Wyomissing Optometric Center

Looking Beyond 20/20: Neuro-Optometric Care in Wyomissing, PA

Wed, 30 Sep 2026 00:28:52 GMT

Dr. Legge Presents on Neuro-Eye Evaluations at the Tower Health Neuroscience Symposium

Vision is about much more than seeing 20/20.

The visual system is closely connected to the brain and nervous system, and changes in vision can sometimes provide important clues about an underlying neurological condition. For patients experiencing unexplained vision changes, double vision, visual field loss, or visual difficulties following a concussion or brain injury, a comprehensive neuro-optometric evaluation can provide valuable information.

Dr. Legge of Wyomissing Optometric Center in Wyomissing, PA , was honored to present “Neuro-Eye Evaluations: Diagnosis and Collaborative Management” at the annual Tower Health Neuroscience Symposium . The symposium brought together neurologists, neurosurgeons, advanced practice providers, rehabilitation professionals, and other members of the interdisciplinary healthcare team.

Her presentation focused on the important connection between vision and neurological health—and the role eye care professionals can play in identifying visual findings that may require further medical evaluation.

What Is a Neuro-Optometric Evaluation?

A neuro-optometric evaluation looks beyond traditional vision correction to understand how the eyes and visual system are functioning in relation to the brain and nervous system.

During an evaluation, an optometrist may assess visual function, eye movements, visual fields, the optic nerves, eye alignment, and other aspects of the visual system. These findings can help provide a more complete picture when a patient's visual symptoms don't fit a typical eye condition.

At Wyomissing Optometric Center , Dr. Legge takes a comprehensive approach to patients whose visual concerns may be associated with neurological conditions, concussion, brain injury, or other disorders affecting the visual system.

When Vision Changes May Be Related to Neurological Conditions

Neurological conditions can affect vision in many different ways. Sometimes the changes are obvious; other times, patients may simply notice that something about their vision or visual comfort doesn't feel right.

Dr. Legge's Tower Health presentation explored real-world cases involving:

Painless Vision Loss

Sudden or unexplained vision loss can have many potential causes. Careful examination can help determine whether the problem may originate within the eye, involve the optic nerve, or be associated with another part of the visual pathway.

Optic Disc Edema

Swelling of the optic disc can be an important clinical finding. Recognizing optic disc abnormalities and determining when additional evaluation is necessary can be an important part of patient care.

Visual Field Loss

A person may not always realize that part of their visual field is missing. Patterns of visual field loss can sometimes provide important information about where along the visual pathway a problem may be occurring.

Double Vision and Eye Movement Problems

Double vision, or diplopia, can have a variety of causes. Problems involving eye alignment or coordinated eye movements may sometimes be associated with neurological conditions and require further evaluation.

Vision Problems Following a Concussion

Concussions and other brain injuries can affect the visual system in a number of ways. Patients may experience difficulties with focusing, eye teaming, tracking, visual processing, or tolerance of visually demanding environments.

These symptoms can interfere with reading, computer work, driving, balance, school, work, and everyday activities.

How a Neuro-Eye Evaluation Helps

A comprehensive evaluation begins by looking at the entire clinical picture.

Dr. Legge emphasized a practical approach during her presentation:

Define the visual symptoms and clinical findings
Determine where the problem may be occurring
Develop an appropriate differential diagnosis
Identify conditions that may require urgent attention
Coordinate care and referrals when appropriate
Consider vision rehabilitation when indicated

This process can help connect a patient's symptoms with objective examination findings and determine appropriate next steps.

Vision Rehabilitation and Functional Vision

For some patients, identifying the underlying condition is only the beginning.

Neurological conditions and brain injuries can affect how a person uses their vision in everyday life. Even when standard visual acuity is relatively good, a patient may experience difficulties with reading, visual processing, eye coordination, spatial awareness, or other aspects of functional vision.

When appropriate, vision rehabilitation can be an important part of helping patients adapt to visual challenges and improve their ability to participate in everyday activities.

The Importance of Collaborative Care

Neuro-optometric care often involves collaboration between multiple healthcare professionals.

Optometry, ophthalmology, neurology, emergency medicine, rehabilitation, and primary care each contribute important information to the patient's overall care.

When healthcare providers communicate and share relevant clinical findings, they can work from a more complete picture of the patient's condition.

The eye examination can sometimes provide information that influences the neurological workup or helps guide the next step in care. Collaboration helps ensure that visual concerns are considered as part of the patient's overall health.

Dr. Legge and Neuro-Optometric Care at Wyomissing Optometric Center

At Wyomissing Optometric Center , comprehensive eye care extends beyond routine glasses and contact lens prescriptions.

Dr. Legge's involvement in the Tower Health Neuroscience Symposium reflects the importance of continued education and collaboration among eye care and medical professionals.

For patients in Wyomissing, Reading, Berks County, and throughout Southeastern Pennsylvania , understanding the relationship between vision and neurological health can be an important part of getting the right care.

If you are experiencing unexplained changes in vision, double vision, visual field changes, or visual difficulties following a concussion or neurological event, a comprehensive evaluation may help identify potential visual concerns and determine appropriate next steps.

Frequently Asked Questions About Neuro-Optometric Evaluations

What is neuro-optometry?

