Pattern one
Multiple specialists, no visual assessment
Comprehensive care in every other respect, with the visual component discussed by everyone and formally tested by nobody.
The most useful thing a neuro-optometric assessment produces is not a therapy plan. It is a written set of functional findings that a neurologist, a physiotherapist and an occupational therapist can each act on. Where care is spread across several specialists, that document is often the missing piece. Assessment delivered to Delhi by secure telehealth.
Delhi and the NCR
The NCR has excellent neurology and rehabilitation. What is scarce is the functional visual assessment that sits between the specialties.
Pattern one
Comprehensive care in every other respect, with the visual component discussed by everyone and formally tested by nobody.
Pattern two
A concussion sustained in a collision, with visual symptoms surfacing weeks later once the more obvious injuries have settled.
Pattern three
Reading and scanning difficulty attributed to language or attention, when the finding is a visual field or scanning deficit.
Delhi NCR enquiries come from
We are explicit about what cannot be assessed remotely. Visual field testing and any examination of the eye itself need an in-person appointment, which we specify.
Multi-specialist rehabilitation has a characteristic gap, and the visual component falls into it more often than any other.
A neurologist manages the medical picture. A physiotherapist works on movement and balance. An occupational therapist works on function at home and at work. Each is competent and each has a defined scope. The visual system sits across all three and is formally the responsibility of none, which is why patients so often report that everyone asked about their vision and nobody assessed it.
What resolves that is a document. Specific findings, in the language each discipline uses, with clear statements about what each of them can act on. It costs one appointment and it frequently changes what several other clinicians are doing.
Saccadic and pursuit accuracy, vergence ranges, accommodative response, visual field and neglect screening, visual motion tolerance, and photophobia severity. Then a plain statement of what we propose to treat, what should be referred, and what is likely to resolve without intervention. It goes to you and to whoever you nominate.
A telehealth assessment with the in-person elements named precisely, and a written report to you and your treating team.
Establishing the numbers
A structured history and a functional profile: alignment, vergence, accommodation, fixation stability, eye movement accuracy and field screening, recorded in writing so the rehabilitation team and the neurologist are reading the same document.
Correcting the optics
Correction and any indicated prism confirmed and coordinated locally, with an adaptation period before active work.
The therapy itself
Rehabilitative work delivered from home in short daily blocks, which for this group removes a cross-city journey that fatigue alone often makes impossible.
Measuring the change
Review against the intake profile at a defined point, with the findings written up for whoever else is treating the patient.
If your physiotherapist has suggested vision may be involved, that is a well-informed observation and worth acting on.
A good deal, with clear limits. Vergence ranges, accommodative response, saccadic and pursuit accuracy, visual motion tolerance and symptom mapping can all be assessed remotely using calibrated targets we post to you, with someone assisting on camera. What cannot be done remotely is formal perimetry for visual field loss, examination of the eye itself, and some aspects of visual-vestibular testing that need controlled head movement. Where those matter for your case, we say so and specify the test rather than working around it.
Yes, and it is the arrangement that works best. We ask for their assessment notes if you can obtain them, we test the visual and visual-vestibular components directly, and we send them our findings in a form they can use, including which exercises might be affected by a visual deficit. Vestibular and visual rehabilitation reinforce each other, and sequencing them sensibly matters. That is a conversation between clinicians rather than something you should have to relay.
We provide clinical reports with objective findings, which are frequently used for those purposes, and we are happy for you to share them with anyone you choose. What we will not do is write a report to a particular conclusion, or characterise findings more strongly than the measurements support. If you need a formal medico-legal opinion with the specific structure that requires, that is a different service and you should commission it as such — though our measurements will still be useful input to it.
A detailed symptom history anchored to the injury or diagnosis, then functional measurement: ocular alignment and vergence ranges, accommodative accuracy and facility, fixation stability, saccadic and pursuit eye movements, visual field screening, and how symptoms behave under sustained or visually busy conditions. The output is a functional profile describing what the visual system does well, what it does poorly, and which of those deficits are realistically rehabilitable.
Longer than a routine eye examination, usually ninety minutes or more, and occasionally split across two sessions where fatigue is a factor. That is not padding. Post-injury visual systems frequently perform adequately for short periods and fail under sustained load, so an assessment compressed into twenty minutes will find nothing and conclude wrongly that nothing is there. Allowing for fatigue is part of the method.
Telehealth Nationwide · Clinics in the South
Assessment delivered to Delhi by secure telehealth — in-clinic testing in Chennai and Hyderabad.
One assessment produces a document all of them can act on. Delivered to Delhi by secure telehealth, with any in-person test named precisely.