Author Archives: Dr. Jill Schultz

About Dr. Jill Schultz

Pediatric/Behavioral/Neuro Optometrist

THE ECLIPSE!

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THE ECLIPSE!

We are in full Back to School season here at Bright Eyes Vision Clinic! We love seeing our patients each year as they get geared up for another awesome year of school! 

There has been a lot of buzz about THE ECLIPSE and wanted to provide some eye doctor and mom advice

My job is to educate the public and ensure that my patients have the best visual abilities that will last a life time. 

  1. Never look at the sun. The retina is a delicate layer of nervous tissue that can be easily damaged by the sun. The UV impact is also cumulative.
  2. The retina has no pain receptors so you do not feel pain if the retina is damaged.
  3. The damage is permanent and there is NO TREATMENT. Healing can take 1-12 months to occur, but full restoration of sight may never occur. 

Viewing the eclipse

  1. We are not in the path of totality so there will never be a time that is safe to view the sun. 
  2. The approved ISO 12312-2 glasses (fitting properly, no scratches and newer than three years old) from a reputable vendor will reduce your chances of eye damage-but there is no guarantee. 
  3. There have been reports of counterfeit ISO glasses and there was an Amazon recall on some glasses this week.
  4. The appropriate ISO 12312-2 rated lenses are very dark and everything, except the sun, should look dark. * see #7
  5. Do not take photos of the sun with a camera or eye piece lens. The optics of a camera contain a condensing lens that can magnify the sun’s rays. A selfie view may minimize possible damage. 
  6. Welding glasses, really dark sunglasses or multiple layers of tint are not effective in protecting you from damage. 
  7. Consider your kids. I don’t know about your kids, but mine still eat dirt, pick their nose and don’t listen to me 100% of the time. If I say “don’t look” they will immediately look.  I love my kids, but simply do not trust them. Wearing the super black dark glasses and waiting patiently until the right time, without peeking, seems very unlikely. Also consider what your kids are doing that day-will day care or school be able to monitor the proper use of the special glasses? 
  8. There is another eclipse in 2024 so we will have another opportunity to experience. 
  9. If you do experience blurred vision or have concerns about your vision after the eclipse, seek care with an eye doctor. The damage usually is visible during typical examination techniques or with the help of an instrument called an OCT. Here is an example of how we can detect and monitor this condition in a patient with Solar Eclipse Maculopathy.solar eclipse macula

Suggestions to still have fun and learn about this super cool phenomenon:

  1. Watch it on TV! http://www.pbs.org/about/blogs/news/pbs-series-nova-shares-the-great-american-solar-eclipse-with-audiences-across-the-us-in-special-day-of-event-presentation/
  2. Use this as an educational moment, discuss astronomy and spend some quality time together. Many of us haven’t brushed up on this stuff for a while so a great opportunity for the whole family. There are many links and resources on line. Here is one of my favorites! http://faculty.washington.edu/chudler/chvision.html
  3. Make sure your kids and loved ones know that looking at the sun is dangerous and a reminder about how to protect our precious gift of sight everyday by wearing sunglasses, not smoking, protecting from danger and eating a healthy diet. 
  4. Make a projected pinhole box (again remember to emphasize to not look at the sun-since there has been some confusion about). 

The Role of Visual Processing in Reading Disorders

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Visual processing has a big impact on reading. Visual processing improves with vision therapy!

The VisionHelp Blog

Frontiers Logo

Thanks to our colleague Dr. Dan Fortenbacher for pointing me in the direction of an intriguing article published 27 October 2015 in the Educational Psychology section of the journal Frontiers in Psychology.  The article is part of the research topic Phonological and visual processing, reading and writing skills in children with dyslexia and ADHD.  This original research article by Kibby and colleagues at the Department of Psychology and Center for Integrated Research in Cognitive and Neural Sciences of Southern Illinois University, titled Visual processing in reading disorders and attention-deficit/hyperactivity disorder and its contribution to basic reading ability, was funded in part through grants from the NIH (National Institutes of Health) and NICHD (National Institute of Child Health and Human Development).

TVPS-R

The visual processing test used in this study was the TVPS-R (Test of Visual Perceptual Skills – Revised), and the three sections utilized were Visual Discrimination, Visual Memory, and Visual…

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Fish Oil Revisited

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Fish oil-it’s good stuff for many eye conditions and supports brain health. We recommend and carry the Nordic Naturals line in our offices.