Neuro-optometry focuses on the relationship between vision, the visual system, and the brain. A neuro-optometric evaluation may be appropriate when visual symptoms are associated with neurological conditions, concussion, brain injury, or other problems affecting the visual system.

Can a concussion affect vision?

Yes. Concussions can be associated with a variety of visual symptoms, including difficulty focusing, eye teaming problems, tracking difficulties, visual motion sensitivity, and problems with visually demanding activities.

Can neurological conditions cause double vision?

Yes. Double vision can have many causes, including problems involving the eyes, eye muscles, nerves, or neurological pathways. A comprehensive evaluation can help determine what additional care may be appropriate.

Can an eye examination identify signs of a neurological problem?

Certain findings during an eye examination may provide important clues about neurological conditions or problems affecting the visual pathways. When concerning findings are identified, additional medical evaluation may be recommended.

What is vision rehabilitation?

Vision rehabilitation is designed to help individuals manage visual difficulties that affect daily activities. Depending on the patient's needs, rehabilitation may address areas such as visual processing, eye coordination, reading, mobility, or other functional visual skills.

Looking at the Whole Picture

Good vision care isn't always about achieving 20/20.

Sometimes the most important information comes from understanding how the visual system is functioning and how it connects with the brain .

Dr. Legge was pleased to share her experience and clinical perspective at the Tower Health Neuroscience Symposium and to participate in a broader conversation about collaborative neurological and visual care.

Thank you to Tower Health and everyone who participated in the symposium for bringing together professionals from across the healthcare community.

Learn More About the Tower Health Neuroscience Symposium

For additional information about the symposium and its educational program, visit the Tower Health Neuroscience Symposium .

Concerned About Changes in Your Vision?

If you are experiencing unexplained vision changes, double vision, visual field loss, or vision difficulties following a concussion or neurological event, contact Wyomissing Optometric Center to learn more about comprehensive neuro-optometric evaluation and vision rehabilitation.

Light Sensitivity / Photophobia Management

Sun, 13 Sep 2026 10:05:25 GMT

Light Sensitivity / Photophobia Management

Supporting patients who experience discomfort, pain, or visual overwhelm in everyday lighting environments.

Light sensitivity—often called photophobia —can make even routine situations feel overwhelming. Bright sunlight, fluorescent lighting, scrolling on a phone, computer screens, and glare from headlights may trigger headaches, nausea, dizziness, or visual fatigue. Photophobia is common after concussion, migraine, neurological conditions, and certain eye disorders.

Our occupational therapy–based program focuses on reducing symptoms, improving comfort, and helping patients participate fully in work, school, and daily life.

What Is Photophobia?

Photophobia is an abnormal sensitivity to light. It is not a condition on its own, but a symptom of an underlying neurological or visual issue. Even normal levels of light may feel harsh, painful, or visually overwhelming.

Common causes include:

Concussion or traumatic brain injury
Migraine and chronic headache conditions
Neurological disorders
Post-concussion visual dysfunction
Dry eye or ocular surface issues
Visual processing or oculomotor problems

Common Symptoms

Patients may experience:

Pain or discomfort in bright light
Sensitivity to fluorescent or LED lighting
Headaches triggered by screens or glare
Difficulty functioning in stores, classrooms, or workplaces
Nausea or dizziness in visually busy environments
Eye strain or visual fatigue
Need to wear sunglasses indoors

Symptoms often worsen in visually complex environments—such as grocery stores, parking lots, or during nighttime driving.

Our Rehabilitation Approach

Our goal is to help patients tolerate light more comfortably , reduce symptoms, and regain independence in their daily routines.

1. Comprehensive Assessment

We evaluate:

Triggers and light environments that cause symptoms
Visual processing and oculomotor function
Screen tolerance
Environmental and workplace challenges
Overall sensory sensitivity

2. Graded Light Exposure Training

A structured, gradual approach that helps the brain adjust to light safely and comfortably. This includes:

Controlled exposure to different light levels
Building tolerance over time
Supporting patients through measurable, safe progressions

3. Visual System Rehabilitation

Often, light sensitivity is tied to other visual conditions. Therapy may include:

Oculomotor training
Visual processing and attention exercises
Binocular vision and accommodation support
Activities to improve stability and reduce visual overwhelm

4. Environmental & Lifestyle Modifications

Practical strategies include:

Adjusting workspace lighting
Modifying screen settings (brightness, contrast, filters)
Use of hats, brims, or controlled shielding
Strategic placement of lamps and indirect lighting
High-contrast adaptation to reduce glare

5. Lens & Filter Recommendations

Based on the patient’s needs, we may recommend:

FL-41 filters
Tinted or polarized lenses
Blue-light–modifying strategies
Gradual weaning plans to prevent over-reliance

Recommendations are always personalized—never one-size-fits-all.

What Patients Can Expect

Our program aims to help patients:

Who Benefits?

Photophobia management may be helpful for individuals experiencing light sensitivity due to:

Concussion or mild traumatic brain injury
Migraine conditions
Stroke or neurological conditions
Visual processing disorders
Oculomotor dysfunction
Prolonged screen use or digital eye strain

Feel Better in the Light Again

Light sensitivity can impact every part of life—but it is treatable. With a guided, evidence-based approach, patients can reduce symptoms, rebuild tolerance, and return to their routines with greater comfort and confidence.

