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Common Vision Deficits in Neurological Patients
Two Days. Hospital-Ready Skills. Zero Fluff.
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What You'll Cover
Eight sections across two days — from foundational anatomy to complex case management. Click any section to expand.
- Prevalence of visual dysfunction across neurological conditions (stroke, TBI 70%, concussion 50–90%, Parkinson's 80%+)
- The three-component model: Visual integrity, visual efficiency, visual processing
- Research linking untreated vision deficits to falls, discharge disposition, and functional outcomes
- Scope of practice: When to assess, when to treat, when to refer
- Case preview: Patients whose functional progress stalled until vision was addressed
- Eye structures and visual pathways: Retina to visual cortex
- Dorsal stream ("where" pathway): Spatial awareness, motion detection, mobility, fall risk
- Ventral stream ("what" pathway): Object recognition, reading, facial recognition, ADLs
- Cranial nerves III, IV, VI: Eye movement control and functional implications
- Age-related pathology: Cataracts, glaucoma, macular degeneration, diabetic retinopathy
- Acquired deficits: Hemianopsia, diplopia, convergence insufficiency, visual-spatial neglect post-stroke/TBI
- How refraction, prisms, and corrective lenses work
- Medication effects on visual function in rehabilitation populations
- History-taking questions that uncover hidden visual dysfunction
- Functional observation during gait, transfers, self-care, and cognitive tasks
- Visual acuity and near vision testing
- Visual field assessment: Confrontation testing techniques
- Ocular motor screening: Smooth pursuits, saccades, fixation stability
- Binocular vision assessment: Cover test, near point of convergence
- Visual perception screening: Clock drawing, line bisection, figure-ground tasks
- Documentation strategies and templates for functional deficits
- Smooth pursuit training: Improve tracking during feeding, dressing, mobility tasks
- Saccadic training: Enhance scanning for safety awareness, reading, navigation
- Convergence exercises: Eliminate double vision, improve near task performance
- Accommodation training: Restore focusing for computer work, reading, self-care tasks
- Activity grading: Distance, speed, complexity, dual-task integration
- Environmental modifications to support visual function during therapy
- Yoked prisms: Shift visual space to alter posture, balance, spatial orientation*
- Compensatory prisms: Expand visual fields for clients with hemianopsia
- Therapeutic prisms: Retrain binocular vision, treat diplopia for ADL independence
- Tranaglyph training: Red/blue lens exercises for depth perception*
- Binasal occlusion: Force attention to neglected space for improved safety
- Peripheral-central integration: Reduce falls, improve navigation
*Yoked prism and tranaglyph techniques are taught for educational purposes. Clinical application requires collaboration with optometry or ophthalmology professionals.
- Visual field loss: Scanning training for safety, reading adaptations, mobility compensations
- Diplopia management: Occlusion, prism correction, fusion exercises for ADL performance
- Post-concussion syndrome: Motion sensitivity, light sensitivity, accommodation deficits, return-to-work/school protocols
- Visual perception deficits: Figure-ground, spatial relations, visual closure affecting dressing, meal prep, tool use
- Problem-solving difficult cases: Interactive discussion of complex scenarios
- Incorporating visual strategies into ADL training: Dressing, feeding, grooming, cooking, medication management
- Addressing visual components of "cognitive" deficits: Attention, memory, executive function
- Visual supports for communication and social participation
- Building referral relationships with optometry, ophthalmology, neuro-optometry
- Creating facility-wide vision screening protocols
- Educating colleagues about vision's impact on therapy outcomes
- Writing functional goals that link vision deficits to occupational performance limitations
- CPT codes for vision-related PT/OT interventions
- Documentation templates: Evaluations, progress notes, discharge summaries
- Equipment recommendations: Essential versus nice-to-have tools
- Continuing education resources for ongoing skill development
- Marketing your vision expertise to referral sources
Up to 70% of stroke survivors, 50–90% of concussion patients, and 80%+ of individuals with Parkinson's disease experience visual dysfunction — yet most rehabilitation professionals receive little to no formal training in identifying or treating these deficits. The result: patients plateau in therapy, are mislabeled as non-compliant, and are discharged with unaddressed impairments that increase fall risk and drive preventable readmissions.
