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Practice Name

elemental eyecare

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Primary Location
2736 NW Crossing Drive, Ste. 120
Bend, OR 97703
Phone: (541) 323-3937
Fax: (541) 323-3938

Office Hours

DayMorningAfternoon
Monday9-1212-6
Tuesday9-1212-5
Wednesday9-1212-6
Thursday9-1212-6
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SaturdayBy Appt.Closed
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Frequently Asked Questions

Do you offer payment plans?

We do not manage payments through our office however, we have partnered with Care Credit Healthcare Financing to provide you with an excellent financing option. Information can be obtained at their website: www.carecredit.com and we are happy to assist you in this process. Please ask one of us for information on this option. If you are unable to pay for the services we recommend, please call and ask us about some of the wonderful service organizations that we accept referrals from.


Do you provide childcare for siblings?

Currently we do not. However, we have a very comfortable office with lots of toys, games and activities for children. We also have a changing table in our restroom and a safe environment that is toddler friendly. Although we are such a fun office, we do recommend that if you wish to bring additional children with you to your child's examination, you may not be able to watch the examination as our exam rooms are very small. Bringing additional children to visits like therapy or progress evaluations is fine, as you will be able to stay with them in the play area.


Do you test for Dyslexia?

We do not test for dyslexia because it is a language processing disorder and we refer to speech language specialists for the testing.  Also, components of dyslexia testing are visual and if your child has an underlying visual efficiency or processing issue, we do not know for sure what is causing the concerns. We recommend that a child complete therapy first and if there are still some issues, we can refer for dyslexia testing if you wish.


How do I get reimbursed from my insurance?

After your visit, we will send in the bill to your insurance company, if possible.   If they pay us any amount we will promptly refund you that amount.  The amount they reimburse depends on your plan. You will need to call your insurance company and ask them what this will be if you want to know ahead of time. We cannot be responsible for knowing what all the various plans cover and are not responsible if they do not pay.

Below is a list of over 100 research articles that support vision therapy.  If you require documentation defending the proposed treatment for your child, feel free to print this list and present it to your insurance company for review.  we are also happy to supply you with copies of some of the research we may have on hand.

