We Are Privileged to Provide These Services
Certain conditions require specialized care. Our focus is on severe vision loss, visually related learning disorders, Stroke, and Brain Injury. These conditions are often not fully addressed by standard Optometric care. Naturally, specialty care is provided by Dr. Gottlieb, specifically: case management, consultation with other physicians for a team-based approach to total care, recommendations for adaptive equipment to help people with low vision gain independence and, when necessary, to drive. Vision rehabilitation utilizes the very best insights from the many doctors and professionals who have shared the podium with Dr. Gottlieb, lecturing to professionals, patients and family. There are also insights gleaned from a lifetime of discussions sitting in the back row or in the hallway of a professional meeting where some of the most inventive times and insights are shared.
Vision Therapy takes advantage of the fact that the brain has an extraordinary ability to change. It's useful to think of vision therapy as physical therapy for the eyes and brain. Vision therapy often involves treatments to enabling the brain to communicate with the eyes. Ask Dr. Gottlieb to share with you his research in neuroplasticity and changing brain function.
The tools in vision therapy are lenses and prisms. When the visual system is broken, those tools are like a cast for a broken arm, allowing it to have a place to build a stronger visual foundation for learning.
This service includes vision therapy, but covers a wider range of treatments. Other options include prisms, filters, tints, and specially designed eyewear as well as cooperative treatment with physicians, occupational therapists, psychologists, physical and speech therapists, and others involved in care. Vision rehabilitation is more complex than vision therapy, and takes a much broader approach to total care. Vision rehabilitation is often useful for people with complex needs, such as those with multiple handicaps, traumatic brain injury or stroke.
Cognitive Skills Development
This type of perceptual training can be necessary in cases where the brain is not properly processing visual stimuli. The eyes work, but the brain does not "understand" what is being seen. So, for example, the eyes can perceive a shape, but the brain does not process that the shape is a triangle. Many individuals who have had brain trauma, including many returning veterans, will have visual confusion disorders and perceptual impairments. Concussion injuries benefit from prism and training, and we are very excited about our innovative solutions.
Perceptual training may help increase function, perceived safety, and independence. Hand in hand with Neuro-pyschologists, Dr. Gottlieb has conducted studies with Quantitative Electroencephalogram (QEEG) measures that prove the possibility of increasing brain function and functional outcomes. QEEG is an objective measure of brain function. Individuals with ocular-motor deficiencies, vision-related disorders, and other complex visually related reading disorders will often show abnormal baseline QEEG measures.
Primary and Routine Care
Dr. Gottlieb calls on other doctors of Optometry and Ophthalmology to support primary care and to attend to the routine eye care needs of the community.