Neuro-Sight Vision Care
For more than 35 years I have been caring for patients. I was teaching a course with a colleague a few years ago. When I walked into Mayo hospital I saw their moto which expresses my feeling about health care.
"The Best interest of the Patient is the Only Interest".
Vision Problems from Neurologic Disease and Injury
Dr. Politzer is a leading optometric expert in diagnosing and treating vision problems in neurologic disease. Our practice is dedicated to helping people who have suffered a neurological disease or injury.
Vision problems are common in conditions such as: traumatic brain injury, stroke, migraine, aneurysm, multiple sclerosis, brain tumor, concussion, Parkinson's disease, brain hemorrhage, CSF leak and pseudo-tumor cerebri (idiopathic intracranial hypertension).
The types of vision and associated problems we frequently treat include: double vision, loss of vision, loss of peripheral vision, headache, dizziness and imbalance, and nystagmus.
We work closely with your medical team to develop the best comprehensive inter-disciplinary treatment for you. This may include: occupational therapy, physical therapy, prism, lenses, and/or medication.
The Eye Care You Need
Routine eye exams, treatment of eye disease, cataracts, glaucoma, glasses, and contact lenses.
Evaluation and Treatment of Vision Problems from Neurologic Disease and Injury
Specialty, Scleral and Keratoconic Contact Lenses
Treatment of Dry Eye Syndrome
“Good health and good sense are two of life’s greatest blessings”
Conditions We Treat
Double vision (diplopia) is among the most frustrating of vision problems for patients and clinicians. For patients it causes visual confusion; impairs depth perception, orientation and mobility; affects eye-hand coordination, and impacts reading. For clinicians and therapists it is frustrating because of previously limited strategies to help. We have over 90% success in helping treat double vision. Dr. Politzer invented the spot patch and cyclo-prism which have significantly increased the number of patients who can be helped. Therapies have improved and when indicated surgery is more effective than ever before.
Visual Field Loss
Loss of peripheral vision is a devastating problem that can occur after traumatic brain injury, stroke, and brain tumor. The incidence is 28-38% following traumatic brain injury (TBI) and 8-67% following ischemic stroke. In as many as one half of these patients, the vision loss is permanent. Visual field deficits (VFD) may range from complete unilateral loss caused by damage to one eye or optic nerve, hemianopia (partial loss of a field of vision) in either or both eyes caused by injury posterior to the optic chiasm, to incomplete, incongruous (unequal between the eyes) loss. Visual field deficits can significantly impact activities of daily living, with increased risk of falls, impaired reading ability, increased frequency of institutionalization, decreased mobility (impaired walking, driving restrictions), and reduced overall quality of life.
Conventional treatment options for VFD typically include attempted restoration of the visual field, changes to visual behavior (i.e. gaze training), or augmentation with a prismatic.
One example is the Peli prism that was developed in 2000 and incorporates 40-diopter Fresnel prisms mounted on eye glasses above and below the eye towards the vision loss side. Conceptually, as an object approaches from the loss side its optical image will “jump” from the prismatic shift into the patient’s intact visual center/nasal field and cue the object’s presence. In ideal conditions this can increase visual field awareness up to approximately 20 degrees.
We are currently developing a new approach to augment visual field loss, utilizing novel digital technology developed at Craig Hospital (Dr. Politzer). The device incorporates a miniaturized computer display mounted on eye glasses which directs an image to one eye, with visual input through a miniaturized camera from areas of visual field deficit.
Dizziness and Imbalance
Our balance system is comprised of three peripheral sensory systems; vestibular, vision, and proprioception. These are processed by our brain it so we feel "normal". A problem in any of these sensory systems, or in the brain (central) will result in vertigo; and / or dizziness and imbalance. Vertigo is a spinning or whirling sensation; a feeling the person or world moving when it is not. Symptoms can be present while sitting still, in specific positions, or with movement. Dizziness is more described as a lightheaded, floating, or rocking sensation, sensation of being heavily weighted or pulled in one direction, imbalance, stumbling, difficulty walking straight or when turning, clumsiness or difficulty with coordination and motion hyper-sensitivity.
Headache / Migraine
We work closely with your physician in evaluating your type of headache, potential visual causes of your headache, potential vision loss from the underlying cause of your headache, and treatments.
