OVERVIEW OF VISUAL VESTIBULAR REFINEMENT

“An Interdisciplinary Approach in the Intervention of Patterned Visual Orientation and Visual Perception”

By Ron Hruska

Vision is the product of the interaction of four components, anti-gravity, centering, identification, and the speech-auditory process. This is the first sentence of the introductory section of the course, and was written by AM Skeffington in his 1964 ‘Introduction of Clinical Optometry’ course. The anti-gravity system is responsible for balance and posture. The centering system is defined as an attentional and orienting system for selecting where the body, head and eyes are directed.

Our hemi-environments, and their associated occupancy of our body, require vertical visual vestibular vigilance. How we direct ourselves, place ourselves, and use the space activity around us and the air-flow in us, all depend on our midline and center experiences, as related to our vestibular sense and visual perception.

A course attendee wrote, “I am pouring over the course notes and your attention to detail for this course was so well done!!!  I appreciated how you took each journal article and highlighted the importance of what you gained from their insight regarding vision, sensory input, pedal sense, and the ability move forward.”

Another attendee wrote, “I appreciate all the work and research that went into this. The recognition of all of the research considered was important for the optometrist that attended the course with me. I think that was quite valuable and I appreciated the main points of how to recognize the value of ground-up position and input before refraction was stressed . .. “

Our mechanoreception is built around standing and upright movement on two feet, using two upper extremities, and the cortical visual processing associated with this upright proprioceptive control. Therefore, this course outlines how to arrive at binocular alignment at distance, when standing, to reduce misalignment tendencies, overuse of visual vergence, and visual vestibular instability related to depth imperception.

If you want more information on how to clinically involve and incorporate both eyes with both feet, equally, as much as possible, for acceptable vertical behavior, then this course was organized and is being offered for you.