The Concussion Blog

This post originally appeared on the blog in 2011, not much has changed in this area, it is still not definitively known if this is good, bad or indifferent (probably the latter).  However, this is a supplement that is good for all athletes for a myriad of reasons. I have chosen to post this again because it is one of the most popular and commented on post in the blog history.

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After posting about the “7 Ways To Help With Concussion Management” I realized that I had not posted about the possible benefits of Omega-3 fatty acids/DHA supplements for concussion management.

In a July publication of The Journal of Neurosurgery, Dr. Julian Bailes (BIRI) and Dr. Barry Sears (leading authority on anti-inflammatory nutrition, creator of Zone-Diet) found that supplementing rats with O3/DHA after head injuries reduced the observed issues with a concussion; (SOURCE via weightlosingideas.com)

“Animals receiving…

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I ♥ NORA

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We just returned from another NORA conference and my mind is reeling!

What is NORA? NORA is the Neuro-Optometric Rehabilitative Association, a multi-disciplinary organization dedicated to advancing the art and science of rehabilitation of the neurologically and cognitively injured and disabled survivor population and their families. NORA emphasizes treatment modalities designed to optimize the frequently neglected visual-motor, visual-perceptual and visual information processing dysfunction in the neurologically affected person. Integration of Neuro-Optometric treatment modalities maximizes the potential of the rehabilitation team within a multidisciplinary approach. For more information, please visit NORA’s website.

I’m so fortunate to have this group of colleagues to learn and share ideas with within the vision rehabilitation world.
This year’s conference, in Cary, NC, was once again amazing and I’m heading home with a million strategies to implement to help our patients achieve a better and faster recovery. Here are some highlights:

Dr. Nathan Kegel: Concussion Management-ImPACT and Neuro-Rehabilitation

Dr. DeAnn Fitzgerald: ImPACT Testing and Optometric Management of Concussion

Dr. Stuller: Psycho-Neuro Immunology. Clinical application of an emerging field in medicine.

Cavin Balaster, TBI Survivor: Lights, Coma, Action! Adventures in Brain Injury (see photo below)

Dr. Lewerenz: Management of Hemianopsia with Prism and Visual Rehabilitation

Dr. Barry Kavanaugh: Understanding, Identifying and Remediating Visual Multitasking Dysfunction.

Our very own Dr. Pam Wendlandt: Poster session (see photo below)

Amazing presentation by Dr. Stuller on the psycho-neuro-immunology triad. Facinating!

Amazing presentation by Dr. Stuller on the psycho-neuro-immunology triad. Fascinating!

Dr. Wendlandt, Cavin "Bounce" Balaster and me at NORA

Dr. Wendlandt, Cavin “Bounce” Balaster and me at NORA

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Photo of world-renowned Dr. Curt Baxstrom and NORA President, Dr. Jill Schultz and Dr. Pam Wendlandt posing with her incredible poster

 

 

Presenting my fellowship publication while modeling my OKN shoes.

Presenting my fellowship publication while modeling my OKN shoes.

 

ImPACT Training: Measuring Neurocognitive Recovery from Sports Concussion.

ImPACT Training: Measuring Neurocognitive Recovery from Sports Concussion

 

 

 

 

 

 

 

 

 

 

 

I have now completed by fellowship in NORA, which means I will have more letters after my name (I know, it’s getting obnoxious!) and have completed a program of skill mastery to better help those with visual difficulties related to concussion and acquired brain injury. Please watch for news of my article to be published in a rehabilitation journal.

I feel so grateful to have this group. There is hope for those impacted by acquired brain injury! If you have questions about Neuro-Optometric Rehabilitation please do not hesitate to contact me.

Jill K. Schultz, OD, FAAO, FCOVD, FNORA

20/20 Isn’t Everything – A Child’s vision is critical to learning

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I love this video!

Vision Matters

A visual experiment where common visual problems known to affect learning in kids are simulated in 4 adult teachers, and their experience and reaction are discussed. All children should have their eyes comprehensively examined by a Doctor of Optometry to ensure optimal functioning and health. Many common visual conditions can be missed on a ‘school screening’ and will only be found during a comprehensive eye examination.

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Do you know a child in need? Resources for vision help.

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Helping children see and learn better is our passion. We believe so strongly in this mission that we participate in several programs to ensure no child is left behind. Most insurance plans cover a vision examination annually, but if there are concerns of insurance coverage, please call us so we can help navigate your plan. For those that are uninsured or underinsured, there are options.

Each year, we provide free comprehensive vision examinations for children entering kindergarten in August. We have been able to detect and treat conditions that would impact visual development and learning potential. Eye and vision development is of paramount importance when it comes to the success of a child in school, sports and with everyday tasks since 80% of learning is achieved through vision. Please share information about this day with others to encourage parents to bring ALL children in for their eye health examinations.

