07/30/2022
Optometric Neuro-Rehabilitation (Vision Therapy)
Joint Brain Injury Policy Statement by
College of Optometrists in Vision Development (COVD) and
Neuro‐Optometric Rehabilitation Association (NORA)
February 19, 2019
WHEREAS, research has shown a significantly high prevalence of changes to visual function, the eye and adnexa
as well as visual symptoms related to binocular, accommodative, eye movement dysfunctions and visual
processing deficits as a consequence of brain injuries, including concussions, and
WHEREAS, the College of Optometrists in Vision Development (COVD) and the Neuro‐Optometric Rehabilitation
Association (NORA) have developed resources addressing the diagnosis and management of visual dysfunctions
and visual processing deficits, associated with brain injuries, including concussions; and
WHEREAS, Doctors of Optometry are educated and trained to diagnose and manage ocular diseases, visual,
ocular dysfunctions and visual processing deficits related to brain injuries, including concussions; and
WHEREAS, Doctors of Optometry serve an integral role as members of healthcare teams devoted to the care of
brain injured patients; therefore be it now
RESOLVED, that the College of Optometrists in Vision Development and the Neuro‐Optometric Rehabilitation
Association urge all healthcare professionals to consider the possibility that a patient’s ocular or visual signs or
symptoms may have been a result of a brain injury, including a concussion; and be it further
RESOLVED, that the College of Optometrists in Vision Development and the Neuro‐Optometric Rehabilitation
Association recommend an optometric evaluation to determine the presence of brain injury‐related ocular
changes, visual dysfunctions and visual processing deficits for persons who have sustained a brain injury,
including a concussion, and to provide medical and/or functional optometric rehabilitation services.