Eye Motor Deficiencies:  Teaming, Focusing and Muscle Deficiencies

Clear vision is not the only important factor for comfortable vision. Equally important is when your eyes efficiently work together. This includes proper eye alignment and the ability to move the eyes smoothly together in all directions. Additionally, the tiny muscles located inside the eye must efficiently control our ”zoom” ability or near focus. Our brain, specifically our trigeminal nerve, senses when our eyes are out of alignment and compensates to help improve our focus. All of the compensation that we do can cause symptoms such as fatigue, headaches, neck pain, and discomfort in the eyes (asthenopia).

A variety of methods are used to help correct these vision-related issues. These include the standard methods of glasses or contact lenses but may also include Neurolens, prisms or over/under correcting lenses. Prisms can be prescribed in glasses that bend light and allow for comfortable vision when your eyes are not aligned normally. Over or under- correcting lenses serve to relieve or stimulate accommodation (focusing).

In the last few years we have improved our treatment of many eye misalignments. Using what is called a neurolens, we are able to better correct eye teaming issues. What is special about neurolens is its ability to correct distance ad near deviations in a single lens. This allows patients to be optimally corrected full-time. In fact, many patients respond so well that their symptoms are greatly reduced or eliminated after using the lenses for only a few weeks. If we are talking about a migraine or significant headache this can be life changing!

Vision Correction for High Prescriptions

Implantable Collamer Lens (ICL)

What is ICL?

Implantable collamer lens implants help patients see better without glasses or contacts. Unlike traditional contact lenses that go on the surface of the eye, the ICL is positioned inside the eye between the iris and the crystalline lens. Once Implanted, the lens stays indefinitely in the eye. However, if your vision changes dramatically over time, the lens can be easily replaced or removed and hence this procedure is reversible!

Who is a good candidate?

• High Myopes

•Patients between the ages of 21-45

• Patients with little or no astigmatism

• Patients with average or thin corneal thickness who may not be Lasik or PRK candidates

• Stable refractions with less than 0.50 diopters of change in two years

• Dry eye patients


The ICL procedure is a short 15-minute outpatient procedure. Prior to the implantation of the Visian ICL, you will receive topical anesthetic drops to minimize discomfort. The doctor then creates a micro opening to insert the lens. The lens is folded and loaded into a small cartridge and as the lens is injected, it gently unfolds in your eye.

It is a simple procedure with fast recovery and provides youwith a fast vision change. So, if you are tired of bulky eyeglasses and contacts, ICL implants may be an option for you.