Skip to main content

Neuro-Optometry Examination

A Neuro-optometry examination is an in-depth look at how the eyes and the brain work together. It is an opportunity to test the important areas of how your vision functions, to see if they are holding you back in your recovery or holding you back in your performance.

Call Our Offices

Book An Appointment

Home » Neuro-Optometric Rehabilitation » Neuro-Optometry Examination

Vision is 70% of the incoming sensory information to your brain and over 90% of your brain is involved in processing vision.

In fact, when different senses are giving conflicting information, your brain will almost always use vision to over-ride the other sense.

The Opt-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 the diagnosis and treatment of any problems, as well as ways to improve your visual performance.

Call Our Offices

Book An Appointment


Common Conditions

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

Call Our Offices

Book An Appointment


The Exam Process

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



This is where were learn about any problems you’re experiencing, the visual demands of your daily life, and assess your visual function



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).



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…

Call Our Offices

Book An Appointment


There are often several options for treatment:


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).


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.



Some conditions require referral to other healthcare 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
  • Keratometry – measuring the curve of your cornea
  • Visual Acuities
  • May include visual field testing
  • May include dilation when necessary (able to opt-out)

Call Our Offices

Book An Appointment

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.


Related Pages

  • neuro optometry Thumbnail
    When most people think of brain health they think of having an MRI to see the parts of the brain. An MRI of the brain can show larger-scale physical damage to areas, but most MRI’s can’t show the type of damage sustained in a concussion, mild traumatic brain injury (mTBI), or other brain injuries.
  • reading and learning Thumbnail
    When a child is struggling with reading and learning one of the first suggestions is often to have the eyes checked. Too often the eye exam with the optometrist or pediatric ophthalmologist concentrates only on seeing clearly and the physical health of the eye.
  • Sports Vision Testing Thumbnail
    When looking for peak performance, it’s not enough to for vision to be working at ‘average’ levels. There are specific areas to measure and enhance that can drastically improve performance in a given sport.