Many people believe that optometric vision therapy (OVT) focuses on strengthening the muscles that control eye movement. In reality, these muscles are already among the strongest in the body. Instead, developmental optometrists prescribe OVT to enhance the connection between the brain and the eyes, improving how visual information is processed and interpreted. This vital relationship affects essential skills such as eye tracking, focusing, and depth perception.
While visual acuity—commonly associated with "20/20 vision"—can be corrected with glasses, contacts, or surgery, visual performance skills are different. These abilities, which develop during childhood, can sometimes be disrupted due to developmental delays, neurological conditions, or injuries. Fortunately, vision therapy provides an effective way to strengthen or relearn these skills, offering life-changing improvements for individuals of all ages.
In this article, the experts at Grene Vision Group discuss the benefits of vision therapy, the conditions it can treat, and how it can help individuals achieve their best possible vision.
Vision therapy works by utilizing neuroplasticity1—the brain’s remarkable ability to adapt and form new neural connections. Through carefully designed activities and exercises, vision therapy strengthens the brain-eye connection, leading to improved performance in everyday tasks such as reading, writing, driving, and sports, as well as maintaining balance and focus.
Signs of poor visual performance skills often include difficulty focusing, headaches, blurry or double vision, and poor eye-hand coordination. Additional symptoms such as light sensitivity, dizziness, imbalance, or covering one eye frequently may also signal a need for vision therapy. Left untreated, these issues can hinder daily life and productivity.
Research shows that approximately one in ten children struggle with vision performance issues severe enough to interfere with their academic success. Comprehensive evaluations by a developmental optometrist can identify these challenges, ensuring that children receive the care they need to thrive both in school and in their daily activities.
Modern advancements in neuroscience have confirmed that neuroplasticity is present throughout life, making vision therapy an effective solution for individuals of all ages. This adaptability allows children and adults alike to strengthen their visual skills and overcome challenges.
For children, vision therapy often focuses on developmental and functional issues that impact their ability to learn and engage with the world around them. Conditions such as amblyopia (lazy eye), strabismus (misaligned eyes), and convergence insufficiency (difficulty focusing on near objects) are frequently treated with targeted exercises. Early intervention is especially important, as it ensures healthy visual development during critical growth stages. Vision therapy can also address challenges with reading, writing, and attention that stem from visual performance difficulties, helping children succeed academically and socially.
Adults can benefit significantly from vision therapy as well. Many seek treatment to recover from brain injuries, such as concussions or strokes, which often lead to vision problems. Additionally, adults with long-standing issues like double vision or untreated strabismus can see remarkable improvements. Vision therapy is also an effective solution for managing eye strain and fatigue caused by prolonged screen use. For older adults, it can help maintain critical visual functions like focus, tracking, and overall independence, enhancing their quality of life.
Vision therapy programs are tailored to address specific visual challenges, combining structured in-office sessions with guided at-home exercises. These personalized plans typically span several weeks or months and are designed to meet the unique needs of each individual. The program employs specialized tools and techniques to enhance visual performance and coordination, improving the connection between the brain and the eyes. Key components of a vision therapy program often include:
Specialized Lenses and Filters: Vision therapy utilizes lenses and filters to enhance focusing abilities, refine visual perception, and alleviate visual stress. These tools are instrumental in retraining the eyes to work together more effectively, improving clarity and enabling smoother, more efficient visual processing.
Prisms: Prisms play a significant role in shifting spatial perception, allowing the brain and eyes to adjust to new visual inputs. They are especially useful in addressing conditions like strabismus (eye misalignment) and convergence insufficiency, helping to improve alignment and focus.
Eye Exercises: Guided exercises target specific visual skills such as eye tracking, focusing, and coordination between the eyes. These activities train the eyes to work in harmony and improve the brain's ability to process visual information accurately and efficiently.
Sensory Integration Techniques: These techniques link visual skills with other sensory and motor functions. This approach enhances coordination between vision, balance, and movement, making it particularly valuable for athletes seeking peak performance or individuals recovering from neurological injuries.
