From Vision Rehab to Pediatric therapist doing VR

Vision Rehab comes to Pediatric Clinic(*)

The optometry practice I had worked at was sold and the new owner did not wish to continue the OT program. I was quickly welcomed by the program manger and lead OT at the Pearl Nelson Child Development Center. I had previously treated both of these wonderful ladies’ children and they recognized the potential of adding vision rehabilitation to the impressive list of services offered by PNC. Thanks to Drs. Carl and Katie Spear who have generously allowed me to continue to use the Visual Performance Center equipment so I can continue to provide this much needed service to a bigger population.

“Why do you assume they can see?”

Dr. Mark Obenchain asked me this not long after we began to work together. We assume a child with PT, OT, SLP, pediatrician, neurologist, and behavior specialist has surely had an appropriate pediatric eye exam. As therapist’s, we ask about the most recent vision exam but get a variety of answers.

  • “He passed the school screening”
  • “We had him checked a few years ago”
  • “The doctor said he didn’t need glasses”
  • “He had glasses but broke them six months ago and we haven’t got new ones yet”

I do a brief binocular vision screening as part of seeing any patient for the first while I ask about the most recent eye exam. When I am done, I ask if the doctor did any other things they watched me do. Most often they did not.

American Optometry Association Eye exam recommendations

The eyes of our special children need special care. The first eye exam should be at six months. This exam can be covered by the InfantSee program which offers this important first exam at no cost.

The AOA then recommends for “at risk” children  a second exam at 3 years of age, then annual exams from 6 to 18 years old. (1) These exams should include a binocular vision assessment and cycloplegic refraction/retinoscopy as recommended by the AOA clinical practice guideline.

Many of our special needs kids will not find this process enjoyable but it is a very important part of ensuring we are doing everything to help our special children.

Parents do your research

As parent begin to look for the right eye doctor for their special needs child, asking the right questions can help find the right doc

  • Ask other parents who they take their child to for eye exam. Parents of special needs children know the professionals that are best at working with their children.
  • When you call the optometry office, inform them of your child needs and ask if they have experience with special needs children.
  • Ask specifically  if they do binocular vision exams. The only acceptable answer is yes.

“Step one…Can they see??”

Our special needs kids have problems with fine motor skills, balance, visual motor integration, and gait. All of these skills require the best vision possible for therapy interventions to be most effective.

Learn More

Learn more about this subject in a live course presented by Robert.  Its now available as a webinar too!! Hosted by PESI Education

About the Author


*I know the first person blog post is considered a no-no, but given the big changes I felt I could bend the rules.