Is your vision contributing to
headaches, dizziness, or anxiety?

This Binocular Vision Dysfunction & Neuro-Optometry questionnaire helps determine if you might have a Binocular Vision Disorder. It will also help determine if your presenting symptoms are related to an eye misalignment, especially following a concussion or Traumatic-Brain Injury TBI.

Complete this test by selecting the option that best describes how often each symptom occurs. You will also be asked to rate the severity of symptoms.

Do you have headaches and/or facial pain?
Do you have pain in your eyes with eye movement?
Do you experience neck or shoulder discomfort?
Do you have dizziness and/or light headedness?
Do you experience dizziness, light headedness, or nausea while performing close-up activities (computer work, reading, writing, etc.)?
Do you experience dizziness, light headedness or nausea while performing far-distance activities (driving, television, movies, etc.)?
Do you experience dizziness, light headedness, or nausea when bending down and standing back up, or when getting up quickly from a seated position?
Do you feel unsteady or drift to one side while walking?
Do you feel overwhelmed or anxious while walking in a large department store (Target, Wal-Mart, Costco, etc.)?
Do you feel overwhelmed or anxious when in a crowd?
Does riding in a car make you feel dizzy or uncomfortable?
Do you experience anxiety or nervousness because of your dizziness?
Do you ever find yourself with your head tilted to one side?
Do you experience poor depth perception or have difficulty estimating distances accurately?
Do you experience double/overlapping/shadowed vision at far distances?
Do you experience double/overlapping/shadowed vision at near distances?
Do you experience glare or have sensitivity to bright lights?
Do you close or cover one eye with near or far tasks?
Do you skip lines or lose your place when you are reading? Do you use your finger, ruler or other guides to maintain your position on the page?
Do you tire easily with close-up tasks (computer work, reading, writing)?
Do you experience blurred vision with far-distance activities (driving, television, movies, chalkboard at school, etc.)?
Do you experience blurred vision with close-up activities (computer work, reading, writing, etc.)?
Do you blink to ‘clear up’ distant objects after working at a desk or working with close-up activities (computer work, reading, writing, etc.)?
Do you experience words running together while reading?
Do you experience difficulty with reading or reading comprehension?
Dizziness
10 is the worst it could be, and 0 means you have none of that symptom
Nausea
10 is the worst it could be, and 0 means you have none of that symptom
Anxiety
10 is the worst it could be, and 0 means you have none of that symptom
Headache
10 is the worst it could be, and 0 means you have none of that symptom
Neckache
10 is the worst it could be, and 0 means you have none of that symptom
Unsteady when walking
10 is the worst it could be, and 0 means you have none of that symptom
Sensitivity to light
10 is the worst it could be, and 0 means you have none of that symptom
Reading difficulty
10 is the worst it could be, and 0 means you have none of that symptom

Your total vision score: 0

Enter your email address to receive a summary of results.


A score of 15 or more points or the persistence of 1-2 symptoms indicates the need for a Neuro-Optometric Vision Exam.

Even if the score is less than 15, and you have a concern with the symptoms you are experiencing, a Neuro-Optometric Exam is a definitive way to rule out whether vision is contributing to your symptoms.

Schedule Your
Neurovisual
Evaluation


Why is Vision Impacted by
Neurological Deficits or
Increased Stress?

More than half of the brain is involved in processing visual information. Therefore, if the brain sustains an injury or significant stress of some sort, it is more than likely that vision will be affected in one way or another. Regardless of the underlying cause for the visual deficits, most patients will experience a similar set of symptoms of varying degrees.

Symptoms of a Disrupted Visual System

  • dizziness

  • headaches

  • blurredvision

  • doubleoroverlappingvision

  • difficultyfocusing

  • feeling ofeyes crossing ornotworking together

  • poor visual memory

  • difficulty concentrating

  • visual field loss

  • poor depth perception

  • anxiety while driving

  • panic attacks

Neuro-Optometric Treatment Options

Lenses and Prism

  • Lenses that support near visual demands and enhance performance.

  • Lenses designed specifically for driving to reduce symptoms.

  • Prism lenses that relieve visual stress induced bymisaligned eyes.

  • Lenses that maximize spatial perception which improves the patient’s orientation and mobility.

Binasal Occlusion and Tints

  • Reduce visual motion sensitivity to alleviate dizziness symptoms while driving.

  • Enhance eye coordination and eye tracking for improved reading speed and comprehension.

  • Reduce visual overload to alleviate light sensitivity and improve visual processing.

Vision Rehabilitation

  • Uniquely tailored vision rehabilitation program that improves and enhances deficient visual skills.

  • Light Therapy uses certain selected light frequencies (colors) to balance the autonomic nervous system through vision.

  • Clinically shown to be effective in the treatment of brain injuries and concussions.

  • Therapy is designed to achieve optimal recovery and regain function while carefully monitoring for symptoms.

  • The treatment program is tailored to each patient’s needs and lifestyle for the most successful, long-term outcomes.

Why Patients Love Our Eye Care

Success Stories

​​​​​​​A patient’s success can be the best word of advice. Here are some of ours.

A Child's Thought

What do our youngest patients say after completing treatment?

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