I used RightEye for initial assessment and final assessment. I find the information valuable as a clinician, but I notice the patients respond favorably to the reports and I feel the data/reports are therapeutic.
Our patient KT began doing pilates based movement therapy twice a week for general conditioning in January 2020. KT is a very intelligent and pleasant 65-year old woman that makes her wellbeing a priority. On several occasions over the next 6 months, I noticed she became light headed when getting off the reformer and needed a moment to rest. She mentioned after a neck massage she received she was very dizzy getting off the table, and had some residual dizziness still a week later which eventually subsided. I noticed she frequently yawned, but not the kind of yawn one does when they are tired, but more of an “air hunger” yawn. She had low muscle tone and fatigued quickly.
Upon noticing the above symptoms, I began talking with her about possible brain-based involvement and encouraged her to have a RightEye assessment. Interestingly enough, it took us almost 10 tries to have her calibrate prior to starting the full assessment. After seeing her RightEye results, I understand why the calibration took so many attempts. I also began doing ANS assessments (bilateral blood pressure, bilateral pulse os, and bilateral heart rate) and when laying down her heart rate would stay steady around 60bpm on both sides, but her oxygen saturation would drop to 86% on the left and 93% on the right. When she stood up, her heart rate would equally elevate on both sides by 10 points and average around 70bpm and her oxygen saturation would return to a healthy 98-99% bilaterally. She did not believe that those could be her RightEye results, so we repeated the RightEye assessment two weeks later.
My working diagnoses were dysautonomia, post-concussion syndrome, and possibly Ehlers-Danlos syndrome.
On Oct 31, 2020, I met with KT to do a proper functional neurological assessment, including another RightEye assessment. I like to do a RightEye assessment at the start of the Neuro Intensive Program and then again at the end of the Neuro Intensive Program to document the changes/improvements.
On Nov 2-6, 2020, I began KT's NeuroPeformance sessions, meeting with her twice daily for an hour per session, totaling 10 treatments. Her program varied from day to day but the overall themes in her program were:
- Interactive Metronome - on the right only to boost the right cerebellum
- NeuroSensory Integrator - eye/hand and eye/head/hand exercises requiring speed and accuracy
- Balance exercises - standing in tandem with eyes open vs closed, standing on one leg
- Eye exercises - memory saccades, horizontal pursuits
- Photobiomodulation - Vielight 15 min.
I performed a re-assessment at the end of five sessions, on Nov 6, 2020. She is much more stable in her body via balance testing, more alert and aware of space, and has not felt dizzy or "air hungry" as much. Her convergence insufficiency and exophoria has diminished and a reduced blind spot on left eye. She is faster and more accurate in movement (finger tapping, Loria sequencing). Her saccades and antisaccades were perfect, 2 point localization was more accurate, finger-nose-finger with eyes closed was 10/10R and 8/10 L (initially 2/10 R and 0/10 L).
Her ANS symptoms did not seem to change much in the 5 days compared to previous findings earlier in the year, even though her horizontal eye movements improved greatly, so I referred her to a cardiologist to rule out any heart-related issues and a pulmonary specialist for lung-related issues before proceeding forward with additional neurotherapy and eye exercises.