Visual Field Loss Rehabilitation

Sun, 13 Sep 2026 09:49:53 GMT

Visual Field Loss Rehabilitation

Helping patients regain confidence, safety, and functional independence after visual field loss.

Visual field loss can occur after stroke, brain injury, concussion, neurological conditions, or certain eye diseases. When part of a person’s field of vision is missing, everyday activities—reading, walking, driving, and navigating crowded spaces—can become challenging or even unsafe.

Our occupational therapy–led approach focuses on maximizing functional vision, improving spatial awareness, and helping patients return to meaningful daily activities.

What Is Visual Field Loss?

Visual field loss occurs when a portion of a person’s sight is missing, even though the eyes themselves may be healthy. Common types include:

Hemianopia – loss of half the visual field in both eyes
Quadrantanopia – loss of a quarter of the visual field
Scotomas – localized blind spots
Peripheral field loss – reduced side or lower vision

These changes often stem from stroke , traumatic brain injury , concussion , tumors , or degenerative neurological conditions .

What Is Visual Field Loss?

Visual field loss occurs when a portion of a person’s sight is missing, even though the eyes themselves may be healthy. Common types include:

Hemianopia – loss of half the visual field in both eyes
Quadrantanopia – loss of a quarter of the visual field
Scotomas – localized blind spots
Peripheral field loss – reduced side or lower vision

These changes often stem from stroke , traumatic brain injury , concussion , tumors , or degenerative neurological conditions .

Common Symptoms

Patients may notice:

Bumping into objects on one side
Difficulty tracking lines while reading
Trouble walking through doorways or crowded areas
Missing words, steps, or obstacles
Poor scanning or slow reaction times
Feeling disoriented in unfamiliar environments
Anxiety when moving around or driving

These challenges affect independence, confidence, and overall quality of life.

Our Rehabilitation Approach

Our program focuses on restoring functional independence—not just compensating for loss, but helping patients move more safely and confidently in their environment.

1. Functional Visual Field Assessment

We evaluate:

Visual field awareness
Scanning ability
Reading efficiency
Balance and mobility
Spatial perception and safety risks

2. Evidence-Based Intervention Strategies

We tailor treatment to each patient’s goals and daily routines. Techniques may include:

Compensatory Scanning Training

Teaching patients how to maximize the remaining visual field through structured, repetitive scanning patterns.

Visual Attention & Awareness Training

Improving detection of objects, people, and movement in the impaired field.

Reading Rehabilitation

Structured training to increase reading speed, comprehension, and line tracking.

Mobility & Environmental Navigation Training

Practicing safe movement in hallways, public spaces, and outdoor environments.

Adaptive Strategies & Practical Tools

Using high-contrast markers, lighting adjustments, tactile cues, and other aids to enhance safety at home, work, or school.

What Patients Can Expect

Our goal is to help individuals:

Improve safety and confidence while walking
Reduce accidents and collisions
Increase reading comfort and efficiency
Enhance awareness of the environment
Adapt to daily tasks with greater independence

Rehabilitation is personalized, supportive, and designed to meet each patient where they are.

Who Benefits?

Visual Field Loss Rehabilitation is appropriate for patients with:

Stroke
Concussion or traumatic brain injury
Optic nerve or occipital lobe damage
Brain tumors or surgery
Neurological conditions that impact visual pathways

Regain Function, Confidence, and Independence

Visual field loss doesn’t have to define your daily life. With the right training and support, patients can rebuild the skills needed to move confidently, read comfortably, and engage fully in everyday activities.

Screening & Functional Testing

Tue, 25 Aug 2026 13:41:14 GMT

Screening & Functional Testing

A detailed, functional approach to understanding how your visual system performs in real-life environments.

At WOCcupational Therapy Associates at Wyomissing Optometric Center, we believe that vision is more than eyesight—it is a complex system that guides movement, balance, reading, focus, and the ability to navigate daily life. Many patients with concussion, neurological conditions, or functional visual concerns have symptoms that do not show up on a basic eye exam.

Our Screening & Functional Testing evaluates how your visual system performs during real tasks—not just how well you see on an eye chart. This helps us identify the root causes of symptoms and design the most effective rehabilitation plan.

Why Functional Vision Testing Matters

Standard eye exams measure clarity, eye health, and refractive error. But they may not detect subtle issues that affect:

Balance and spatial awareness
Reading endurance
Screen tolerance
Motion sensitivity
Hand–eye coordination
Visual attention and processing
How both eyes work together
How vision interacts with other sensory systems

Functional testing fills this gap by targeting how your visual system behaves during everyday activities , especially under real-world visual demands.

Conditions That Often Benefit From Functional Testing

Functional testing is especially important for patients experiencing:

Concussion or post-concussion symptoms
Dizziness or motion sensitivity
Reading problems or visual fatigue
Headaches triggered by screens or near work
Double vision or intermittent blur
Difficulty tracking moving objects
Light sensitivity
Balance or coordination challenges
Trouble with visual attention or processing
Suspected binocular vision dysfunction

This evaluation helps pinpoint why symptoms occur and what strategies or rehabilitation can reduce them.

Components of Our Screening & Functional Vision Testing

A comprehensive functional evaluation may include any of the following assessments based on your symptoms and goals:

1. Eye Movement (Oculomotor) Evaluation

We assess how efficiently your eyes:

Track moving objects (pursuits)
Shift between targets (saccades)
Maintain steady fixation
Coordinate with head and body movements

These skills are essential for reading, driving, athletics, and daily tasks.

