Pattern one
The technology worker post-concussion
A job that is entirely screen-based against a current tolerance of minutes. The gap between requirement and capacity is stark and easy to quantify.
Post-concussive visual complaints are usually reported in language that sounds subjective — foggy, off, tired, not right. The underlying deficits are not subjective at all: saccadic accuracy, vergence facility and visual motion tolerance are measurable quantities. Turning the first into the second is most of what an assessment achieves. Delivered to Bangalore by secure telehealth.
Every commonly reported post-concussive visual complaint maps onto something specific, and the mapping is more reliable than people expect.
Losing place while reading maps onto saccadic inaccuracy. Words doubling or drifting after a few minutes maps onto vergence failure. Dizziness in a supermarket maps onto visual motion intolerance and visual-vestibular mismatch. A sudden wall of fatigue at a screen maps onto an accommodative or vergence reserve giving way.
Each of those is measurable, each is recorded numerically, and each has a different intervention. The practical value for a patient is that a complaint dismissed as subjective becomes a finding on a page — which changes both the treatment and, frequently, how seriously the symptom is taken by everyone else involved.
Patients who have been symptomatic for months often describe the written measurements as the most valuable part of the appointment, independent of any treatment. Having a document that says what is wrong, in numbers, changes how a workplace, an insurer and sometimes a family respond.
These mappings are strong tendencies rather than certainties. The point of the assessment is to confirm which applies to you rather than to assume.
Bengaluru
A screen-intensive working population means post-concussive visual deficits here are unusually disabling and unusually noticeable.
Pattern one
A job that is entirely screen-based against a current tolerance of minutes. The gap between requirement and capacity is stark and easy to quantify.
Pattern two
A concussion from a collision or from sport, medically cleared, with visual symptoms emerging once normal activity resumed.
Pattern three
Months of being told everything is normal. The written measurements are often as valuable as the treatment that follows them.
Bangalore enquiries reach us from
Formal visual field testing needs equipment and therefore a local appointment. We specify it precisely rather than implying it can be done remotely.
A telehealth assessment producing documented findings, with any in-person test named precisely for a single local visit.
The documented baseline
A documented functional profile: vergence ranges, accommodative accuracy and facility, fixation stability, saccadic and pursuit accuracy, and field screening, all recorded numerically for comparison at review.
Optics confirmed
Optical and prismatic correction settled and verified before rehabilitation begins, since functional measurement over an uncorrected refractive error cannot be interpreted.
Structured therapy
Structured rehabilitative work in short daily blocks with weekly supervision, progressing on measured stability rather than elapsed time.
Remeasurement and discharge
Remeasurement against the documented baseline, reported as a profile rather than a single score, with a clear statement of the remaining ceiling.
Possibly, and we will not pretend otherwise if we do not. In our experience a majority of people with persisting post-concussive visual symptoms have at least one measurable functional deficit — most often vergence, saccadic accuracy or visual motion tolerance. A minority test normally across the board, and in those cases the honest answer is that the cause lies elsewhere: sleep, mood, vestibular function, or medication. We would tell you that clearly and suggest where to look next rather than treating something we cannot demonstrate.
For most of it, close. Vergence, accommodative response, saccadic and pursuit accuracy and visual motion tolerance can all be assessed remotely with the calibrated targets we post and someone assisting on camera. Two things are genuinely better in person: formal visual field testing, which needs equipment, and some visual-vestibular testing requiring controlled head movement. If your presentation makes those central, we will say so and recommend an in-clinic visit rather than offering a partial assessment as a complete one.
Yes, and we design around it. The assessment is broken into shorter segments with breaks, several parts run over audio while you look at posted physical targets rather than the screen, and we can spread it over two shorter sessions if ten minutes is genuinely your ceiling. Your screen tolerance is itself one of the measurements we want, so telling us it is ten minutes is clinical information rather than an obstacle.
Persistent visual symptoms after concussion and mild traumatic brain injury make up the largest group. Beyond that: post-stroke visual field loss and neglect, convergence and accommodative dysfunction following injury, acquired double vision, visual consequences of multiple sclerosis and Parkinson's disease, and visual difficulty following brain surgery or hypoxic injury. The presentations vary widely; the assessment structure does not.
A descriptive term for a cluster frequently seen after head injury: convergence difficulty, accommodative dysfunction, unstable fixation, light sensitivity, and discomfort in visually complex environments such as supermarkets or traffic. It is a pattern rather than a formal diagnostic entity, and its usefulness is that it groups symptoms that arrive together and tend to respond to the same rehabilitative approach. Not every patient shows the full pattern.
Pan-India Coverage
Assessment delivered to Bangalore by secure telehealth — in-clinic testing in Chennai and Hyderabad.
The assessment converts the first into the second, in writing. That changes the treatment and, often, how seriously the symptoms are taken elsewhere.