Skip to main content

Located on W. Drake Rd. in Ft. Collins West of Colorado State University Veterinary Teaching Hospital

Home » Eyecare Services » Brain Injury Evaluation

Brain Injury Evaluation

It’s not uncommon for people to have visual symptoms after a brain injury. In fact, the latest literature suggests that 50% of people who acquire a brain injury have some sort of visual side effect. Because 80% of information the brain receives from the outside world is through the visual system, it’s easy to see why.

After a brain injury, your vision becomes much more than just how clear you see and how healthy your eyes are. It’s also how hard your eyes need to work in order to see clearly (focusing skills, eye movement skills, and eye tracking skills), how well your brain starts to organize the visual information (depth perception, color vision, etc), how well your brain perceives the visual information (understands the visual information once it gets it), and how well your brain integrates the visual information with the rest of your brain and body (balance, poster, movement, memories, etc).

After a brain injury, patients may see perfectly clear and have perfectly healthy eyes, but still have complex vision issues that are affecting their recovery. Often times these patients are told, “There’s nothing you can do for your visual system. You just have to wait”. This is very far from the truth. There are rehabilitative methods used for the visual system just like any other system after brain injury. After a brain injury, for what other part of your body do people say, “Let’s just wait and see if it gets better on its own”? None. The visual system is no different. Inefficiencies of the visual system following a brain injury should be addressed as soon as possible, just like any other part of your body.

For more information regarding neuro-rehabilitation, go to

Vision related side effects of neurological impairment according to the Neuro-Optometric Rehabilitation Association (NORA)

  • Eye Movement Disorders with fixation, tracking
  • Eye Focusing Problems
  • Double vision
  • Light sensitivity/Photophobia
  • Field Loss
  • Peripheral Loss/Hemianopsia (Loss of half of the field of view to the right or left
  • Quadranopsias ( Loss of about 1/4 sector of the visual field)
  • Reading Disorders
  • Eye teaming/eye coordination problems
  • Small changes in refractive errors more significant
  • Nystagmus/Irregular eye movements
  • Lagophthalmos/Incomplete blink
  • Dry Eye – Decreased Blink Rate
  • Visual Hallucinations/formed objects/stars, aura
  • Convergence Problems
  • Frequent Headaches
  • Visual Perceptual Disturbances/visual processing problems
  • Disturbances in body image
  • Disturbances of spatial relationships
  • Right – Left discrimination problems
  • Agnosia – difficulty in object recognition
  • Apraxia – difficulty in manipulation of objects
  • Visual Memory Loss -especially short term memory
  • Visual dysfunctions causing dizziness and balance problems

As of Tuesday evening, March 17th, the CDC has recommended that all routine eye care be deferred until further notice, in order to slow the transmission of COVID-19 through our community. We will follow their recommendations and close our office to regular eye exams until further notice.

Please be assured that we are still available to triage all urgent and emergent issues as well as help you with routine matters during this challenging time.

What does this mean?

1) If you are scheduled for an annual eye examination our office will contact you to reschedule
2) If you need to replace glasses or contact lenses and need an extension on your prescription, please contact us and we will assist you in obtaining some until you can come in for a visit.
3) If you are running out of medication please contact us and we can transmit a refill electronically to your pharmacy.
4) If you have an ocular emergency we are, as always, available to help you at any time. Call us at 970-221-4811.
5) If you have an issue that cannot wait for an office visit, contact us and we will schedule a FaceTime, Skype or telephone appointment with one of our doctors. Medicare has temporarily relaxed its telehealth rules to allow this type of communication during the pandemic crisis. Other insurers may follow suit and allow for reimbursement of virtual care costs. The consultation must be initiated at your request.
6) During this period of social distancing and quarantine, we must all do our part by restricting activities outside the home except for getting medical care. Do not go to work, school, or public areas. Avoid using public transportation, ride-sharing, or taxis.
7) Please remember that 80% of COVID-19 cases are mild and resolve within a week. However, if you feel your symptoms are worsening, call ahead before visiting your doctor’s office or emergency department and tell them you have or may have COVID-19. This will help the office protect themselves and other patients.

The CDC has many wonderful resources. Arming yourself and your family with clear information will help you avoid undue stress.

We have asked our staff to stay home until further notice to protect them, our patients, our city, our nation, and our planet. Despite the financial and emotional hardships this will cause, we ask every one of you to do the same.

Together we will weather this storm.

With sincerest wishes for your continued good health, we remain at your service,

Eyecare Associates