2. Binocular Vision & Eye Teaming Screening

We evaluate how well your eyes work together, including:

Convergence (turning eyes inward)
Divergence (turning eyes outward)
Depth perception
Alignment under stress or fatigue
Flexibility and stamina of the visual system

Even minor inefficiencies can cause significant symptoms.

3. Accommodation (Focusing) Assessment

We measure:

Speed of focus adjustment
Accuracy
Endurance
Ability to switch between near and far tasks

Focusing demands often increase after concussion or extended screen use.

4. Visual Processing & Perception Screening

This may include evaluation of:

Visual memory
Visual attention
Visual discrimination
Spatial orientation
Figure–ground perception
Visual sequencing

These skills affect reading, learning, and navigation.

5. Balance & Vision Interaction Screening

We examine how vision interacts with:

Vestibular input (inner ear balance system)
Proprioception (where your body is in space)
Posture and movement patterns

Dizziness, instability, and motion sensitivity are often linked to visual dysfunction.

6. Light Sensitivity & Screen Tolerance Evaluation

We assess:

Triggers of photophobia
Screen brightness tolerance
Motion sensitivity
Environmental stressors
Cognitive and visual endurance

This helps inform strategies and accommodations for work or school.

7. Functional Task Testing

Based on your needs, we may assess visual performance during:

Reading
Computer use
Driving simulation tasks
Sports or movement activities
Return-to-work or return-to-learn tasks

This connects testing directly to your daily life.

What Happens After Testing?

Following your functional evaluation, you will receive:

A clear explanation of findings

We explain what is working well, what is not, and how the visual system is affecting your symptoms.

A personalized rehabilitation plan

Depending on your results, your plan may include:

Collaboration with referring providers

We communicate results and recommendations to your optometrist, neurologist, primary care doctor, or other professionals involved in your care.

Who Is Functional Testing For?

This service is ideal for:

Concussion and post-concussion patients
Individuals with neurological conditions
Patients with unexplained visual symptoms
Students with reading or attention challenges
Office workers with screen-induced strain
Athletes with performance-related visual concerns
Anyone whose symptoms worsen with visual demands

A Deeper Understanding of Your Visual System

Functional Testing helps us look beyond 20/20 eyesight and understand how your entire visual system works in real-life settings. With this information, we can create a targeted treatment plan that helps you move, think, learn, and work more comfortably.

WOCcupational Therapy Associates:

610-484-3890

Visual Ergonomics & Workspace Optimization

Tue, 25 Aug 2026 13:28:10 GMT

Visual Ergonomics & Workspace Optimization

Supporting comfortable, efficient visual performance at work, school, and home.

Visual comfort and efficiency are essential for reading, computer work, productivity, and overall well-being. When the visual environment is not set up properly, patients may develop headaches, eye strain, blurred vision, neck pain, fatigue, and reduced attention. For individuals recovering from concussion or managing visual dysfunction, even small environmental stressors can significantly increase symptoms.

Our occupational therapy–led Visual Ergonomics & Workspace Optimization services focus on designing environments that reduce visual strain, improve performance, and support long-term visual comfort.

Why Visual Ergonomics Matters

Visual demands are higher today than ever—screens dominate work, school, and leisure time. Many patients experience symptoms simply because of:

Improper screen height or distance
Glare or poor lighting
Excessive screen brightness
High visual complexity (busy backgrounds, clutter, motion)
Poor seating or posture
Inadequate contrast or text size
Visual fatigue from extended near work

For patients with neurological or visual challenges, these issues can strongly amplify symptoms and reduce tolerance for daily tasks.

Common Symptoms of Poor Visual Ergonomics

Patients often report:

Headaches
Eye strain or fatigue
Blurry vision
Sensitivity to lights or screens
Neck, shoulder, or back pain
Difficulty sustaining attention
Reduced productivity
Increased symptoms during computer work or reading

Small adjustments can often lead to significant improvements.

Our Visual Ergonomics Approach

Our program integrates functional occupational therapy with evidence-based visual ergonomics. Each plan is individualized and tailored to the patient’s workspace—whether at home, school, or the office.

1. Comprehensive Visual Ergonomic Assessment

We assess:

Screen distance and angle
Chair and desk setup
Keyboard and mouse placement
Posture and movement habits
Lighting type, brightness, and glare sources
Contrast and font size
Document positioning
Screen background, color, and motion
Time-on-task vs. break patterns

If needed, we also evaluate how vision skills (tracking, focusing, eye teaming) influence posture and comfort.

2. Workspace Optimization & Setup Recommendations

Patients receive customized solutions that may include:

Ideal screen height and distance adjustments
Improved monitor alignment for multi-screen users
Proper document holders or copy stands
Lighting modifications to reduce glare and eyestrain
Recommendations for screen filters or matte surfaces
Seat and desk adjustments to improve posture
Optimized viewing angles to reduce head and neck strain
Recommendations for font sizes, contrast, and visual simplicity

The goal is always immediate comfort and long-term sustainability.

3. Screen Use Strategies & Visual Endurance Training

We help patients build habits that support comfortable visual performance:

Structured break schedules (e.g., 20-20-20 approach)
Techniques to manage glare and brightness
Visual warm-up activities
Eye movement and endurance exercises as appropriate
Strategies to improve tolerance for reading and digital tasks
Recommendations for reducing motion sensitivity during scrolling

These techniques are especially valuable for patients returning to work or school after concussion.

