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January 2, 2026

Concussion Vision Therapy in Victoria: The Role of Neuro-Optometric Rehabilitation

A concussion can change the way your brain processes visual information, even when imaging tests show everything is normal. Many people in Victoria experience lingering symptoms after a concussion that do not improve with rest…
Posted by
Alejandro Gomez
Concussion Vision Therapy in Victoria: The Role of Neuro-Optometric Rehabilitation

A concussion can change the way your brain processes visual information, even when imaging tests show everything is normal. Many people in Victoria experience lingering symptoms after a concussion that do not improve with rest alone. These include dizziness, blurred vision, headaches, difficulty reading, light sensitivity, and trouble focusing. Because more than half of the brain is involved in visual processing, even mild head injuries can disrupt the coordination between the eyes and the brain.

Neuro-optometric rehabilitation is a specialized form of care that helps restore visual comfort and performance after concussion. At Opto-Mization in Victoria, functional vision exams identify how the injury has affected visual skills, and personalized therapy programs help retrain the visual system for stability, clarity, and confidence. This guide explains why concussion-related vision problems occur, what symptoms to watch for, and how vision therapy supports recovery.

Why Concussions Affect Vision

Concussions disrupt communication between different parts of the brain. Since vision is integrated across many brain regions, injuries often affect visual skills even when the eyes themselves are healthy. Visual tasks such as tracking, focusing, and coordinating both eyes require precise communication between the visual cortex, brainstem, and vestibular system. After a concussion, these connections can become unstable.

Common disruptions include:

  • Difficulty aligning the eyes for clear, comfortable vision
  • Problems maintaining focus during near tasks
  • Reduced ability to track moving objects
  • Weakness in the connection between visual and balance systems
  • Trouble processing visual information quickly

These challenges make everyday tasks feel difficult. Reading, working on screens, walking in busy environments, and driving may all trigger symptoms.

