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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 go to a primary eye care (optometry/ophthalmology) provider first or the emergency room for timely diagnostic evaluation and urgent treatment.

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

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Most common patients we see

  • Post-concussion photophobia and oculomotor dysfunction

  • Moderate/severe traumatic brain injury

  • Stroke

  • Diplopia (double vision)

    • 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 and ocular health examinations for patients who may be unable to participate in traditional optometric/ophthalmologic examinations due to physical disabilities or mobility restrictions

Diagnostic Services

Neuro-Optometric Evaluation​

  • ​Every patient is different.  A neuro-optometric examination evaluates the aspects of vision from the eye to the brain that can be affected by damage to the central and peripheral nervous system.  These diagnostic tests may include and/or evaluate

    • How well you see - visual acuity (clarity), contrast sensitivity, color vision, peripheral vision, light sensitivity ,pupil reaction, and refractive prescription

    • How healthy the eyes are

      • We are happy to perform your ocular health exam for you during your appointment.  We are also comfortable with co-managing your ocular health care with your preferred primary eye care doctor​ (optometrist or ophthalmologist) - please call our office for further details

    • How well your eyes work together as a team- eye alignment, eye movements (comprehensive sensorimotor/oculomotor examination)  

    • How the eyes move while your head is moving and/or stationary (vestibular-oculomotor screening evaluation)

    • Treatment options may include prism glasses, tinted lenses, and/or vision therapy

Double Vision/Prism Examinations

  • These examinations are specifically tailored towards identifying the cause of double vision, how the double vision may be impacting your activities of daily living, and creating a personalized treatment plan for the patient.  This includes a prismatic refraction.

  • Treatment options may include prism glasses and/or vision therapy depending on the cause of the double vision

Neurological Visual Field Loss Examinations​

  • If a patient has visual field loss due to neurological injury where a part (left side/right side) of their vision is missing (hemianopsia), they may be able to see clearly, but still  have trouble navigating in space (ie bumping into things/knocking things over), reading, or using the computer comfortably

  • These evaluations look specifically at how much of the visual field is remaining, and how to maximize its use to enable the patient to see and do the things they enjoy.

  • Treatment options may include

    • Yoked prism glasses and/or field expansion prism glasses

    • Visual field training to improve the eye's ability to scan the environment with a limited visual field.

    • Neuro-Optometric Rehabilitation - Extensive patient education on lifestyle and environmental adaptations for patients with neurologic visual field loss and visual processing disorders. 

  • Prismatic refraction and assessment can also be used to help patients with nystagmus, cervical/mobility restrictions, and gaze palsies

Visual Processing Evaluations

  • Sometimes a patient may have normal eye health and eye coordination, and yet still have trouble with their vision due to a visual processing problem - ie how the brain interprets what the eyes see

  • A visual processing examination​ can evaluate higher order visual agnosias for neurologic and developmental (pediatric) visual processing concerns 

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

    • Please click here for more information about payment

  • For more information or contact us via phone 804-387-2902 or email us at info@virginianeurooptometry.com 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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