OUR PROCESS

Before any vision therapy starts, we need a current comprehensive eye exam to rule out the basics — refractive error, eye health, and any condition that requires medical or surgical care first. If you’ve had a recent exam at our office (within the last year), we’ll use that record. If you’re coming from another optometrist, we’ll either review their report or schedule an exam here.

Time commitment: about 1 hour, only if needed.

The pre-testing battery measures the visual skills that drive reading, focus, depth, and tracking. It runs across three visits:

• Visit 1: Initial evaluation (1 hour). Dr. Ryan tests eye teaming, eye alignment, focusing ability, and tracking ability. He generates and reviews with you a detailed report scoring each visual skill against age-appropriate norms.

• Visit 2: Skills assessment (60-90 minutes). Visual information processing testing — how the brain interprets what the eyes see. This is where we identify which activities will be appropriate for therapy.

• Visit 3: Consultation (no patient required). Our team walks you through the full report, explains insurance coverage and out-of-pocket costs, answers questions, and finalizes the therapy plan. The patient doesn’t need to attend this visit.

By the end of Step 2 you’ll know exactly what we found, exactly what therapy will look like, and exactly what it will cost.

Out-of-town families can usually combine Visits 1 and 2 into a single day. Ask us when you call.

A unit is 10 consecutive weeks of structured therapy.

• In-office: 30 minutes once per week. Each session includes direct care or assessment from one of our doctors and is built around the specific visual skills your plan targets. Sessions use a mix of prism and lenses, virtual reality, infrared eye-tracking software, and computerized therapy exercises.

• At home: About 20 minutes per day. Home therapy varies week-to-week — computer activities, worksheets, and specialized optometric vision therapy equipment. Twice per day on most weeks.

Patients who complete their home therapy consistently are eligible for a $50 Vision Therapy Scholarship at graduation. (Yes, that’s a real check we hand to kids who put in the work.)

About 1-2 weeks after your unit ends, we repeat the pre-testing battery to measure progress. Same three visits as Step 2 — initial post-eval, skills re-assessment, and a results consultation with Dr. Ryan.

Most patients then take a 2–3 month break before deciding whether to start a second unit. The break gives the visual system time to consolidate gains and lets you see how the new skills hold up in daily life.

When your visual skills reach age-appropriate levels and your symptoms are reduced or eliminated, you graduate. Most patients graduate after 1–2 units. We’re proud of our patients and the hard work they put in to get there.