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Vision Therapy: Types, Indications, and Exercises

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Vision therapy is a series of visual exercises that are practiced to improve one’s vision. Read this article to know more.

Medically reviewed by

Dr. Shikha Gupta

Published At July 14, 2023
Reviewed AtFebruary 29, 2024

What Is Vision Therapy?

"Vision treatment" is a term utilized by optometrists. Optometrists characterize vision treatment as an endeavor to create or work on visual abilities and capacities; work on visual ease and proficiency, and change visual handling or translation of visual data. An optometric vision treatment program comprises managed in-office and at-home support practices performed over weeks to months. In addition to exercises, lenses, prism, eyepatches, and various other electronic gadgets may also be used.

Vision treatment is a completely modified and customized treatment program intended to improve and fortify visual abilities, and yet again to train the youngster's visual framework to decipher visual information effortlessly. Vision treatment is something more than straightforward eye practices, it further develops brain-eye correspondence and the powerful activity of the kid's visual framework. The purpose of vision therapy is to upgrade visual abilities in eye-following, centering, union, eye-hand coordination, visual handling pace, and much more.

What Are the Types Of Vision Therapy?

Vision therapy can be classified into three types, which include:

  1. Orthotropic Vision Therapy: Orthoptic vision therapy is a series of eye exercises that are proposed by optometrists. It goes on for weeks to months. The orthoptic eye works out (orthoptics), as utilized by pediatric ophthalmologists and orthoptists, are eye activities to work on binocular capability. These exercises are demonstrated at the workplace and can be followed up at home. Orthotropies aims at non-surgical management of strabismus, lazy eye, and other eye movement disorders. This type of treatment aims at muscular eye strengthening. Sometimes this treatment may also be used in other conditions such as diabetic retinopathy, glaucoma, and cataract.

  2. Behavioral Vision Therapy: Behavioral vision therapy aims to improve visual perception and processing. This type of vision therapy aims to treat issues including hardships of visual focusing and concentration, which are classified as visual data handling shortcomings by ophthalmologists. These manifest themselves as a failure to shift focus from one part of the room to another. Ophthalmologists are of the opinion that this visual disability might affect understanding abilities and recommend that vision training may work on a portion of the visual abilities that may aid in reading.

  3. Behavioral Optometry: This vision therapy aims to correct myopia (nearsightedness). This therapy, however, has yet to be scientifically proven. This form of therapy aims to improve the patient's day-to-day activities using various devices such as lenses and prisms. At times it is even considered a subset of behavioral therapy.

Who May Need Vision Therapy?

Vision therapy may be advocated in children with muscular eye weakness. It helps in improving eyesight and also improves the quality of day-to-day life. It also helps in resolving learning abilities due to vision problems. The conditions that may require vision therapies include:

  1. Vision-Related Learning Issues: Poor eye focus or teaming can cause learning disabilities. Vision therapies can help in overcoming these problems.

  2. Strabismus: Strabismus is also known as the crossed eye or lazy eye. Treatment of strabismus with vision therapies can avoid surgery. Therapy in this condition yields very high results and can help strengthen the eye muscles.

  3. Eye Strain: Cutting-edge society requires many individuals to do a huge volume of close work before a computer screen. Along these lines, a rising number of patients experience constant eye fatigue, headaches, and other visual issues.

  4. Vision Rehabilitation: Visual restoration for exceptional cases such as strokes, brain wounds, developmental disturbances, and many other conditions. A neurological issue or injury to the sensory system can influence an individual's vision. This may include individuals who have had brain injuries, strokes, whiplash, developmental disturbances, cerebral paralysis, and various other neurological conditions.

  5. Vision Improvement for Sports: Athletes use vision therapies for improvement in vision. This helps build hand-eye coordination, focusing, and visualization. This helps build the overall quality of vision and improves their athletic performance.

What Can Be the Outcome of Vision Therapy?

When the eyes move, adjust, focus, and concentrate together, a totally different universe of vision is found. With effective treatment, patients might see that as:

  • Ease of learning.

  • Improvement of reading speed and quality.

  • Homework can be done easily.

  • The ability to interpret moving objects may increase.

  • Seeing objects that are near and far with equal clarity.

  • Mental interpretation of the images that are seen becomes easier.

The rate of improvement varies from person to person. However, improvement is seen when the exercises are followed meticulously.

What Are the Exercises in Vision Therapies?

The exercises under vision therapy can be grouped into two categories. The exercises for strabismus and the exercises for non-strabismus. The exercises help improve overall eye health. These exercises when followed, improvement in learning abilities are also observed. The various exercises that may be used include:

  1. Convergence Training: It is the near point of convergence training. The eye is trained to focus on a single point. This aids in tightening the eye musculature.

  2. Fusional Vergence Training: Fusional vergence training can be given using a prism and various other computerized training.

  3. Cawthorne Cooksey Exercises: These exercises do not correct the vision directly. They help in correcting the symptoms that may be associated with poor vision such as headache, and dizziness.

  4. Exercises for Amblyopia: These exercises help in the correction of amblyopia (a type of poor vision that usually occurs in one eye). However, it is not commonly practiced.

What Are the Eye Exercises in Behavioral Therapy?

Eye practices utilized in behavioral therapy, otherwise called formative optometry, plan to treat issues, including difficulty in visual interpretation and fixation, which may manifest as the inability to support the center or to move the center starting with one area of the room onto the next. These behavioral therapy exercises may use:

  • Rotation trainers.

  • Balance boards.

  • Directional sequencing.

  • Saddic fixators.

Conclusion:

Vision therapy is a group of eye exercises that may be used to treat conditions of the eye. It helps in resolving the condition through simple exercises and prevents surgery. At times it may be recommended for children who have conditions like lazy eye and crossing of the eye. In some conditions, it may be suggested to children who may have learning disabilities. Most of these exercises are taught at the optometrist's office and are simple to follow at home. When followed religiously, resolution in most cases is observed. It is advisable to approach one’s pediatrician for further evaluation.

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Dr. Shikha Gupta
Dr. Shikha Gupta

Ophthalmology (Eye Care)

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vision rehabilitationlazy eye
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