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(TBI), stroke, or neurodegenerative diseases        2. VIRTUAL REALITY (VR) INTEGRATION
          like Alzheimer's, often coincide with visual
          processing issues. Therefore, targeting visual         Virtual reality (VR) technology has
          pathways and enhancing their function can have      revolutionised vision therapy by offering
          a direct impact on cognitive abilities, especially   immersive environments that engage patients in
          in memory recall and recognition tasks.             complex visual and memory tasks. VR provides
                                                              a controlled, stimulating environment where
          VISION THERAPY: A HOLISTIC                          patients can interact with 3D objects and perform
          APPROACH                                            recognition exercises that would be difficult
                                                              to replicate in a traditional clinical setting. The
             Vision therapy aims to train the brain to
          better interpret visual inputs by strengthening     interactive nature of VR allows therapists to track
          the neural connections responsible for visual       eye movements, focus shifts, and response times,
          processing. Traditionally used to treat binocular   providing valuable data on a patient's progress.
          vision disorders, amblyopia, and strabismus,           Furthermore, VR applications have proven
          vision therapy has expanded to address more         effective in treating conditions such as visual
          complex neurological functions, including           neglect and memory loss in post-stroke patients.
          visual memory recognition. It utilises a series     The ability to simulate real-world environments
          of personalised exercises and tasks designed        within VR makes it an ideal tool for rehabilitation,
          to improve visual acuity, coordination, and         encouraging visual processing in a way that
          cognitive processing.                               mimics everyday memory challenges.

             In cases of memory recognition deficits, vision   3. EYE TRACKING AND COGNITIVE
          therapy works by reinforcing the brain’s ability to   LOAD MONITORING
          process and store visual information efficiently.
          This is achieved through activities that challenge     Advances in eye-tracking technology have
          the patient's memory while simultaneously           enabled more precise monitoring of how
          engaging their visual pathways. Techniques such     individuals process visual stimuli and recognise
          as eye tracking, saccadic movements, and visual     previously seen images. Eye-tracking devices
          scanning exercises are used to enhance both         measure saccades (rapid eye movements),
          memory recall and visual spatial awareness.         fixations, and pupil dilation, offering insights into

          RECENT ADVANCES IN VISION                           the cognitive load experienced by patients during
                                                              memory recognition tasks.
          THERAPY FOR MEMORY RECOGNITION
                                                                 Recent studies have incorporated eye-tracking
          1. NEUROPLASTICITY-BASED                            data to tailor vision therapy exercises more
          APPROACHES                                          effectively. For instance, if a patient demonstrates

             One of the most exciting recent advances in      difficulty maintaining focus on a stimulus, their
          vision therapy is the growing understanding of      therapy can be adjusted to increase fixation times
          neuroplasticity – the brain’s ability to reorganise   and reduce distractions, helping them improve
          itself by forming new neural connections.           memory retention. The ability to assess cognitive
          Neuroplasticity-based vision therapy focuses        load in real-time ensures that exercises are
          on harnessing this capability to improve visual     neither too easy nor too overwhelming, leading to
          memory and recognition. Studies have shown          better engagement and outcomes.
          that engaging patients in repetitive, targeted      4. INTEGRATION WITH COGNITIVE
          visual exercises can encourage the brain to         BEHAVIORAL THERAPY (CBT)
          reroute damaged pathways and enhance visual
          memory performance. For example, individuals           Memory recognition therapy is not only about
          recovering from a stroke or brain injury have       improving visual pathways but also addressing
          shown significant improvements in memory            cognitive and emotional factors that might
          recognition tasks following a regimen of            impede progress. Combining vision therapy with
          neuroplasticity-based vision therapy.               Cognitive Behavioral Therapy (CBT) has been a



     153 | THE INDIAN OPTICIAN | NOV-DEC 2024                                                       VISION THERAPY
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