Concussions are among the most common types of brain injury, and yet their full impact is often underestimated. When most people think of a concussion, the first symptoms that come to mind are headache, dizziness, or temporary confusion. While these are indeed typical signs, research shows that a very high percentage of concussion patients also experience vision problems. These visual challenges can begin right away, or they can appear gradually in the weeks and months that follow. At Opto-Mization, with clinics located in both Victoria and Nanaimo, we work every day with patients across Vancouver Island who are living with lingering symptoms after a head injury. Many of these individuals have already been told that their eyes are healthy or that they have twenty-twenty vision. Yet they continue to struggle with blurry or double vision, fatigue when reading, or sensitivity to light. The reason for this is that concussions do not simply affect the eyes themselves. Instead, they disrupt the way the eyes and the brain work together as a single system. Understanding this vital connection is the first step toward a proper recovery. With the right assessment and treatment, patients can regain clarity, comfort, and confidence in their vision. How a Concussion Changes the Visual System A concussion occurs when a sudden force or blow causes the brain to move within the skull. This movement can stretch delicate cranial nerves, disturb blood flow, and interrupt communication between different parts of the brain. Because vision is not located in one single place in the brain but relies on many regions working in harmony, even a mild concussion can cause a significant disruption. The result is often referred to as post trauma vision syndrome. This condition can lead to a wide variety of symptoms that affect day to day life, such as: Blurred or double vision Headaches/Migraines Dizziness/Balance PRoblems Sensitivity to light or bright environments Screen Sensitivity Reduced depth perception, which makes judging distance more difficult Losing place when reading or tracking text on a page Difficulty with peripheral vision A sense that the eyes are not aligned or not working together These symptoms can be debilitating. Reading may become tiring within minutes, driving can feel unsafe, and workplaces or classrooms can feel overwhelming. For many patients, these issues are compounded by dizziness, headaches, nausea, or increased sensitivity to motion. What may seem like a relatively minor concussion can in fact leave lasting disruptions to vision if the underlying functional skills are not addressed. Why Traditional Eye Exams Often Miss the Problem One of the most frustrating experiences for patients is being told that their vision is normal when they know something is wrong. A traditional eye exam is designed to measure clarity of sight, such as how well you can read letters on a chart across the room. However, concussion related vision problems rarely affect clarity. Instead, they affect coordination, tracking, depth, and processing. As a result, many patients may be able to read the chart perfectly but still experience strain, confusion, or fatigue in real life situations. This is why functional vision testing is so important. At Opto-Mization, every comprehensive functional eye exam is designed to look at how the visual system works under real conditions. We assess eye teaming, tracking, depth perception, and visual processing to reveal the hidden problems that standard tests overlook. This allows us to provide treatment that directly addresses the root cause of post concussion vision symptoms. Measuring Recovery with Vision-Based Testing At Opto-Mization, we use advanced vision-based assessments such as the King Devick test and RightEye to support both baseline measurement and concussion recovery. These tests evaluate eye movements, tracking ability, and visual processing speed, which are functions often disrupted after a concussion. By completing a baseline assessment before a sports season or other high-risk activity, athletes and students create a clear record of their functional vision when healthy. If a concussion occurs, post-injury results can be compared with the baseline to identify changes, monitor progress, and guide safe return to play or return to learning. This vision-centered approach allows us to design personalized rehabilitation plans that include functional vision therapy and other treatments, ensuring recovery is safe, effective, and complete. Vision Therapy as a Path to Recovery When patients experience persistent symptoms after a concussion, one of the most effective treatment options is neuro-optometric rehabilitation therapy, often referred to simply as vision therapy. This approach is based on the principle that the brain and eyes can be trained to work together again through structured and individualized exercises. Vision therapy programs are tailored to each patient’s specific needs. They may include therapeutic or prism lenses to reduce double vision, customized exercises to strengthen visual processing, or filters and light-based therapies to reduce sensitivity. The goal is always the same: to restore comfortable, efficient, and coordinated vision. At Opto-Mization, therapy is guided by optometrists who have advanced training in neuro-optometry and functional vision care. Many of our patients begin to notice improvements in clarity, stamina, and balance within weeks of beginning therapy. With consistent effort and professional support, these improvements often extend to school performance, work productivity, driving confidence, and overall quality of life. How Long Do Concussion-Related Vision Problems Last The duration of visual symptoms after a concussion varies widely. Some people recover within days, while others continue to struggle for months or even years. In many cases, symptoms only become noticeable later, once the patient resumes normal activities. This delay often leads patients to believe that their vision problems are unrelated to the original injury. In reality, the concussion may have disrupted their visual system in ways that were not immediately obvious. The encouraging news is that improvement is possible even long after the injury. Patients who seek a neuro-optometric evaluation months or years after their concussion can still benefit from treatment. The key is to identify the functional vision problems through specialized testing rather than relying on a basic sight exam alone. The research shows that the majority of people still struggling with concussion symptoms after several months have problems with how their eyes track or work together. Why a Team Approach Matters Concussion recovery is most effective when multiple healthcare providers work together. A family doctor or neurologist may oversee medical aspects of the injury, while physiotherapists or occupational therapists may address balance and physical rehabilitation. The role of the neuro optometrist is to focus on the visual system, which is often a missing piece in the overall recovery plan. When all of these providers collaborate, patients receive more complete care. Vision therapy becomes one part of a broader strategy that helps individuals return to learning, working, and living with confidence. Taking the Next Step in Your Recovery Life after a concussion does not need to be defined by visual strain, dizziness, or discomfort. Whether your goal is to return to sport, succeed in school, or simply feel comfortable reading and driving again, functional vision care can make an important difference. If you or someone you care about has experienced a concussion and is now struggling with vision symptoms, it is essential to seek an evaluation. At Opto-Mization, our clinics in Victoria and Nanaimo provide comprehensive functional vision exams, baseline testing with King Devick and RightEye, and customized neuro optometric therapy. We are proud to serve patients across Vancouver Island who are ready to move forward with their recovery. Book your post-concussion vision assessment today and take the next step toward clearer and more comfortable vision.

