Brain fog · Reading & screens · Attention · Eye movements
When reading, screens and focus take far more effort than they should.
If a page of text leaves you exhausted, screens trigger headaches, or busy places feel overwhelming, the systems that control your eye movements and process what you see may be working overtime. We measure those systems and train them.
Look closer. Recover forward.
Sounds familiar?
- Losing your place or rereading lines
- Words that seem to move, blur or double
- Eye strain, headaches or nausea with screens
- Brain fog and slowed thinking
- Trouble concentrating or following conversations in noise
- Feeling overwhelmed by busy stores, patterns or scrolling
- Mental fatigue that builds through the day
You're not imagining it, and you're not alone. These symptoms are real, and many of the systems behind them can be measured.
Why symptoms can persist
Reading and screen work look effortless, but they rely on precise eye movements: quick jumps between words, smooth tracking, and both eyes turning inward together for near work. They also rely on the brain combining vision with balance information and filtering out what doesn't matter.
After a concussion, a vestibular disorder, migraine, dysautonomia or a viral illness, these skills can become less efficient. Research in adolescents after concussion, for example, has found vision problems such as convergence and eye-tracking difficulties to be common. When the eyes and brain have to work harder for every line of text, fatigue, headaches and fog follow, and they can look a lot like "just being tired."
Cognitive symptoms are rarely one thing. Sleep, autonomic regulation, mood and pain all affect attention and processing speed, so we look at the whole system.
What we'll evaluate
Testing is chosen for you based on your history and what you can comfortably tolerate, with rest breaks built in.
Eye-movement control
Video-based recording of tracking, quick eye jumps and fixation stability.
Convergence and near focus
How well your eyes team together for reading distance, and how quickly that fatigues.
Visual-vestibular integration
How vision and balance work together during head movement and in busy visual scenes.
Processing speed and attention
Computerized reaction-time, attention and working-memory tasks, alone and with movement.
Symptom provocation
Which visual tasks bring on symptoms, and how quickly you recover.
Referral screening
Signs that you would benefit from a neuro-optometry, ophthalmology or neuropsychology evaluation.
Our assessments guide rehabilitation and don't replace medical diagnosis. More about our testing
How care will work
Depending on what we find, your program may include eye-movement and eye-teaming exercises, visual-vestibular integration, dual-task training that combines thinking with movement, and gradually increasing cognitive and screen load. We also help with practical strategies for work and school, such as screen settings, pacing and breaks.
We work alongside eye-care and neuropsychology specialists. Our testing does not replace a comprehensive eye exam, and we'll refer you when something needs their care.
Intensive program
Several shorter sessions per day, with planned rest, over a block of consecutive days. Designed for people traveling in or who want focused care in less time.
Outpatient program
Regular visits over several weeks with a home program in between. A good fit if you live nearby or prefer a gentler pace.
What to expect
- Before your visitWe review your records and prior testing, then talk on a short fit call so you know whether we're a good match before you book.
- EvaluationAn in-depth neurological exam and objective testing, paced to your tolerance.
- Report of findingsA plain-language explanation of what we found and what we recommend, with a written summary.
- Your programIntensive or outpatient rehabilitation, dosed and progressed as you respond.
- Re-test & home planWe repeat key measures to check progress and send you home with a program you can keep using.
We track eye-movement and processing measures over time, alongside practical goals like reading for longer, tolerating a workday on screens or getting through a busy store.
When to seek urgent care
Seek urgent care for sudden vision loss, sudden double vision, a curtain or shadow over your vision, new confusion, or vision changes with weakness, numbness or trouble speaking. If you think you are having a medical emergency, call 911.
This page is educational and is not medical advice. Please talk with your physician about your symptoms. We work alongside your medical team and never ask you to stop medications or replace medical care.
Frequently asked questions
Do you replace an eye exam?
No. A comprehensive eye exam checks eye health and prescription, which we don't do. We look at how the eyes and brain work together for movement, tracking and processing, and we coordinate with eye-care specialists.
What is convergence insufficiency?
It is difficulty turning both eyes inward and keeping them aligned for near work. It can cause eye strain, double or blurred vision, headaches and trouble concentrating while reading, and it is a recognized issue after concussion.
Can this help brain fog?
Brain fog has many possible contributors, including visual effort, sleep, autonomic regulation and inflammation. We look for which ones apply to you. We can't promise it will resolve, but measuring the systems involved gives a clearer plan.
Do you help students?
Yes. We plan to see students with a parent or guardian involved and can provide documentation to support school accommodations where appropriate.
Is this the same as vision therapy?
There is overlap. Our focus is on how visual function connects with balance, autonomic and cognitive systems, and we work alongside optometrists who provide vision therapy.
Be first to know when we open
We're opening fall 2027. Join the waitlist to hear our location first, get early scheduling access and receive free education about visual & cognitive processing.
Look closer. Recover forward.
Related conditions
Many people have more than one of these. We look at how the systems interact.
Concussion & TBI
Headaches, fog, light sensitivity or dizziness that linger months or years after a concussion or mild TBI.
Dizziness & vertigo
Chronic dizziness, imbalance, motion sensitivity, PPPD, or vertigo that keeps coming back.
Long COVID & post-viral
Fog, dizziness, heart-rate changes and exhaustion that began after COVID-19 or another viral illness.
Selected research
These sources describe the conditions and rehabilitation principles discussed on this page. They are not studies of our clinic, which is not yet open.
- Master CL, et al. Vision diagnoses are common after concussion in adolescents. Clin Pediatr. 2016;55(3):260-267. doi.org/10.1177/0009922815594367 (opens in a new tab)
- Patricios JS, Schneider KJ, et al. Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport, Amsterdam, October 2022. Br J Sports Med. 2023;57(11):695-711. doi.org/10.1136/bjsports-2023-106898 (opens in a new tab)