4. Accommodations for Work & School

When symptoms impact academic or occupational performance, we help patients identify and implement accommodations, such as:

Modified lighting
Flexible screen adjustments
Enlarged print or assistive technology
Reduced visual complexity in the workspace
Scheduled breaks for visual rest
Noise and motion reduction strategies
Task management methods to reduce visual overload

We support communication with employers, HR departments, and schools when needed.

5. Return-to-Work and Return-to-Learn Support

For patients recovering from concussion, neurological conditions, or other visual challenges, the transition back to work or school can be overwhelming.

We offer:

Graded re-entry planning
Environmental modifications
Functional endurance building
Symptom monitoring strategies
Collaborative communication with medical teams

Our goal is to ensure the workspace supports—not hinders—rehabilitation and productivity.

Who Benefits From Visual Ergonomics & Workspace Optimization?

This service is ideal for:

A More Comfortable, Supportive Visual Environment

Small ergonomic adjustments can make a dramatic difference in comfort, performance, and visual endurance. Our occupational therapy team helps patients build a workspace that supports clear, comfortable, and efficient visual function—at home, at school, or at the office.

WOCcupational Therapy Associates:

610-484-3890

Functional Testing

Mon, 13 Jul 2026 02:43:47 GMT

Screening & Functional Testing

A detailed, functional approach to understanding how your visual system performs in real-life environments.

Why Functional Vision Testing Matters

Standard eye exams measure clarity, eye health, and refractive error. But they may not detect subtle issues that affect:

Balance and spatial awareness
Reading endurance
Screen tolerance
Motion sensitivity
Hand–eye coordination
Visual attention and processing
How both eyes work together
How vision interacts with other sensory systems

Functional testing fills this gap by targeting how your visual system behaves during everyday activities , especially under real-world visual demands.

Conditions That Often Benefit From Functional Testing

Functional testing is especially important for patients experiencing:

Concussion or post-concussion symptoms
Dizziness or motion sensitivity
Reading problems or visual fatigue
Headaches triggered by screens or near work
Double vision or intermittent blur
Difficulty tracking moving objects
Light sensitivity
Balance or coordination challenges
Trouble with visual attention or processing
Suspected binocular vision dysfunction

This evaluation helps pinpoint why symptoms occur and what strategies or rehabilitation can reduce them.

Components of Our Screening & Functional Vision Testing

A comprehensive functional evaluation may include any of the following assessments based on your symptoms and goals:

1. Eye Movement (Oculomotor) Evaluation

We assess how efficiently your eyes:

Track moving objects (pursuits)
Shift between targets (saccades)
Maintain steady fixation
Coordinate with head and body movements

These skills are essential for reading, driving, athletics, and daily tasks.

2. Binocular Vision & Eye Teaming Screening

We evaluate how well your eyes work together, including:

Convergence (turning eyes inward)
Divergence (turning eyes outward)
Depth perception
Alignment under stress or fatigue
Flexibility and stamina of the visual system

Even minor inefficiencies can cause significant symptoms.

3. Accommodation (Focusing) Assessment

We measure:

Speed of focus adjustment
Accuracy
Endurance
Ability to switch between near and far tasks

Focusing demands often increase after concussion or extended screen use.

4. Visual Processing & Perception Screening

This may include evaluation of:

Visual memory
Visual attention
Visual discrimination
Spatial orientation
Figure–ground perception
Visual sequencing

These skills affect reading, learning, and navigation.

5. Balance & Vision Interaction Screening

We examine how vision interacts with:

Vestibular input (inner ear balance system)
Proprioception (where your body is in space)
Posture and movement patterns

Dizziness, instability, and motion sensitivity are often linked to visual dysfunction.

6. Light Sensitivity & Screen Tolerance Evaluation

We assess:

Triggers of photophobia
Screen brightness tolerance
Motion sensitivity
Environmental stressors
Cognitive and visual endurance

This helps inform strategies and accommodations for work or school.

7. Functional Task Testing

Based on your needs, we may assess visual performance during:

Reading
Computer use
Driving simulation tasks
Sports or movement activities
Return-to-work or return-to-learn tasks

This connects testing directly to your daily life.

What Happens After Testing?

Following your functional evaluation, you will receive:

A clear explanation of findings

We explain what is working well, what is not, and how the visual system is affecting your symptoms.

A personalized rehabilitation plan

Depending on your results, your plan may include:

Vision rehabilitation strategies
Oculomotor and binocular training
Visual–vestibular exercises
Environmental modifications
Ergonomic or lighting adjustments
Screen tolerance building
Compensatory strategies for daily tasks
Return-to-work or return-to-learn recommendations

Collaboration with referring providers

We communicate results and recommendations to your optometrist, neurologist, primary care doctor, or other professionals involved in your care.

Who Is Functional Testing For?

