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視力不單單是看得清楚物像。
正常的視覺功能包括精確的眼球運動,眼部協調,也與大腦及全身整體的功能整合。
透過生活經驗,視覺需要與複雜的神經系統和肌肉系統結合。
視覺是最主導的感官。
視力這一項, 也不僅僅是只有視力。
視覺系統的完整性,是不能單靠度數去衡量。
視覺是透過「看」來獲取資訊的過程。
這是一個複雜的,學習和發展的感官功能,涉及多種不同技能。 研究估計,80-85%的感知,學習,認知和活動是通過視覺的。
視覺的最終目的是達到適當的肌能活動反應或認知反應。
視覺的過程可以分為三大類:
Source: Thomas Politzer, OD, former NORA , Neuro Optometric Rehabilitation Association President
旨在改善視覺功能技巧,包括視覺追蹤,雙眼協調,視覺專注和視覺組織及處理。
當我們學懂如何利用眼睛與大腦更有效地協調時,我們就可以改善視覺功能。
由於視覺功能技巧得到改善,生活質量也同樣得到改善。
視覺功能:涉及學習所需的4種視覺技能
視覺追蹤 Tracking
快速、順暢及準確地把目光轉移,對準每個要看到的視物目標。
如果視覺追蹤功能出現問題,孩子於閱讀書本或黑板時,會出現跳行跳字或重讀的情況,文章會變得上文不接下理,影響閱讀時的理解能力。
視覺專注 Focusing
足夠的聚焦幅度(能輕易地把遠處至眼前的物件對焦及看清)及焦點轉移效能(快速地把焦點由遠轉移至近或近轉移至遠),使視物時遠近的景像都能立即變得清楚。
如焦點轉移功能出現障礙,在學習上最常見的情況是當孩子抄寫黑板時,把焦點從近距離書本轉移至遠距離的黑板時,會先看到一片模糊,然後才變得清晰,相反亦 然, 這使我們的抄寫變得緩慢及經常出現錯漏。
雙眼協調 Eye Teaming
要在腦中形成雙眼單一的影像,及有足夠的立體感,能判斷深淺距離及空間感覺,雙眼必需互相配合並同時對準所看的目標。
如果閱讀時,過於專注於雙眼協調上,雙眼容易變得疲倦,影響閱讀的集中能力,長時間閱讀會容易出現錯漏及使理解能力下降。
視覺認知 Visual Perceptual Skills
視像的資料從後腦的視覺中心傳送到思想的大腦,再由大腦將視覺目標的顏色形狀、空間位置等進行分析,並與以往視覺經驗進行比較及整合,再轉化成有意義的內容。
視覺認知不足的孩子,在學習上,他們容易把字形相近的字詞混淆,不容易辨出句子中相同的字,影響閱讀時的理解能力。同時,這些兒童常把左右,甚至上下 方向混亂,導致經常把文字倒轉寫/ 讀,如把’b’字寫成‘d’字、‘人’字寫成‘入’字、‘saw’寫成‘was’。
很多兒童和成年人並沒有意識到他們在學習或工作中掙扎是與眼腦不協調有關。
一個人可以很聰明,但要在工作或學校取得理想成績,對他們來說是非常困難的。
眼腦不協調會對課堂或工作表現,自尊和行為產生不利影響。
每4個人中,有1個人患有眼腦不協調問題,影響了他們的視覺能力。
通過適當的診斷和治療,閱讀水平顯著提高,理解力增加,甚至運動表現可以得到改善。
我們能夠協助你或家人作進一步評估及治療
Dr. Ha is a Fellow of the College of Optometrists in Vision Development and is a candidate for FNORA.
She is one of the founders and served on the Executive Board of Vision Therapy Canada and as president of the OAO Ontario association of optometrists.
Dr. Ha's motto is: “To give patients of all ages the gift of vision beyond healthy eyes and 20/20 eyesight and afford them every opportunity to see and succeed in life.”
Discover the efficacy of vision therapy on learning & concussion recovery.
Vision problems can contribute to reading disability and learning disability.
Teachers and educators generally think reading starts with phonics, or context, or sight recognition. But if a child cannot find the word on the page, or if both eyes don't track together, or if the eyes cannot keep the word focused, then reading becomes difficult BEFORE phonics, or context, or recognition of the word.
The place for doctors and patients to learn more about advanced treatment in Amblyopia care.
Amblyopia is a treatable, neurodevelopmental form of vision loss.