There are many types of headache. We most commonly see patients with headaches from:
Intracranial Hypertension (Pseudo-Tumor Cerebri)
Visual Strain based headache
Migraine is not just a bad headache.
Migraine is a neurological disease with incapacitating neurological symptoms.
It’s typically a severe throbbing recurring pain, usually on one side of the head. But in about 1/3 of attacks, both sides are affected.
In some cases, other disabling symptoms are present without head pain.
Attacks are often accompanied by one, or more of the disabling symptoms: visual disturbances, nausea, vomiting, dizziness, extreme sensitivity to sound, light, touch and smell, and tingling or numbness in the extremities or face.
About 25% of migraine sufferers also have a visual disturbance called an aura, which usually lasts less than an hour.
In 15-20% of attacks, other neurological symptoms occur before the actual head pain.
Attacks usually last between 4 and 72 hours.
Some neurological diseases that have signs that show up in the eyes. Papilledema (this photo) is often a sign of increased pressure inside of the head. Causes may include: brain tumor, bleeding, and idiopathic intracranial hypertension. Optic neuritis (an inflammation of the optic nerve) is often the first sign of multiple sclerosis. Ischemic optic neuropathy (there are several types) is basically a stroke of the optic nerve. Causes can range from inflammation, to clot, to lack of blood supply. Neuroretinitis is a broad spectrum disease that includes inflammation of the optic nerve and the retina. Two causes are cat scratch fever and tick bite.
"Dr. Politzer is the best Doctor that I have ever met. He is not only one of the most knowledgeable but more importantly he is incredibly empathetic and kind. I have a rare brain condition which causes intractable migraines and can affect my eyesight. Dr. Politzer and his team have always taken care of me and made me feel at ease at every visit. I could not recommend him highly enough. I feel extremely grateful to have him for my Doctor and the tirelessness way rest of the office staff have helped as well. I could not recommend him and his staff highly enough. Thank you for everything you have done for me. I would not ever want to see any other Doctor."
"Every time I've been into this office the entire staff has been phenomenal. I have a specific issue as a result of a traumatic brain injury and Dr Politzer doesn't look at me like I'm crazy. He actually went on to explain why I'm experiencing what I am and has offered answers and solutions that work for me. This is an extremely busy office, so exercise a bit of grace and it will all If a patient is late for an appointment yes it is going to throw off the doctor's schedule for the whole day.
Would you rather they rush through your appointment because someone before you was late just so they can get back on track? Or, if something comes up in one of your exams would you rather they skim over it rather than take the time to fully explain?"
"Dr Politzer is amazing. I had major vision issues after an accident. We got in to see him, he was incredibly familiar with the issue. He diagnosed and corrected my vision quickly and effectively. He’s very pleasant, kind and easy to speak with."
"Best Doctor I have ever been to. He was just amazing got right to what was wrong and fixed it. My vertigo and migraines are almost gone! They were all so kind and helpful and on time every time. I wish I could give the whole office more than five stars!"
Our mission is simple - to help you. Regardless of your vision problem(s), we are here for you. With our training and experience we have over a 95% success rate. Even when a cure may not be possible, the condition is likely manageable.
Are your services covered by my insurance?
We participate in the majority of medical insurance plans. Currently we are NOT on BlueCross BlueShield HMO Pathways, or Kaiser. Please be sure to contact your insurance to insure eligibility.
Routine Vision Care
We are on VSP and EyeMed routine Vision Care plans.
Some plans can be confusing. Please contact your insurance to inquire specifically if we are on your plan and regarding services.
What is your new patient procedure?
When you contact the office we will ask you to go on our web site and fill out the forms that are needed. We prefer you send these to us electronically, but you can also bring them with you at the time of your exam.
The majority of patients that see Dr. Politzer are referred by other doctors and therapists. It is very helpful to have a copy of your medical records to review. If you have had an MRI or CT scan, please obtain the written report from the radiologist (we do not need the actual disc).
How Long Will I be at Your Office?
For a neuro-ophthalmic exam you will typically be at the office for about two to two and a half hours.
For a primary care exam you will be at the office for about an hour.
Monday: 8:00am - 5:00pm
Tuesday: 8:00am - 6pm (Closed 1-2pm)
Wednesday: 8:00am - 5:00pm (Closed 1-2pm)
Thursday: 8:00am - 5:00pm (Closed 1-2pm)
Friday: 8:00am - 5:00pm (Closed 1-2pm)