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.

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

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

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

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 

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