On November 30, 2021, we sat down with Dr. Keith Smithson, OD, of Northern Virginia Doctors of Optometry to talk about testing for Binocular Vision Disorders. Dr. Smithson was recognized as a top Optometrist on Newsweek’s America’s Best Eye Doctors. He also serves as Director of Visual Performance for the Washington Capitals, the team optometrist for The Washington Football Team, Washington Wizards, Spirit, Mystics and D.C United. He is a former Chair for the American Optometric Association Sports and Performance Vision Committee and Founding Partner at Sportsvisionpros.com
RightEye: Tell us why your practice is now testing for Binocular Vision Disorders using RightEye?
Dr. Smithson: We estimate 30 percent of our patients have unidentified Binocular Vision Disorders, meaning something is wrong with their muscular focusing system, eye tracking, or a combination of both. These issues are not fixed by eye glasses and something we could not always see. But now with RightEye we can identify if there are problems and provide a treatment, allowing us to expand not just our scope of care but the number of people we can help.
While using RightEye is not new for us, incorporating their automated Sensorimotor exam is. We have used the RightEye Sports Vision module in our practice for many years, but we realized we could meet a greater need by testing for Binocular Vision Disorders with an automated Sensorimotor exam.
RightEye: What do you like about RightEye and their Sensorimotor Exam?
Dr. Smithson: First, I like that the Sensorimotor System is portable with a small footprint, which means it is easy to fit into our space and mobile if we need to bring it to the patient. Second, it’s very quick, easy-to-use, and automated. We are now testing all patients from age 5 to 55. Lastly, I really like that it has the data and science to support the outcomes to help our patients. Their database contains more than 145 billion eye tracking data points, and they recently surpassed 4 million patient tests administered, which helps give a more accurate understanding of the results. With RightEye, we can identify things we might not find in the traditional “follow my finger” test.
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RightEye: How easy has it been to integrate RightEye Sensorimotor into your practice?
Dr. Smithson: Everyone has to be involved when new technology is integrated—the scheduling team, the techs, and the doctors. Typically, the technician tells the patient in the pre-exam room, ‘We’re going to do an eye movement test and look at how your eyes coordinate and how the muscles are working together.’
We have the RightEye system set up in the work up area. The tech just wheels the system up to the patient. It’s important to have it all set up beforehand, like all the other screening tests. The patient looks right at the screen and follows the instructions, and we’ll get a pass or fail indication in less than a minute. In my practice, our technicians bring the doctors a half-sheet of paper with their results of all the screenings. We just added RightEye on the sheet along with the Optos machine. They just check if they pass or failed the RightEye screener.
For those who don’t pass, they will then need to take the full sensorimotor exam. We prefer to bring them back for a follow up appointment to take the longer RightEye Sensorimotor exam and come up with a treatment plan. When the patient meets with the doctor, we will show them the failed screening report and explain they should come back for a full evaluation, which will be reimbursed by medical insurance. We will schedule them for a longer evaluation on another day. Using the same RightEye testing system, we administer the full sensorimotor exam which takes between five to seven minutes.
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RightEye: Can you give us an example of a patient you helped with RightEye?
Dr. Smithson: Sure, we had a 58-year-old female who came in complaining of double vision. It was a gradual onset and worse when driving. But at close range her eyes looked fine. She scored very low on the RightEye tests. Our treatment recommendation was prescription distance vision glasses with prisms, several weeks of vision therapy, and a return visit four to six weeks later. The final results for her: A life-changing effect with more comfortable and safer driving, as well as more confidence in everyday life from extended computer use to general mobility.
The revolutionary RightEye Sensorimotor system is powered by advanced eye-tracking technology. The built-in automated screener and comprehensive exam offers ECPs a vast improvement over time-consuming, manual, and subjective sensorimotor tests. Contact us at firstname.lastname@example.org for a no-obligation system demo or pricing details.