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Far Beyond a Routine Eye Exam

Your routine eye exams are important – but they often only last 10-15 minutes and mainly focus on two things:

  1. Eye Health Screening: Basic tests to make sure your eyes are healthy and free from disease (glaucoma, cataracts, and diabetes)

  2. Eyesight: Making sure you see clearly (20/20).

But “20/20 Vision” doesn’t always mean your vision is fine.

If you still struggle with symptoms like headaches, eye fatigue, eye pain, blurred or double vision, or reading difficulties—despite being told your eyes are healthy and your vision is normal—you may need a much deeper evaluation.

routine eye exam vs. specialized functional vision exam

A Routing Eye Exam answers the question: ““Are your eyes healthy, and can you see clearly?”

Types of Specialized Evaluations

At Inland Vision Therapy, we use three types of evaluations to give us a complete view of your vision. This allows us to understand the full picture of what is going on and how we can best help you. Our specialized evaluations are designed to uncover vision problems that routine eye exams don’t evaluate and often miss. Depending on your particular situation and struggles, our personalized evaluation for you might include: 

Functional Vision Evaluation

Evaluates how well your eyes and brain work together.

Neuro-Optometric Evaluations

For patients recovering from a neurological condition.

Visual Processing Evaluations

Measures how efficiently the brain processes visual input.

Functional Vision Evaluation

A Functional Vision Exam goes much deeper than an routine eye exam – it evaluates how well your eyes and brain work together. These evaluations often last 45-90 minutes. There are over 15 visual skills that are needed for good functional vision! Our Functional Vision Exam evaluates:

  • Eye teaming and coordination (binocularity)
  • Eye tracking and reading fluency
  • Focusing flexibility (switching from near to far)
  • Depth perception and spatial awareness
  • Visual processing and comprehension
  • Visual integration – how vision connects with balance, coordination, and learning
aspects of vision diagram

A Functional Vision Evaluation answers the question: “Is your visual system working efficiently so you can learn, work, and live comfortably?”

Understanding Functional Vision

Functional vision goes beyond 20/20 acuity, encompassing how the eyes, brain, and visual pathways work together to help a person understand and interact with the world. Improving functional vision improves performance in everyday activities and meaningful tasks such as reading, driving, sports, work, hobbies, and navigation.

Why Specialized Functional Vision Exams Matter

Too many people are told their “vision is fine” because they can see 20/20 on the eye chart — yet both children and adults continue to experience life-altering symptoms that are missed in a routine exam, such as:

If you or your child have been told your vision is “normal,” but you’re still struggling with these or other common symptoms, a Functional Vision Exam may likely provide the missing answers.

Neuro-Optometric Evaluation

A Neuro-Optometric Evaluation is a specialized assessment for patients recovering from a concussion, traumatic brain injury (TBI), stroke, or other neurological condition.

This exam includes everything from a functional vision evaluation, but goes deeper into how the neurological injury has disrupted visual processing, and what rehabilitation is needed. These evaluations often take 60-120 minutes.

tbi picture

A Neuro-Optometric Evaluation answers: “Has a neurological event disrupted how your brain uses vision — and how can we rehabilitate it?”

A Neuro-Optometric Evaluation focuses on these areas:

      All components of a functional vision exam plus:

  • Double vision and strabismus after brain injury

  • Visual field loss or neglect

  • Light sensitivity (photophobia)

  • Dizziness and balance problems (visual–vestibular integration)

  • Visual motion and other sensory sensitivity

  • Reading and comprehension changes post-injury

  • Visual information processing after TBI/stroke

  • Functional impact on activities of daily living and driving safety

A Neuro-Optometric Evaluation is recommended for anyone with ongoing visual or neurological symptoms—such as after a concussion, TBI, stroke, or other neurological condition—or for those whose issues aren’t explained by a routine eye exam. Schedule your evaluation today to get real answers and start finding relief!

Visual Processing Evaluation

A Visual Processing Evaluation is a specialized assessment provided by a developmental optometrist or neuro-optometrist to measure how efficiently the brain interprets, organizes, and uses visual sensory input.

A visual processing evaluation is often the missing link in cases where children or adults “see fine” but continue to struggle academically, cognitively, or after neurological events (like concussion or stroke).

visual processing sensory input

A visual processing evaluation looks at the cognitive processing side of vision — essentially, what your brain does with what the information it receives from your eyes.

What does a Visual Processing Evaluation Assess?

At Inland Vision Therapy, we offer the most comprehensive Visual Processing Evaluation in the area, covering four key areas: Visual-Perceptual Processing, Visual-Auditory and Language Integration, Visual-Motor Integration, and Visual-Processing Speed.

1. The Visual Perceptual Processing evaluates seven core areas:

  • Visual Discrimination – spotting similarities/differences in shapes, letters, or words
  • Visual Memory – remembering what was seen (short-term recall)
  • Visual-Spatial Relationships – understanding positioning, reversals, and orientation
  • Visual Sequential Memory – recalling a sequence of symbols, words, or numbers
  • Visual Form Constancy – recognizing forms regardless of size, orientation, or style
  • Visual Figure-Ground – finding important details in a busy background (e.g., word search)
  • Visual Closure – recognizing incomplete information (e.g., a partially covered word)
  1. Visual–Auditory & Language Integration refers to the brain’s ability to connect what we see with what we hear and how we use language, and requires the eyes and brain to process letters, sounds, and language as one coordinated system. 

  • Difficulties can result in struggles with areas such as reading, spelling, comprehension, and fluent communication. Other areas include difficulty following oral directions, struggles with written expression, and avoidance of reading or academic tasks

3. Visual-Motor Integration coordinates what the eyes see with what the hands do.

  • Difficulties can result in handwriting, copying work, reading, math, sports, eye-hand coordination, clumsiness, tying shoes, building, and other motor tasks. Children who struggle in this area often avoid or fatigue quickly during schoolwork.

4. Visual Processing Speed is how quickly the brain can take in, interpret, and respond to visual information. This is an important aspect in nearly every aspect of our life. Some examples include:

    • Academics & Work – takes longer to understand concepts, finish assignments, read reports/charts/content quickly, multitasking

  • Sports & Coordination – Eye-hand coordination, quick reaction time, timing movements in catching, hitting, and judgment in fast-past environments.

  • Driving & Transportation   – Processing signs, signals, lane changes, reacting to other cars and hazards, judging speed and timing.

  • Everyday Life & Independence   – quickly scanning grocery shelves or finding objects in cluttered environments, difficulty in time-sensitive tasks, keeping pace with conversations.

The Evaluation Process

Inland Vision Therapy’s comprehensive evaluation process usually takes a couple of appointments. The exact length and structure may vary depending on your unique situation and which specialized evaluations we will perform. At the end, Doctor Zollinger will meet with you to explain in depth your diagnosis and discuss treatment options. 

You can learn more about our process here or by contacting us. 

vision function eye exam

If you’re not ready for a full examination, take advantage of our FREE Functional Vision Screening! 

We believe you deserve answers — and solutions.

At Inland Vision Therapy, we’ve been helping people improve their lives by finally getting the diagnosis and treatment they need. If you or a loved one are experiencing struggles such as headaches, fatigue, double vision, balance issues, or reading difficulties, reach out to us and see how we can help!