This service is ideal for:

Concussion and post-concussion patients
Individuals with neurological conditions
Patients with unexplained visual symptoms
Students with reading or attention challenges
Office workers with screen-induced strain
Athletes with performance-related visual concerns
Anyone whose symptoms worsen with visual demands

A Deeper Understanding of Your Visual System

Learn more about WOCupational Therapy Associates

Dr. Perry Umlauf, OD ’87 Honored with Prestigious Meritorious Service Award

Tue, 02 Jun 2026 23:06:00 GMT

Dr. Perry Umlauf, OD ’87 Honored with Prestigious Meritorious Service Award

Celebrating Excellence, Leadership, and a Lifelong Commitment to Optometry

At Wyomissing Optometric Center, we are proud to celebrate the achievements of our own Dr. Perry Umlauf, OD ’87, who has been recognized with the Meritorious Service Award from the Pennsylvania Optometric Association (POA) —one of the profession’s highest honors.

This distinguished award recognizes Dr. Umlauf’s decades of dedication to advancing optometry, strengthening professional organizations, and improving patient care throughout Pennsylvania and beyond.

A Career Built on Service and Leadership

Dr. Umlauf’s career reflects a deep commitment not only to clinical excellence but also to the broader optometric profession. Over the years, he has been actively involved in professional advocacy, mentorship, and service through organized optometry at both the state and national levels.

The Pennsylvania Optometric Association’s Meritorious Service Award is reserved for individuals who demonstrate sustained leadership, dedication, and impact within the field. Dr. Umlauf’s recognition highlights his ongoing efforts to elevate standards of care and support the growth of future optometrists.

Commitment to Patients and Community

While professional recognition is meaningful, Dr. Umlauf’s greatest focus has always been his patients. At Wyomissing Optometric Center, he is known for his thoughtful approach to eye care, attention to detail, and commitment to ensuring every patient receives personalized, high-quality care.

His work reflects the core mission of our practice: combining advanced optometric knowledge with compassionate, community-centered care.

Inspiring the Next Generation of Optometrists

Dr. Umlauf’s leadership extends beyond the exam room. Through mentorship and professional involvement, he has helped guide and inspire future optometrists entering the field.

His recognition by the Pennsylvania Optometric Association serves as an example of what long-term dedication to the profession can achieve—both in patient impact and in shaping the future of eye care.

About Wyomissing Optometric Center

Wyomissing Optometric Center is proud to provide comprehensive eye care services to patients of all ages. Our team of experienced doctors and staff are committed to delivering exceptional vision care using advanced technology and a patient-first approach.

We are honored to celebrate the achievements of our physicians, including Dr. Perry Umlauf, whose leadership and service continue to strengthen our practice and the optometric community.

Learn More

To read more about Dr. Umlauf’s award and the official announcement, visit the Salus University feature here:
https://www.salus.edu/news-stories/2026/06/perry-umlauf-od-87-receives-meritorious-service-award-from-pennsylvania-optometric-association.html

Celebrating Excellence: Dr. Stephen Shalamanda Honored as Outstanding Young Alumnus

Thu, 23 Apr 2026 12:23:26 GMT

A Proud Moment for Wyomissing Optometric Center

We are proud to celebrate Dr. Stephen Shalamanda, O.D. ’20 of Wyomissing Optometric Center on being named the 2026 Outstanding Young Alumnus by Penn State Schuylkill.

This recognition highlights alumni who, early in their careers, have already demonstrated exceptional professional achievement, leadership, and a strong commitment to their communities.

What the Award Represents

Each year, Penn State Schuylkill honors a select group of alumni whose accomplishments reflect the spirit and values of the campus. The Outstanding Young Alumnus Award specifically celebrates graduates who are making meaningful contributions in their field while staying connected to their Penn State roots.

Dr. Shalamanda joins an inspiring group of 2026 honorees recognized for excellence, service, and impact.

Making a Difference Through Patient Care

Since beginning his career, Dr. Shalamanda has built a reputation for providing high-quality, compassionate eye care. His dedication to his patients and the local community is at the heart of everything he does, making this honor especially meaningful.

A Lasting Penn State Connection

This award not only celebrates professional success but also the lifelong connection alumni maintain with Penn State Schuylkill. Dr. Shalamanda’s journey is a testament to the power of a Penn State education and the impact graduates can make close to home and beyond.

Congratulations, Dr. Shalamanda!

We extend our sincere congratulations to Dr. Stephen Shalamanda on this well-deserved recognition. His achievement is a source of pride for Wyomissing Optometric Center and an inspiration to future Penn Staters.

Oculomotor Dysfunction Treatment

Sun, 22 Mar 2026 23:34:16 GMT

Improving Eye Movements for Clearer, More Comfortable Vision

Oculomotor skills are the eye-movement abilities that allow us to track objects, shift focus between targets, and move our eyes smoothly and accurately across a page. When these skills are not working efficiently, even simple tasks — reading, copying, scanning the environment, playing sports — can feel difficult or exhausting.

At WOCcupational Therapy Associates, our occupational therapists provide targeted, functional rehabilitation to improve oculomotor control and help patients use their vision more comfortably in daily life.

What Is Oculomotor Dysfunction?

Oculomotor dysfunction occurs when the eyes have difficulty moving in coordinated, accurate, or efficient ways. Even with clear eyesight, problems with eye movements can significantly impact reading, learning, balance, and daily activities.

Common oculomotor deficits include:

1. Pursuits (Smooth Tracking)

Difficulty following a moving object with the eyes.
Patients may lose place, overshoot targets, or move their head excessively to compensate.