It is caused when there is a disruption in binocular vision in infancy/toddlerhood either by misalignment of the eyes (also known as strabismus), or when one eye has a greater farsigh
The place for doctors and patients to learn more about advanced treatment in Amblyopia care.
Amblyopia is a treatable, neurodevelopmental form of vision loss.
It is caused when there is a disruption in binocular vision in infancy/toddlerhood either by misalignment of the eyes (also known as strabismus), or when one eye has a greater farsightedness/nearsightedness and/or astigmatism, or blockage of light, such as infantile cataracts. It typically occurs in one eye (but can occur in both eyes) even when best corrected with glasses or contacts.
Over 12 million people in the US alone are affected (about 3.5% of the US population).
It is preventable if the factors causing it are identified and treated in infancy or early toddlerhood, but it can be treated at any age.
Binocular Vision Therapy is a proven effective treatment for amblyopia.
It involves office-based optometric vision therapy (along with home oriented activities) guided by the doctor and vision therapist utilizing devices, prisms, lenses and dichoptic filters to treat the underlying suppression and related developmental vision delays plus help the two eyes to work together.
Source: The Amblyopia Project
Concussions result from a direct blow to the head
or, indirectly from something such as whiplash.
The impact causes the brain to hit against the inside of the skull causing brain bruising. It is estimated that nearly 4 million concussions occur yearly in the United States.
10-20% of concussions result in symptoms that can last weeks, month
Concussions result from a direct blow to the head
or, indirectly from something such as whiplash.
The impact causes the brain to hit against the inside of the skull causing brain bruising. It is estimated that nearly 4 million concussions occur yearly in the United States.
10-20% of concussions result in symptoms that can last weeks, months, or more.
When these symptoms persist, a condition known as post-concussion syndrome occurs.
Research suggest that over 50% of patients with concussion or post concussion syndrome have visual problems that may cause headaches, eye headaches, double vision, eye strain or blurred vision.
It may even cause students to have decreased reading speed and comprehension.
Optometrists have a great understanding of the visual system.
They have the opportunity to retrain the visual system to help eliminate the visual symptoms most commonly associated with post-concussion syndrome.
This is done through a program of neuro-optometric rehabilitation
Source: The Concussion Project
Vision & Brain Injury
Thomas Politzer, OD, former NORA President
Vision is our dominant sense
More than just sight is measured in terms of visual acuity, vision is the process of deriving meaning from what is seen. It is a complex, learned and developed set of functions that involve a multitude of skills. Research estimates that eighty to
Vision & Brain Injury
Thomas Politzer, OD, former NORA President
Vision is our dominant sense
More than just sight is measured in terms of visual acuity, vision is the process of deriving meaning from what is seen. It is a complex, learned and developed set of functions that involve a multitude of skills. Research estimates that eighty to eighty five percent of our perception, learning, cognition and activities are mediated through vision.
The ultimate purpose of the visual process is to arrive at an appropriate motor, and/or cognitive response.
There is an extremely high incidence (greater than 50%) of visual and visual-cognitive disorders in neurologically impaired patients (traumatic brain injury, cerebral vascular accidents, multiple sclerosis etc.) Rosalind Gianutsos, Ph.D.
"Visual-perceptual dysfunction is one of the most common devastating residual impairments of head injury". Barbara Zoltan, M.A., O.T.R.
"The majority of individuals that recover from a traumatic brain injury will have binocular function difficulties in the form of strabismus, phoria, oculomotor dysfunction, convergence and accommodative abnormalities". William Padula, O.D.
Source: Neuro Optometric Rehabilitation Association
視覺與腦損傷
Vision & Brain Injury
Thomas Politzer, OD, former NORA President
視覺是最主導的感官。
視力這一項, 也不僅僅是只有視力。
視覺系統的完整性,是不能單靠度數去衡量。
視覺是透過「看」來獲取資訊的過程。
這是一個複雜的,學習和發展的感官功能,涉及多種不同技能。 研究估計,80-85%的感知,學習,認知和活動是通過視覺的。
視覺的最終目的是達到適當的肌能活動反應或認知反應。
視覺的過程可以分為三大類:
視力和視野
視覺動作協調能力
視覺認知
Source: Neuro Optometric Rehabilitation Association NORA
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photography: stock & Dr Albert S. Y. Ng, OD, FAAO
While we try to inform you of your OHIP eligibility before your eye exam, we are only able to assess your final eligibility for OHIP after your doctor has examined your eyes.
Masks are still required for your visit as per the guidelines from Ministry of Health
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Myopia Control Information 近視控制資訊
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根據安省衛生廳提供最新的的指引,你仍然需要佩戴口罩。