Book a Comprehensive Vision Exam for Concussion Recovery
If symptoms persist after a concussion, a comprehensive vision exam can identify visual disruptions and guide personalized neuro-optometric rehabilitation.

Signs Your Vision Has Been Affected by a Concussion

Many visual problems after a concussion are subtle. People often notice discomfort but do not realize it is caused by changes in visual coordination. Some symptoms appear immediately, while others develop slowly over weeks.

Common signs of post-concussion vision problems include:

  • Headaches or pressure behind the eyes
  • Blurred or double vision
  • Difficulty shifting focus between distances
  • Dizziness or imbalance
  • Motion sensitivity
  • Trouble reading or following lines of text
  • Sensitivity to light or screen glare
  • Fatigue during visual tasks
  • Difficulty concentrating or maintaining attention
  • Feeling overwhelmed in visually busy environments

These symptoms often indicate that the eyes and brain are no longer communicating efficiently. Our vision self test can help identify early warning signs that functional vision may be affected. A standard eye exam may not detect these disruptions, because visual clarity can remain unchanged even when visual function is impaired.

Why Standard Eye Exams Miss Post-Concussion Issues

Traditional eye exams evaluate clarity and prescription needs. While important, these tests do not measure the visual skills most affected by concussion. You may see the letter chart perfectly while still having difficulty reading a paragraph or maintaining balance while walking.

Concussion-related visual problems come from disruptions in:

  • Eye teaming
  • Tracking movements
  • Focusing flexibility
  • Visual processing
  • Visual-vestibular stability

These abilities are not assessed in routine vision screenings. Only a functional vision exam can reveal how a concussion has affected the system that controls eye movements, focus, and integration with balance and cognitive function.

The Importance of a Functional Vision Exam in Victoria

A functional vision exam at Opto-Mization provides a detailed evaluation of visual performance. This type of exam focuses on how your eyes and brain work together, which is essential for concussion recovery.

During the assessment, the optometrist measures:

  • Eye alignment and teaming ability
  • Focusing stamina and flexibility
  • Smooth and accurate tracking movements
  • Depth perception and spatial judgment
  • Integration between visual and balance systems
  • Visual processing speed and comfort

These tests help identify the root cause of symptoms rather than simply describing them. Because functional vision testing is included in all of our comprehensive eye exams, the underlying visual inefficiencies can be accurately identified from the start. With this information, a personalized rehabilitation plan is developed to restore visual efficiency, comfort, and confidence in daily activities.

How Neuro-Optometric Rehabilitation Helps

Neuro-optometric rehabilitation is a structured program that retrains visual skills through guided activities. It strengthens the communication between the eyes and brain, helping you regain stability, focus, and comfort. Because every concussion affects the brain differently, therapy is personalized and based on your functional exam results.

Therapy may include:

  • Activities to improve eye teaming and alignment
  • Training to restore smooth tracking control
  • Exercises to improve focusing endurance
  • Integration work that connects vision and balance
  • Visual processing activities for cognitive efficiency
  • Use of lenses or prisms to stabilize the visual environment

These activities gradually rebuild the pathways that support comfortable, efficient vision.

How Vision Therapy Supports Everyday Recovery

Many daily activities rely on skills that can be weakened after a concussion. Vision therapy helps adults and teens return to tasks that once felt natural, such as:

Reading and Near Work

After a concussion, near tasks may cause discomfort because the eyes struggle to maintain alignment. Therapy strengthens the systems that support tracking, reading endurance, and comprehension.

Screen Use

Screens are especially challenging after a concussion. Vision therapy helps rebuild focus flexibility and visual stamina so you can tolerate digital tasks more comfortably.

Driving and Motion

Depth perception, awareness of motion, and spatial stability are often affected by concussion. Therapy improves these skills so patients feel safer and more confident when driving or walking in busy environments.