2. Saccades (Quick Eye Jumps)

Trouble shifting gaze quickly and accurately from one point to another.
This affects reading, copying from a board, and visual scanning.

3. Vergence (Near-Far Coordination)

Difficulty turning the eyes inward or outward to maintain single vision during near work.
This may cause eye strain, blurriness, or double vision.

4. Fixation (Keeping Eyes Steady)

Challenges maintaining steady gaze on one target.
Often seen in attention difficulties and reading fatigue.

Symptoms of Oculomotor Dysfunction

Children, teens, and adults may experience:

Losing place while reading
Skipping words or lines
Slow or effortful reading
Difficulty copying from a board or screen
Words appearing to “move” or blur
Frequent headaches or eye strain
Poor hand–eye coordination
Difficulty following a moving object (ball sports, driving)
Increased fatigue with near work
Avoidance of visually demanding tasks

After concussion or neurological injury, oculomotor deficits are extremely common and often go undiagnosed.

Who We Help

✔ Children with reading or learning challenges
✔ Teens with academic or sports performance difficulties
✔ Adults experiencing visual fatigue at work (especially screen-based roles)
✔ Patients recovering from concussion, TBI, stroke, or neurological illness
✔ Individuals with dizziness or balance issues related to visual–vestibular dysfunction

Our approach is functional and individualized — grounded in real-life tasks that matter to each patient.

Our Treatment Approach

Occupational therapy for oculomotor dysfunction focuses on improving visual efficiency and supporting the tasks that depend on accurate eye movements. Our programs include:

1. Oculomotor Skill Training

Targeted strategies to improve:

Smooth tracking
Eye-jumping accuracy
Fixation stability
Visual coordination
Near–far shifting

These foundational skills support reading, navigation, and daily activities.

2. Binocular Coordination & Vergence Support

Improving how both eyes work together to maintain clear, comfortable single vision.

3. Visual–Motor Integration

Strengthening coordination between eye movements and motor tasks like writing, catching, or navigating space.

4. Reading & Academic Skill Support

Functional reading strategies to improve:

Line tracking
Fluency
Comprehension through improved efficiency
Endurance

5. Visual–Vestibular Rehabilitation (when indicated)

Supporting balance, mobility, and motion sensitivity for patients with dizziness or post-concussion symptoms.

6. Work & School Adaptations

Practical recommendations for:

Reducing visual fatigue
Improving comfort during screen use
Optimizing workspace ergonomics
Supporting reading and writing tasks

7. Home Reinforcement

A personalized home program accelerates progress between sessions.

Why Oculomotor Rehabilitation Matters

Strong oculomotor skills provide the foundation for success with:

Reading and comprehension
School performance
Driving and navigation
Sports and hand–eye coordination
Workplace productivity
Balance, stability, and confidence
Comfortable screen use

Oculomotor therapy helps restore ease and efficiency to visual tasks that once felt overwhelming.

Our Goal

To help you or your child use vision more comfortably, confidently, and effectively in everyday life.

Dr Glenn S. Corbin Celebrates 40 Years In Practice

Fri, 25 Mar 2022 03:00:00 GMT

Wyomissing Optometric Center is pleased to recognize a special milestone – 2022 marks 40 years for Dr. Glenn Corbin in practice as an optometrist! Dr. Corbin is also the Chief of the Section of Optometry at Penn State Health St. Joseph Medical Center, Reading, Pa. Join us in celebrating Dr. Corbin for 40 years of providing The Best Care In Sight!

National Doctors’ Day is March 30 – a special day to acknowledge physicians in the United States for their commitment to health and wellness. We invite you to honor Dr. Glenn S Corbin, a Penn State Health St. Joseph Medical Center physician through the Penn State Health website. On Doctors’ Day, Penn State will notify Dr. Corbin that a gift has been made in his honor and they will share your thoughtful “thank you” message with Dr. Corbin! Let’s flood Dr. Corbin’s inbox with messages of how he made a difference in your life or in the life of your loved one!

Here is a link to the HONOR A DOCTOR at Penn State St Joseph Medical Center, Reading PA

Dr Glenn S. Corbin Celebrates 40 Years In Practice

Wyomissing Optometric Center

Maculogix Recognizes Dr. Legge & Dr. Corbin

Mon, 29 Nov 2021 04:17:00 GMT

National Recognition for Early Detection of AMD

Wyomissing Optometric Center was one of the earliest adopters of dark adaptation testing to aid in the early diagnosis of Age-related Macular Degeneration (AMD) . Our Doctors use the Maculogix AdaptDx ^® and AdaptDx Pro ^® to help identify and manage AMD patients early, often before, irreversible vision loss has occurred. Recently, Dr. Amanda Legge and Dr. Glenn Corbin were included in the nationally recognized Maculogix AMD supplement to the Review of Optometry. Maculogix also presented a $25,000 check to Salus University/PCO to fund eligible students in their educational endeavors. This endowment recognizes Dr. Corbin and his colleague Dr. Gary Kirman for their contributions to research in the early detection of AMD.

Early AMD Diagnosis Is Key

Age-related Macular Degeneration is a leading cause of vision loss. Early diagnosis is key to slowing the progression of AMD-related vision loss. Schedule your comprehensive medical eye exam with our expert AMD optometrists by calling 610-374-3134 today.