In addition, we are proud to be both InfantSEE® and Sight For Student providers for our community. InfantSEE®, a public health program, managed by Optometry Cares® – The AOA Foundation, is designed to ensure that eye and vision care becomes an integral part of infant wellness care to improve a child’s quality of life. Under this program, our doctors provide a one-time, no-cost comprehensive eye and vision assessments for infants between six to twelve months of age regardless of a family’s income or access to insurance coverage. Please encourage parents to include an eye examination on the list of well-baby check-ups. Assessments at six to twelve months of age can determine healthy development of vision. Early detection of eye conditions is the best way to ensure a baby has healthy vision for successful development-now and in the future.

Sight for Students is a charity that provides free vision exams and glasses to low-income,
uninsured children. The program operates nationally through a network of community partners, such as local school nurses, who identify children in need and connect them with doctors who provide the eye care services and eyewear free of charge, like Bright Eyes Vision Clinic.

We also support Optometry Giving Sight, an organization that provides eye and vision care in third world countries. OGS is different because their goal is to prevent and eliminate the main cause of blindness and vision impairment-uncorrected refractive error! Their secondary goal is finding ways for efforts to be sustainable. A one time gift of a pair of glasses is great, but being able to train local people and helping create a more permanent solution to vision impairment is better!

Finally, some vision conditions are not treatable with glasses or even surgery, but are best managed with vision therapy/neuro-rehabilitation. These conditions can impact learning, attention and behavior, but can be successfully treated. We do offer a sliding fee scale scholarship program for low-income families so that no child needs to suffer with these vision issues.

Do you know a child in need? If you have any questions please contact us for more information.

www.infantsee.org
www.sightforstudents.org
www.givingsight.org

Trying to pay it forward,

Bright Eyes Vision Clinic

Otsego + Minnetonka, MN

763-241-1090

www.brighteyesvisionclinic.com

www.thechildrenseyedoctor.com

Hillary Clinton suffers from Vision Issues Post Brain Injury

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Hillary wearing Fresnel prism, an indication that she is suffering from double vision.

Visual Symptoms in patients following an ABI or Concussion:

  • Double vision
  • Light sensitivity
  • Poor tolerance to fluorescent lights
  • Headaches
  • Blurry vision
  • Dizziness or nausea
  • Attention or concentration difficulties
  • Staring behavior (low blink rate)
  • Spatial disorientation
  • Loss of place when reading
  • Comprehension problems when reading
  • Visual memory problems
  • Pulls away from objects when they are brought close to him/her
  • Bumps into objects when walking
  • Poor balance or posture

What is Neuro-Optometric Rehabilitation?

In addition to working with adults and children with learning related vision issues, strabismus and convergence issues, we have begun seeing more patients with vision issues stemming from concussions, strokes or other head injuries. These patients are often left with vision issues following their treatments but not often given solutions to alleviate those symptoms!

Post concussion vision disorders:

As optometrists, we often see adults and children with a history of concussion or head traumas. Because vision is pervasive through the brain, it is extremely common to have visual issues after a brain injury or concussion.

Fortunately, many of these conditions and symptoms are well-managed or treatable. Treatments include lenses, spectacle prism, Fresnel prism, tints, home therapy techniques, in-office vision therapy, education and collaboration with other medical professionals such as occupational therapy, physical therapy, speech/language therapy, etc. In my experience, the vast majority of post-concussive patients have an immediate improvement in comfort with a change in lens prescription.

Some symptoms subside with time, but many do not. Studies by Cohen demonstrated vergence difficulties were essentially the same in the acute phase compared to three years later. This and other studies show that there is no reason for patients to wait (suffer) to get help.

My recommendation is for patients with concussions, especially those with visual symptoms, to be seen as soon as possible since symptoms and untreated vision issues can reduce quality of life and outcome of rehab.

You may have heard about Hillary Clinton’s recent TBI/concussion after a fall this December. It appears that she is receiving treatment for diplopia as she is sporting a Fresnel prism on her lenses in recent photographs. Hopefully, she is receiving visual care from an optometrist so she can make a full recovery.

If you or someone you know is has sustained a concussion or brain injury, please do not hesitate to contact our office at 763-241-1090 or email drschultz@

thechildrenseyedoctor.com if you have any questions in general about Neuro-optometric rehabilitation or a specific patient case. We love helping our patients reach their maximum potential.

Thank you,

Jill Schultz, OD, FAAO, FCOVD