1.)  A Joint Organizational Policy Statement of The American Academy of Optometry and the American Optometric Association. Vision Therapy: Information for Health Care and Other Allied Professionals. 1999.
2.)  A Joint Organizational Policy Statement of the American Academy of Optometry and the American Optometric Association. Vision, Learning, and Dyslexia. 1997.
3.)  American Academy of Pediatrics, American Association for Pediatric Opthalmology and Strabismus, American Academy of Opthalmology. Position statement on learning disabilities, dyslexia, add/adhd and vision. Pediatrics, 90(1):124-125, 1992.
4.)  American Optometric Association. Definition of optometric vision therapy, St. Louis, MO, June 1991.
5.)  American Optometric Association. Fact sheets on optometric vision therapy, St. Louis, MO, June 1992.
6.)  Atzmon, D., Nemet, P., Ishay, A., Karni, E.: A Randomized Prospective Masked and Matched Comparative Study of Orthoptic Treatment Versus Conventional Reading Tutoring Treatment for Reading Disabilities in 62 Children. Binocular Vision and Eye Muscle Surgery Quarterly, 1993, pages 91-106.
7.)  Birnbaum, M.H., Soden, R., Cohen, A.H.: Efficacy of vision therapy for convergence insufficiency in an adult male population. Journal of the American Optometric Association, 1999, pages 225-232.
8.)  Boden C, Brodeur D. Visual processing of verbal and nonverbal stimuli in adolescents with reading disabilities. Journal of Learning Disabilities 32 (1): 58-71, 1999.
9.)  Borsting E., Rouse M.W., et al. Association of Symptoms and Convergence and Accommodative Insufficiency in School-Age Children. Optometry 2003 Jan;74(1):25-34.
10.)  Borsting E., Rouse M.W., Mitchell G.L., Scheiman M., Cotter S.A., Cooper J., Kulp M.T., London R., and The Convergence Insufficiency Treatment Trial Group. Validity and Reliability of the Revised Convergence Insufficiency Symptom Survey in Children Aged 9 to 18 Years. Optom Vis Sci; 80(12):832-838, 2003.
11.)  Borsting E, Rouse M, Chu R. Measuring ADHD behaviors in children with symptomatic accommodative dysfunction or convergence insufficiency: a preliminary study. Optometry. 2005 Oct;76(10):588-92.
12.)  Bowan M. Learning disabilities, dyslexia, and vision: a subject review: A rebuttal, literature review and commentary. Optometry 73 (9): 553-575, 2002.
13.)  Brodney A.C., Pozil R., Mallinson K., Kehoe P. Vision Therapy in a School Setting. Journal of Behavioral Optometry,12(4):99-103, 2001.
14.)  Buzzelli, A.R.: Stereopsis, accommodative and vergence facility: do they relate to dyslexia? Optometry and Visual Science, 1991, pages 842-846.
15.)  Bowan MD. Learning disabilities, dyslexia, and vision: a subject review. Optometry 2002; 73:553-75.
16.)  Caloroso EE. A sequential strategy for achieving functional binocularity in strabismus. J Amer Optom Assoc, 50(5): 378, 1998.
17.)  Caloroso EE, Rouse MW, Cotter SA. Clinical management of strabismus. Boston: Butterworth-Heinemann, 1993.
18.)  Carniglia P., Cooper J. Vergence Adaptation in Esotropia. Opt Vis Sci, 69 (4): 308-313, 1992.
19.)  Ciuffreda KJ, Levi DM, Selenow A. Amblyopia: basic and clinical aspects. Boston: Butterworth-Heinemann, 1991.
20.) 
Ciuffreda, Kenneth J. The Scientific Basis for and Efficacy of Optometric Vision Therapy in Nonstrabismic Accommodative and Vergence Ddisorders. Optometry 2002; 73:735-62.
21.)  Clinical Pediatric Optometry (LJ Press, B Moore, published by Butterworth-Heinemann, 1993).
22.)  Coffey B, Wick B, et. al. Treatment options in intermittent exotropia: A critical appraisal. Optom & Vis Sci, 69(5): 386-404, 1992.
23.)  Cohen AH. Optometric management of binocular dysfunctions secondary to head trauma: case reports. Journal of the American Optometric Association, August; 63(8): 569-575, 1992.
24.)  Convergence Insufficiency Treatment Trial Study Group. Randomized Clinical Trial of Treatments for Symptomatic Convergence Insufficiency in Children. Archives of Ophthalmology; Vol 126 (No 10): 1336-1349 , Oct 2008.
25.)  Cooper, J. Ch. 14: Stereopsis. In Procedures in Optometry. Eds. Amos J., Eskridge B. Bartlett Lippencott, 1991.
26.)  Cooper, J. Clinical Implications of Vergence Adaptation. Opt Vis Sci, 69 (4): 300-307, 1992.
27.)  Cooper J. Diagnosis and Treatment of Accommodative and Vergence Anomalies Using Computerized Vision Therapy. Practical Optometry. 9:6-10, 1998.