Balance and Coordination

The eyes and balance system work together. When this relationship is disrupted, everyday movements can feel unsteady. Neuro-optometric rehabilitation strengthens visual-vestibular integration to support smoother, more stable movement.

Everyday Eye Safety: How to Prevent Accidents and Protect Your Vision at Home

Schedule a Comprehensive Vision Exam in Victoria
A comprehensive vision exam evaluates how your eyes and brain work together and helps determine whether vision therapy can support your recovery.

Why Some Symptoms Persist Without Treatment

Rest is important after a concussion, but it does not retrain the visual system. Many people wait weeks or months for symptoms to improve, only to realize that the discomfort persists. This happens because the brain’s visual pathways need active rehabilitation to rebuild strong, coordinated function.

Without treatment, adults may continue to experience:

  • Difficulty reading
  • Ongoing headaches
  • Motion sensitivity
  • Reduced focus during work
  • Emotional frustration from visual overload
  • Anxiety in visually complex environments

Functional vision therapy addresses the root cause by improving how the brain processes visual information, giving patients the tools they need for long-term recovery.

Why Opto-Mization in Victoria Is a Strong Choice for Concussion Recovery

Opto-Mization provides specialized concussion care through functional vision exams and personalized therapy programs. Their approach focuses on restoring the visual skills essential for daily comfort and performance.

The clinic is recognized for:

  • Detailed functional vision assessments
  • Training in neuro-optometric rehabilitation
  • Personalized therapy programs for adults and teens
  • Support for balance, motion, and visual endurance
  • Evidence-based treatment for post-concussion symptoms
  • Clear communication with patients and families

By targeting the visual systems most affected by concussion, Opto-Mization helps patients rebuild confidence and return to daily activities comfortably.

What to Expect During Your Concussion Vision Assessment

Your appointment begins with a conversation about your symptoms, medical history, and the challenges you face in daily life. The optometrist then performs a detailed evaluation of your visual coordination, balance integration, and processing abilities. These measurements help identify the specific skills disrupted by the concussion.

After the assessment, the optometrist explains your results clearly and outlines a personalized therapy plan. This plan may include in-office sessions, home activities, and specific tools to support comfort during work, reading, and movement. Progress is monitored carefully to ensure steady improvement.

Book a Concussion Vision Assessment in Victoria

If you are experiencing lingering symptoms after a concussion, schedule a comprehensive vision exam at Opto-Mization in Victoria. Our team can identify how your visual system has been affected and create a personalized therapy plan to help you regain clarity, comfort, and confidence.

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Our Victoria Practice
Opto-Mization Optometry & Vision Therapy
200-775 Topaz Ave
Victoria, BC V8T 4Z7
Phone
(250) 590-7384
Fax
250-412-6459
Email
(Do not send personal health information by email.)
  • Monday:
    8:30 AM - 4:30 PM
  • Tuesday:
    8:30 AM - 6:00 PM
  • Wednesday:
    8:30 AM - 6:00 PM
  • Thursday:
    8:30 AM - 6:00 PM
  • Friday:
    8:30 AM - 4:30 PM
  • Saturday:
    8:30 AM - 3:30 PM
  • Sunday:
    Closed
Rating
5.0
Out of 335 Reviews
Our Nanaimo Practice
Opto-Mization Optometry & Vision Therapy
205-1825 Bowen Rd
Nanaimo, BC V9S 1H1
Phone
(250) 591-0270
Fax
250-412-6459
Email
(Do not send personal health information by email.)
  • Monday:
    10:00 AM - 5:30 PM
  • Tuesday:
    10:00 AM - 5:30 PM
  • Wednesday:
    10:00 AM - 5:30 PM
  • Thursday:
    11:00 AM - 5:30 PM
  • Friday:
    9:00 AM - 4:30 PM
  • Saturday:
    Closed
  • Sunday:
    Closed
Rating
4.9
Out of 89 Reviews