PRIME OptometryClarity is just the start. Our team uses your visual system to help your function as well. Read more below.
Vision and Posture:
Our vision and our posture are inseparably linked systems. Your brain makes decisions about what muscles and what posture to assume based on what you see. For example you will assume a different posture standing at the edge of a cliff vs. standing in the middle of a parking lot based solely on what your eyes are seeing. Your visual system also seeks input on what it needs to help it see clearly based on your posture. You will have a different need for correction to see clearly based on what position or posture you are in. Therefore, when you go to the eye doctor to get a glasses prescription the position or posture you assume when you have your eyes checked will have an influence (however admittedly usually small) on the prescription you are given from the eye doctor. If your body, and specifically your neck, is not in a neutral state you may be asking for a prescription that matches an improperly positioned body.
Therefore, the first step in our program is assisting our patient to find a neutral state with whatever tools are necessary prior to looking at the visual system. This always includes what your feet are sensing and what footwear you have on, often looks at your occlusion or bite position, and could include other factors depending on what you need.
Standing Refraction: Start with 20/20
Once your PRIME case managers have determined the proper tools needed to ensure your body and neck are in their most optimal state you will meet with one of the select optometrists we utilize for our PRIME patients with your PRIME case manager. We have several local optometrists who feel comfortable collaborating with us and our PRIME patients. The first step is to do a traditional refraction except in a standing position. This will give us a prescription that your brain and body wants to see its best in a neutral upright standing position. This is a baseline prescription that would be comfortable to use for distance visual needs that matches a neutral system. At this point your case manager will have you walk and retest some of our objective tests to ensure your body is still in a neutral state. But… you may not be done yet.
Fine-Tuning through Collaboration
At this point it may be necessary to fine tune your prescription to help your body sense and feel or move slightly different. There can be subtle changes made to your prescription, without sacrificing clarity, that assists your body in either sensing different muscles or movements, or to assist in not overusing prior patterned muscles. The patients input, the therapists input and the optometrists input are all utilized to fine tune this prescription to get the desired results needed. If additional visual issues such are reading, driving, computer work etc. need to be addressed the optometrist will work with each patient to address those issues to the best of our ability. The end-result of this process is a visual system that can see clearly but also is giving the brain subtle, unconsious messages on how to move and stand in a more efficient natural way. This will be utilized for the majority of the time and defiately for training. This prescription will then be utilized to match any oral device or foot orthotic needed. Depending on what changes are done there may need to be follow-up visits to address slowly getting rid of those changes as you learn and become more comfortable with maintaining proper upright posture.