Vision Rehab Essentials is a 2-day, hands-on continuing education intensive designed for PTs, OTs, RNs, NPs, and PAs working across the neuro care continuum. Participants learn a rapid, equipment-free screening protocol for the six most common acquired vision deficits, evidence-based treatment interventions that fit within standard 30-minute sessions, and documentation frameworks that support insurance reimbursement from day one.
Fifty percent of course time is dedicated to lab practice — including simulation glasses that replicate hemianopsia and diplopia, live screening protocol practice with instructor feedback, and hands-on application of prism techniques, binasal occlusion, and visual-spatial postural strategies.
Upon completion of this program, participants will be able to:
- Apply the three-component model of vision to analyze how visual deficits impact functional performance, fall risk, and patient safety in hospitalized neurological populations.
- Use discipline-appropriate screening techniques, including patient evaluations, bedside assessments, and functional mobility observations, to identify visual deficits.
- Differentiate between functional visual deficits requiring referral to ophthalmology/optometry versus interprofessional rehabilitation intervention based on scope of practice, patient safety, and institutional protocols.
- Analyze the relationship between specific visual impairments and their functional consequences on fall risk, ADL independence, medication management, discharge planning, and hospital quality metrics.
- Examine the functional impact of the anatomy and physiology of the visual system including dorsal and ventral stream functions.
- Utilize functional vision screening techniques including visual field assessment, ocular motor evaluation, and binocular vision testing.
- Choose evidence-based interventions for ocular motor deficits, convergence insufficiency, and accommodation problems to improve patient performance in reading, near-vision tasks, ADL independence, and functional mobility.
- Apply compensatory strategies, environmental modifications, and adaptive techniques for patients with visual field deficits, diplopia, or permanent visual impairments.
- Utilize visual-spatial techniques and postural strategies to improve alignment, balance, safety awareness, and functional performance during mobility and self-care tasks.*
- Utilize patient and family education strategies regarding vision-related safety risks, compensatory techniques, environmental modifications, and appropriate follow-up care to prevent falls and support successful discharge transitions.
- Develop discipline-specific documentation and functional goals that clearly link visual deficits to fall risk, functional limitations, safety concerns, and discharge barriers.
- Develop coordinated interprofessional care plans that integrate vision assessment findings, discipline-specific interventions, safety protocols, medication considerations, patient education, and appropriate referrals to optimize outcomes.
- Define protocols for vision screening, interprofessional communication pathways, referral processes, and quality improvement tracking that integrate vision assessment into standard hospital care for neurological populations.
- Demonstrate empathy-informed clinical reasoning by interpreting the functional impact of vision deficits through direct simulation experiences.
Taught by a Clinician Who Works in Your World
Robert doesn't teach theory. He teaches what works in real clinical settings — with real constraints, interrupted sessions, and complex patients.
With over 25 years in visual and neurological rehabilitation, Robert trained through the Neuro-Optometric Rehabilitation Association — a unique organization bridging optometry, OT, and PT. He was previously the only OT accepted into the High Performance Vision Associates, an elite group of sports vision optometrists, with screenings at IMG Academy, Hendricks Motorsports, and on the LPGA tour.
What Your Peers Say
Every Professional on the Neuro Care Team
Therapist
Therapist
Nurse
Practitioner
Assistant
Whether you work in acute care, inpatient rehab, outpatient, home health, or skilled nursing — and whether vision rehab is new to you or you want to deepen your practice — this course meets you where you are.
Everything You Need to Know
✓ Up to 14 CE Hours · ✓ Satisfaction Guaranteed or Full Refund