The doctors at Edmonds Eye Associates have been leaders in the field of vision rehabilitation for over forty years. There are two broad areas of rehabilitation. The first is for central vision loss. This is primarily from Age Related Macular Degeneration or other disorders of central vision including diabetic retinopathy and optic atrophy. The second area is for other vision problems such as visual field loss, eye movement disorders or perceptual vision problems as seen in stroke, neurological disorders, concussion, or acquired brain injury.

For Central Vision Loss:

The Edmonds Rehabilitation System for central vision loss was developed at Lankenau Hospital and Wills Eye Hospital in Philadelphia. These clinical settings have provided a preponderance of geriatric macular degeneration patients referred for low vision services by retina specialists and other tertiary eye care providers.

The macular degeneration community has largely been frustrated by the decline in their visual function and by the lack of a positive outlook by their eye care providers. Experience has shown that geriatric patients are easily confused by multiple low vision aids and complex management plans. A concise, upbeat, success-oriented program of simple eccentric viewing training or vision rehabilitation, rolled out over a 3-6 month course will allow the patient to grasp the nature of their vision problem and let them slowly adjust to their disability. Once adjusted, the patient will be much more willing to consider multiple aids or ancillary services to manage their life.

For complex loss of visual function from assorted Neurological problems:

The management of patients has evolved from the care of critically injured in-patients at Magee Rehabilitation Hospital in Philadelphia and with work at the Jefferson Comprehensive Concussion Center. Dr. Scott Edmonds anchored the vision rehabilitation for these programs and has brought this experience to Edmonds Eye Associates.

One of the tools for rehabilitation is the Sanet Vision Integrator.

This unique touch screen based program allows brain injured patients to re-learn to coordinate their visual system with touch and body movements. Daily tasks require fast and accurate eye hand coordination and this tool measures and trains this critical function.

Another rehabilitation tool is NeuroTracker. This therapy program trains and resets the motion cognitive centers in the brain to reorganize vision based motion information.
Our newest program is provided by the HoloLens Augmented Reality system.

This system creates vivid three dimensional images that move with the patients head and body movements to create a strong lock on the brain’s stereo acuity center and encourage precise vergence eye movements to maintain the image. Coordinated eye and body movements also improve saccadic and smooth pursuit eye movements.

For problems of vision integration and vision related cognitive problems, we have adopted a web-based platform that provides doctor driven computer assisted in home therapy. The interactive web program is powered by Brain HQ and used in conjunction with, our secure HIPAA compliant Telehealth service.
Other tools to improve eye movements in the areas of teaming and tracking are used by the vision therapists. Some of these more traditional programs are shown below:

a. Brock’s string
b. Marsden ball
c. Stereo hectograms

Our rehabilitation programs are customized for each patient based on their injury and in coordination with a team of neurologists, physiatrists, physical therapists, occupational therapists and other providers.