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The Opto-mization Eye Exam Process

Our eye examinations go beyond clarity and eye health. We look at how your vision functions. This includes areas such as how your eyes track, work together, and how your brain processes your vision. This allows for diagnosis and treatment of any problems, as well as ways to improve your visual performance.

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Common Conditions

Here is a list of common conditions that commonly have underlying functional vision problems and benefit from assessment:

  • Post Concussion Syndrome
  • Dyslexia and Dysgraphia
  • Attention Deficit Disorder (ADD/ADHD)
  • Developmental Coordination Disorder (DCD)
  • Learning Disabilities
  • Meniere’s Disease
  • Mal de Debarquement
  • Vestibular Neuritis/Labyrinthitis
  • Stroke
  • Headaches/Migraines
  • Strabismus
  • Convergence Insufficiency
  • Amblyopia
  • Double Vision

Routine Care and Performance

Most people don’t realize that they could be reading faster, focusing more comfortably, or have better feeling vision. Our unique approach means that we can provide ongoing care that keeps your vision performing up to the demands of your daily life.

The Exam Process

The Opto-mization process is made up of 3 key steps

  1. Assessment/Discovery: This is where were learn about any problems you’re experiencing, the visual demands of your daily life, and assess your visual function

  2. Education/Solutions: Based on your assessment there are likely some opportunities to resolve your symptoms and improve your performance. We make sure you fully understand all the options (including just monitoring).

  3. Implementation: Whether it’s glasses, vision therapy, or simply monitoring the condition, we support you every step of the way. Our solutions are backed by a 100% satisfaction guarantee, so you can feel confident with your choices.

Our in-depth examinations are split into two components to cover all aspects of your eyecare; The NeuroVisual Assessment and the Ocular Health Assessment. We do the exams separately because putting it all into one appointment is too much for optimal outcomes. This also allows each examination type to be done at different frequencies.

Neuro-Visual Assessment
This involves computerized eye tracking, visual performance testing, and refraction (checking your prescription). It involves more in-depth testing of visual function than a routine eye exam. This gives us the ability to diagnose any areas of dysfunction and determine options for treatment. The functional testing results in a specialized glasses prescription that takes into account how your eyes and brain work together.

Testing includes:

  • Eye tracking
  • Computerized tracking of eye movements
  • Depth perception
  • Eye teaming (binocularity) including vergences
  • Visual-vestibular integration (balance/dizziness)
  • Visual-motor ability
  • Refraction (prescription to see clearly)
  • Effect of various prescriptions and tools (including prism) on visual performance in above areas
  • And More!


There are often several options for treatment:

  1. Specialized Glasses Prescriptions (ErgopticsTM)
    These glasses prescriptions take into account how your eyes and brain work together. Many symptoms such as headaches, dizziness, balance problems, light sensitivity, focus, and even reading speed can be improved with these specialized prescriptions. Yes, these look like normal glasses (or totally wild if you pick some really funky frames).
  2. Vision Therapy
    Vision therapy can be used to re-train how the eyes and brain work together. Think about it like re-calibrating how accurately the eyes move, work together, and how the brain processes the visual information. Many people think vision is about improving the eye muscles, which is an outdated approach. Effective vision therapy is more like a person learning how to play the piano. The hands don’t necessarily get stronger, but the brain is able to control them in new ways.

  3. Referral
    Some conditions require referral to other health care providers who may be able to help. It is common that we pick up on vestibular, cervical, or other conditions that require co-management.

Ocular Health Assessment

This is focused on the physical health of the eye. It is similar to the routine eye exam you are used to, but does not include the refraction (glasses prescription) because that is done in the Neuro-Visual assessment. The ocular health assessment includes

Testing includes:

  • OCT (Optical Coherence Tomography) 3D scans of retina and nerve
  • NCT (Non-Contact Tonometry)- puff of air to measure pressures
  • Bio-microscopy – examining your eyes with bio-microscope
  • Keratomotery – measuring the curve of your cornea
  • Visual Acuities
  • May include visual field testing
  • May include dilation when necessary (able to opt out)

Why are the exams done separately?

Our exams are split into two components because it yields better results. Putting all the in-depth function testing into the same appointment as the scans, puffs, and lights is often too much. Many new patients have had their ocular health assessed as part of a routine eye exam somewhere else before they’ve seen us, and we often do not need to repeat that testing.

New To Our Practice? Start Here.

Neuro-Visual Examination or Functional
This is about how your eyes and brain work together.

Testing includes:

  1. Tracking
  2. Computerized eye tracking
  3. Binocularity (teaming)
  4. Focusing ability
  5. Visual-vestibular integration
  6. Refraction (near sighted/far sighted) etc

It allows us to look at how well your eyes are functioning, and determine the best course of action. This allows us to provide you with an optimal prescription based on these findings.
*Includes updated glasses prescriptions (Ergopticstm)

Returning Patients.

  • Any signs of vision loss should prompt a doctors visit; if you have a problem that can't be corrected with eyewear or surgery, low vision aids can help.
  • If you're a returning patient, we can assess the physical health of your eye, such as eye pressure, the health of the tissues and more.  This is where early detection of cataracts, macular degeneration, diabetic retinopathy, tumors, and many other things takes place.
  • This appointment is where we can find contact lenses that fit you and your needs, and ensure they will be healthy and comfortable.  Prescription adjustments are made based on how the contact lens and your eye interact.  We train you how to insert and remove the contact lenses, and do a follow up appointment after a week of wear to ensure that it’s a great fit!
  • Read the answers to frequently asked questions.