Congratulations Dr. Corbin

Dr. Corbin was recently granted Associate Professor status on the Adjunct Faculty at Illinois College of Optometry in Chicago . He earned this position based on being a Clinical Preceptor for their externship program, training 4th-year interns as future doctors of Optometry, in addition to a lifelong career of educational endeavors, honors, and contributions to the profession of Optometry.

Maculogix Recognizes Dr. Legge & Dr. Corbin

Wyomissing Optometric Center

New AdaptDxPRO® Technology At Wyomissing Optometric Center

Wed, 10 Jun 2020 14:04:00 GMT

What is dark adaptation?

Dark adaptation is the ability of your eyes to adjust from seeing in the light to seeing in the dark. Think of going from bright sunlight into a darkened movie theater. How long does it take your eyes to adjust? That is dark adaptation. Research shows that dark adaptation weakens at the earliest stages of AMD . This is why you might experience trouble seeing at night, reading in dim light, or adjusting to seeing in the dark. As the disease progresses, night vision difficulties increase.

Why AdaptDx® technology?

Dr. Greg Jackson, Co-founder and Chief Technology Officer for Maculogix developed the first commercially available dark adaptometer, AdaptDx®. He, along with several members of his team, visited Wyomissing Optometric Center to install Berks County’s first portable dark adaptometer, AdaptDxPRO®, on Tuesday, June 9, 2020. This device incorporates a digital camera, a retinal bleaching flash, and a Ganzfeld light source inside a pair of light-obscuring goggles. This technology offers the following advantages:

Why Wyomissing Optometric Center?

Wyomissing Optometric Center received the world’s first installed tabletop dark adaptometer in 2014. Since then, Dr. Glenn Corbin President of Wyomissing Optometric Center was involved in the development of this new technology, AdaptDxPRO®. AdaptDxPRO® is now being used at Wyomissing Optometric Center, a recognized leader in providing comprehensive vision and medical eye health care to our community.

Impaired Dark Adaptation: The Earliest Biomarker of Age-Related Macular Degeneration

New AdaptDxPRO® Technology At Wyomissing Optometric Center

Wyomissing Optometric Center

Wyomissing Optometric Center

Looking Beyond 20/20: Neuro-Optometric Care in Wyomissing, PA

Dr. Legge Presents on Neuro-Eye Evaluations at the Tower Health Neuroscience Symposium

Vision is about much more than seeing 20/20.

What Is a Neuro-Optometric Evaluation?

When Vision Changes May Be Related to Neurological Conditions

Painless Vision Loss

Optic Disc Edema

Visual Field Loss

Double Vision and Eye Movement Problems

Vision Problems Following a Concussion

How a Neuro-Eye Evaluation Helps

Vision Rehabilitation and Functional Vision

The Importance of Collaborative Care

Dr. Legge and Neuro-Optometric Care at Wyomissing Optometric Center

Frequently Asked Questions About Neuro-Optometric Evaluations

What is neuro-optometry?

Can a concussion affect vision?

Can neurological conditions cause double vision?

Can an eye examination identify signs of a neurological problem?

What is vision rehabilitation?

Looking at the Whole Picture

Learn More About the Tower Health Neuroscience Symposium

Concerned About Changes in Your Vision?

Light Sensitivity / Photophobia Management

Light Sensitivity / Photophobia Management

What Is Photophobia?

Common Symptoms

Our Rehabilitation Approach

1. Comprehensive Assessment

2. Graded Light Exposure Training

3. Visual System Rehabilitation

4. Environmental & Lifestyle Modifications

5. Lens & Filter Recommendations

Who Benefits?

Feel Better in the Light Again

Visual Field Loss Rehabilitation

Visual Field Loss Rehabilitation

What Is Visual Field Loss?

What Is Visual Field Loss?

Common Symptoms

Our Rehabilitation Approach

1. Functional Visual Field Assessment

2. Evidence-Based Intervention Strategies

Compensatory Scanning Training

Visual Attention & Awareness Training

Reading Rehabilitation

Mobility & Environmental Navigation Training

Adaptive Strategies & Practical Tools

Who Benefits?

Regain Function, Confidence, and Independence

Screening & Functional Testing

Screening & Functional Testing

Why Functional Vision Testing Matters

Conditions That Often Benefit From Functional Testing

Components of Our Screening & Functional Vision Testing

1. Eye Movement (Oculomotor) Evaluation

2. Binocular Vision & Eye Teaming Screening

3. Accommodation (Focusing) Assessment

4. Visual Processing & Perception Screening

5. Balance & Vision Interaction Screening

6. Light Sensitivity & Screen Tolerance Evaluation

7. Functional Task Testing

Who Is Functional Testing For?

A Deeper Understanding of Your Visual System

WOCcupational Therapy Associates:

Visual Ergonomics & Workspace Optimization

Visual Ergonomics & Workspace Optimization

Why Visual Ergonomics Matters

Common Symptoms of Poor Visual Ergonomics

Our Visual Ergonomics Approach

1. Comprehensive Visual Ergonomic Assessment

2. Workspace Optimization & Setup Recommendations

3. Screen Use Strategies & Visual Endurance Training

4. Accommodations for Work & School

5. Return-to-Work and Return-to-Learn Support

A More Comfortable, Supportive Visual Environment

WOCcupational Therapy Associates:

Functional Testing

Screening & Functional Testing ﻿

Screening & Functional Testing