At Virginia Neuro-Optometry, we aim to co-manage patients in a multi-disciplinary approach to patient care.  Our goal is to provide diagnostic insight and rehabilitative/adaptive treatments for patients with double vision as well as visual complaints due to brain injury and neurological disease. 

 

PLEASE NOTE - we do NOT see urgent/emergency care (ie. sudden onset) diagnostic cases.  We are a tertiary care provider, please refer those patients to a primary eye care provider first, for timely diagnostic evaluation, and we would be happy to co-manage care with them.

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We are currently able to treat patients with telemedicine for patients that reside in Virginia and California

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Patient Services

Most common visual complaints we see

• Double vision

• Blurry vision - intermittent/atypical that is not alleviated with updated contacts/glasses

• Reading difficulties - words move on the page, skipping words while reading, losing place while reading

• Dizziness/nausea/headaches provoked by visual tasks (ex: scrolling on the computer, traveling in the car, watching television, reading)

• Visual field loss 

• Light sensitivity

• Reduced vision in certain lighting conditions

• Image size difference

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Most common patients we see

• Post-concussion photophobia and oculomotor dysfunction

• Moderate/severe traumatic brain injury

• Stroke

• Diplopia

  • Oculomotor dysfunction - convergence insufficiency/spasm, accommodative disorders

  • Strabismus​ - congenital and acquired phoria/tropia

  • Restrictive thyroid eye disease

  • Retinal/macular-induced aniseikonia/diplopia

  • Incomitant diplopia due to peripheral cranial nerve III, IV, and VI palsies or brainstem/midbrain origin

  • Multiple sclerosis

  • Myasthenia gravis

  • Parkinson's disease

  • Progressive supranuclear palsy

• Optical null point movement for nystagmus​

• Portable/trial frame refractions

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Diagnostic Services

• Comprehensive sensory-motor/ocular motility evaluation

• Vestibular-oculomotor screening evaluation

• Prismatic refraction and assessment

  • Compensating prism for binocular vision disorders​

  • Yoked prism for null-point movement in nystagmus, patients with cervical/mobility restrictions, and gaze palsies

  • Visual field expansion for hemianopsia

• Contrast sensitivity testing and tint assessment

• Functional visual field evaluation for neurological homonymous visual field loss

• Ocular health examination 

  • Can co-manage with patient's preferred primary eye care doctor​

• Visual processing examination​ to evaluate higher order visual agnosias including hemineglect for neurologic and developmental visual processing concerns

Therapeutic Services

• Prismatic Prescriptions

  • Temporary (Fresnel) compensating prism for new/unstable strabismus

  • Permanent compensating prism for stable strabismus

  • Yoked prism

  • Hemianopic visual field expansion prism

• Evidence-based lens tints

• Evidence-based orthoptics (oculomotor) vision therapy for post-concussion oculomotor dysfunction, vergence and accommodative disorders​​ - see FAQ for more information

General Information

• We see and have experience treating patients of all ages from 3 to over 100 years old

• Getting patients started on treatment and alleviated of their symptoms is the most important aspect to recovery.  Our goal is to get new patients into our clinic within 2-4 weeks or less of your referral

• Payment

  • We are a fee-for-service practice and we do not participate with any commercial insurance plans.  ​

  • We take all forms of Worker's Compensation insurance

  • If a patient has vision or medical insurance for routine eyecare, we can provide paperwork for them to self-attain reimbursement of services or co-manage services with a primary eye care provider who accepts the patient’s insurance for the refraction and ocular health exam

• Please visit FAQ for more information or contact us via phone 804-387-2902 or email us at if you have any questions

How to Refer a Patient

• Fill out a patient referral form 

• Fax pertinent records and the referral form to 804-509-0543

• Have the patient call our office to schedule an appointment