they all receive a comprehensive vision exam, which includes a complete examination and discussion of the patient's health history and symptoms to aid in diagnosis, a visual acuity test, a general eye examination to assess the health of the eye's internal structures and proper function. Refractive tests are done to determine the best lens correction which may include special prisms to help improve a person's balance and coordination. Patients with balance and coordination difficulties will often be asked to wear special testing prism lenses while Dr. Robinson observes changes in balance and gait patterns.  During the whole evaluation, Dr. Robinson will be observing patient's motor skills, both with and without the special testing prism lenses.  Dr. Robinson will be assessing whether the patient's visual system is accurately guiding and controlling their movement patterns or whether their visual system is causing postural shifts and inefficient motor control,  (ie. jerkiness, spastic movements, and being 'stuck in place' temporarily).

Vision Therapy

Vision therapy uses various non-invasive procedures and exercises to improve eye conditions and eye function. Not to be confused with exercises aimed at strengthening the eye muscles, vision therapy exercises improve visual abilities, function, skill, ease of use, comfort, and the ability to process visual information. Depending on patient diagnosis, Dr. Robinson will treat any existing eye conditions using various vision therapy techniques including  behavioral, visual processing, syntonic phototherapy, and others. Syntonic optometry involves using special tinted filters to try to improve the balance between the sympathetic and parasympathetic nervous systems.

At the present time, Dr. Robinson is not involved with conventional In-Office visual therapy.  He prescribes a number of home VT procedures/ light therapies at the present time.    

  Many of the patient described in the previous section (patients with postural shifts with jerkiness, spastic symptoms, and having the sensation of occasionally being 'stuck' in place') will not respond to conventional vision therapy since their motor problems are not with the coordination of the two eyes but with the coordination of the three balance systems in the body-Vestibular, Visual Balance Center VOR, and lower body Proprioceptive system.  A person with these problems will not be able to do conventional vision therapy since it will be very difficult and cause the person significant headaches and other visual over-stimulation symptoms,

Once a patient's functional vision difficulties have improved/ stabilized,  Dr. Robinson can recommend other offices that are involved in conventional visual therapy, if this is indicated.  (Dr. Robinson recommends this therapy to approximately 5% of the patients described above, since once most of his patients who have gone through the above neuro-visual postural therapies do not seem to require additional, conventional visual therapy evaluations).

Neuro-Visual Rehabilitation

Patients who have had concussions, TBI's, CVA's, MS, Parkinson's Disease, Autism, and Lyme Disease often can benefit with special neuro visual rehabilitation services. During rehabilitation, patients will undergo various treatments and vision therapies to restore their visual abilities to an optimal level of function. A high percentage of Dr. Robinson's patients he sees with the above diagnoses have significant functional vision symptoms along with visual/spatial difficulties and significant balance and coordination problems.  The major goal with Neuro-visual rehabilitation is to help a person regain better use of their two visual processing centers in the brain.  This often involves wearing special prism glasses and possibly doing a home light/color therapy.  Some patients also benefit with doing some home neuro-visual postural therapies to further assist with some ongoing balance and motor problems. Also, sometimes there are special prisms used for patients with losses of parts of their peripheral vision.  There are some of these therapies that are best done in the office, but most of Dr. Robinson's patients with the above diagnoses are initially recommended to do some home neuro-visual postural therapies.

Sports Vision

Sports vision therapy aims to reduce the risk of injury and to improve the eye function of athletes by enhancing both visual perceptual skills and visual motor skills. Using visual acuity tests and corrective eyewear to modify vision, Dr. Robinson also enhances the function of athletes' eyes using vision therapy treatments to better develop motor skills and cognitive perception of visual information.  Sports Vision therapy is really a form of conventional vision therapy that is specific for enhancing and improving our visual system to directly affect sports performance.

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