Dan L. Fortenbacher, O.D., FCOVD

VISUAL PROCESSING AND THERAPY…

The Integration of Visual Efficiency and Processing and its Impact on individuals with Sensory Processing Disorders, ADHD, Autism,

Dyslexia, and Acquired Brain Injury

Lecture Resource Links

Understanding and Managing Vision Deficits – Scheiman

Eye Power – Appelbaum & Hoopes

Applied Concepts in Vision Therapy – Press

http://www.oepf.org/jbo/journals/10-6%20Hellerstein.pdf

www.covd.org ◦ College of Optometrists in Vision Development Directory of Board-certified doctors

Directory of Board-certified therapists

Research references and white papers

www.oepf.org ◦ Optometric Extension Program Foundation Literature & Products (also www.bernell.com)

www.nora.cc ◦ Neuro-Optometric Rehabilitation Association

www.aoa.org ◦ American Optometric Association Clinical Practice Guidelines

www.aoa.org/documents/PLRG-CI-Card.pdf

CISS – Screening Questionnaire

Penlight Red-Green Procedure ◦ Failure is seeing two lights beyond 4 inches

Therapy procedures ◦ http://www.aoa.org/x13917.xml

Does your child have trouble staying on task during a reading activity?

Do they have headaches with reading?

Turn to the child and ask, “Do you ever see words do this?”

www.aoa.org/documents/PLRG-CI-Card.pdf

CISS – Screening Questionnaire

Penlight Red-Green Procedure ◦ Failure is seeing two lights beyond 4 inches

Therapy procedures ◦ http://www.aoa.org/x13917.xml

Penlight Red/Green- Near Point of

Convergence Test (PLRG NPC)

http://visionhelp.wordpress.com/2011/04/13/accommodations-3-as-the-triple-play-for-reading-and-learning/

Captures impairment of eye movements, attention, language, and other correlates of suboptimal brain function.

Journal: Neurology – published online February 2, 2011 ◦ http://www.neurology.org/content/early/2011/02/02/WNL.0b013e3182

1184c9

Departments of Neurology, Ophthalmology, and Epidemiology, University of Pennsylvania School of Medicine

K.M. Galetta, MS, J. Barrett, M. Allen, OD, F. Madda, MD,

D. Delicata, MD, A.T. Tennant, EdD, C.C. Branas, PhD, M.G. Maguire, PhD, L.V. Messner, OD, S. Devick, OD, S.L. Galetta, MD and L.J. Balcer, MD, MSCE

http://visionhelp.wordpress.com/2011/02/18/a-new-visual-syndrome-baod-its-more-than-a-feeling/

Before the asymmetric tonic neck reflex (ATNR) is integrated, the child will have problems crossing the midline of the body with the hands or the eyes. This may cause reading problems in following the written line from left to right. There may also be problems with binocular vision, and insufficient connections between the two hemispheres of the brain.

http://www.amazon.com/Minds-Eye-Oliver-Sacks/dp/0307272087#_

Issue: Optometry & Vision Development 2009 ◦ http://covd.org/Home/OVDJournal/OVD403/tabid/277/Default.aspx

◦ Richman & Press: Optometric Role in Early Intervention

Eye Contact, Gaze Aversion, Sharing Joint Attention

http://www.lea-test.fi/ ◦ Lea Hyvarinen: A “developmental/behavioral

ophthalmologist” in Finland

◦ Sample: Heidi Expressions Test Game

http://autismcollege.com/

Dyslexia as Specific Reading Disability ◦ Visual form (dyseidesia)

◦ Auditory form (dysphonesia)

◦ Mixed

Vision Rehabilitation: Multidisciplinary Care of the Patient Following Brain Injury – edited by Suter & Harvey ◦ Chapter on Spatial Vision

Sanet & Press