Balance Boards and Coordination Tools: Physical tools like balance boards are frequently used in vision therapy to strengthen the relationship between vision and physical movement. These activities help improve spatial awareness and visual-motor integration, fostering better overall coordination and control.
Computer-Based Activities: Interactive digital exercises and games are another critical element of vision therapy. These activities provide real-time feedback, engaging children while effectively addressing complex visual challenges for adults. The use of technology ensures a dynamic and adaptable approach to vision training.
With more than half of the brain’s circuits dedicated to vision, it’s no surprise that brain injuries often result in significant visual impairments2. Neuro-optometric rehabilitation is a specialized area within optometry that integrates vision therapy into the recovery process for individuals with neurological conditions. This innovative approach helps patients regain lost visual function, enhancing both independence and quality of life.
A neuro-optometrist is a healthcare professional focused on diagnosing and treating vision problems caused by neurological conditions, such as concussions, strokes, or neurotrauma. These specialists are vital members of interdisciplinary medical teams, working alongside neurologists, therapists, and other providers to address the wide-ranging effects of brain injuries.
Athletes recovering from concussions frequently benefit from neuro-optometric rehabilitation, which not only addresses visual dysfunctions but also helps assess readiness to return to play. For example, convergence testing—a measure of how well the eyes work together—provides an objective metric to evaluate recovery progress. Stroke survivors also see significant benefits, as rehabilitation focuses on restoring lost vision and enabling greater independence in daily tasks. As awareness of optometry’s role in neurological recovery continues to grow, this field remains a cornerstone of innovative care for brain-injured patients.
Vision therapy is grounded in extensive, evidence-based research3, though its transformative potential is not yet widely recognized within the broader field of eye care. Studies underscore its effectiveness in addressing conditions such as convergence insufficiency, which affects the eyes’ ability to work together when focusing on nearby objects. This condition impacts at least 5% of school-aged children—equivalent to about 3.8 million kids4—and approximately 2% of adults, or 5 million individuals.
The need for vision therapy extends beyond these numbers, with over 2.1 million adults experiencing brain injuries each year, many of whom develop vision dysfunctions as a result. When compared to other prevalent eye conditions, such as glaucoma (affecting 2.7 million people) or dry eye syndrome (impacting 4.9 million), the importance of vision therapy becomes increasingly apparent. Research continues to validate its role in enhancing visual performance and improving quality of life for individuals of all ages.
Vision therapy isn’t just for rehabilitation; it’s also used to optimize athletic performance through sports vision training. This specialized area focuses on enhancing visual skills like reaction time, depth perception, and hand-eye coordination, pushing an athlete’s abilities beyond their baseline.
Unlike traditional therapy that addresses specific visual challenges, sports vision training is designed to refine and elevate the visual system. By honing these skills, athletes gain a competitive advantage, improving their ability to track moving objects, respond quickly, and perform with precision. Think of it as personal training for the eyes, unlocking peak performance on the field or court. To find out more about this fast-growing specialty in optometry, go to the International Sports Vision Association.
Vision therapy is a powerful, non-invasive solution for addressing a variety of visual challenges, from improving eye coordination to supporting recovery after an injury. Whether you’re seeking help for your child’s vision-related learning difficulties or exploring options for yourself, vision therapy offers customized care tailored to individual needs. By strengthening the connection between the brain and the eyes, vision therapy can transform how you see and experience the world, ultimately improving your quality of life.
At Grene Vision Group, we are committed to helping you achieve your best vision. Our experienced optometrists provide expert evaluations, explain the benefits of vision therapy, and design personalized treatment plans to meet your specific goals.
Take the first step toward clearer, more efficient vision. Contact Grene Vision Group today to schedule a consultation and learn how vision therapy could be the right solution for you or your loved ones. Together, we’ll help you achieve optimal vision and a brighter future.
Felleman DJ1, Van Essen DC. Cereb Cortex. 1991 Jan-Feb;1(1):1-47.
Scheiman M, Mitchell GL, et al. Vis Dev Rehabil. 2015;1(3):214-228.