28.)  Cooper J. Intermittent Exotropia of the Divergence Excess Type - A View Point Journal of Behavioral Optometry, 1997.
29.)  Cooper, Jeffrey. Summary of Research on the Efficacy of Vision Therapy for Specific Visual Dysfunctions. Adapted from The Journal of Behavioral Optometry 1998; 9(5):115-119.
30.)  Cooper J., Burns C., Cotter S., Daum K.M., Griffin JR, Scheiman M. Optometric Clinical Guideline: Care of the Patient With Accommodative or Vergence Dysfunction. Am. Optom. Ass. 1998.
31.)  Cooper J., Ciuffreda K.J., Carniglia P.E., Zinn K.M., Tannen B. Orthoptic Treatment and Eye Movement Recordings in Guillain-Barreí Syndrome. A case report. Neuro-ophthalmology 15(5):249-256, 1995.
32.)  Cooper J., Feldman J., Eichler R. Relative Strength of Central and Peripheral Fusion as a Function of Stimulus Parameters. Opt. Vis Sci, 69: 1992.
33.)  Cooper J., Feldman J., Pasner K. Intermittent Exotropia: Stimulus Characteristics Affect Tests for Retinal Correspondence and Suppression. Bin Vis & Eye Mus Qtly. 15(2):131-140, 2000
34.)  Cooper J., Medow N. Correspondence: Sensory Status in Intermittent Exotropia. Bin Vis Eye Mus Surg Qtly. 9:11-12, 1994.
35.)  Cooper, J., Medow, N.: Intermittent exotropia basic and divergence excess type. Binocular Vision & Eye Muscle Surgery Quarterly, 1993, pages 185-216.
36.)  Cooper J., Medow N. Intermittent Exotropia of the Divergence Excess Type: Basic and Divergence Excess Type (Major Review). Bin Vis Eye Mus Surg Qtly 8:187-222, 1993.
37.)  Cooper J., Pollack G., Ciuffreda K., Kruger, Feldman J. Accommodative and Vergence Findings in Myasthenia Gravis: A Case Report. Journal Neuro-Ophthalmology. 20(1): 5-11, 2000.
38.)  Cotter S.A. Conventional therapy for amblyopia. In: Problems in Optometry, RP Rutstein (ed), 3(2): 312, 1991.
39.)  Developmental & Perceptual Assessment of Learning-Disabled ChildrenÜ(S Groffman and HA Solan, published by Optometric Extension Program, 1994.
40.)  Donmoyer R. Kos. At-risk students: portraits, policies, programs, and practices. Albany, NY: State University of New York Press, 1993.
41.)  Eden GF, Stein JF, Wood HM, Wood, FB. Differences in eye movement and reading problems in dyslexic and normal children. Vision Research 34 (10): 1345-1358, 1994.
42.)  Eden G, Stein J, Wood M, Wood F. Verbal and visual problems in reading disability. Journal of Learning Disabilities 28 (5): 272-290. 1995.
43.)  Farrar, R., Call, M., Maples, W.C., A comparison of the visual symptoms between ADD/ADHD and normal children. Optometry, 2001, pages 441-451.
44.)  Feldman J.M., Cooper J., Eichler R. Effect of Various Stimulus Parameters on Fusional Horizontal Amplitudes in Normal Humans. Bin Vis Eye Mus Surg Qtly 1993, 8:23-32.
45.)  Feldman J., Cooper J., Reinstein F., Swiatoca J. Asthenopia Induced by Computer-Generated Fusional Vergence Targets. Opt Vis Sci, 69: 710-716, 1992.
46.)  Ficarra A.P., Berman J.B., Rosenfield M., Portello J.K. Vision training: predictive factors for success in visual therapy for patients with convergence excess. J Optom Vision Dev 27, 1996, (4): 213-219.
47.)  Fischer B., Hartnegg K., "Effect of Visual Training on Saccade Control in Dyslexia." Perception, 2000, 29(5):531-542.
48.)  Gallaway, M., Scheiman, M.: The efficacy of vision therapy for convergence excess. Journal of the American Optometric Association, 1997, pages 81-85.
49.)  Garriott RS, Heyman CL, Rouse MW. Role of optometric vision therapy for surgically treated strabismus patients. Optometry and Vision Science, April;74(4): 179-184, 1997.
50.)  Granet D.B., Gomi C.F., Ventura R., Miller-Scholte A. The Relationship between Convergence Insufficiency and ADHD. Strabismus 2005 Dec;13(4):163-8.
51.)  Greenstein T. Identification of children with vision problems that interfere with learning. In T. Greenstein, Vision and learning disability. American Optometric Association, St. Louis, 1976, p. 95-114.
52.)  Grisham, J.D., Bowman, M.C., Owyang, A., Chan, C.L.: Vergence orthoptics: validity and persistence of the training effect. Optometry and Vision Science, 1991, pages 441-451.
53.)  Grisham D, Sheppard M, Tran W. Visual symptoms and reading performance. Optometry and Vision Science 70 (5): 384-391, 1993.
54.)  Harris P. Learning-related visual problems in Baltimore City: A Long-Term Program. Journal of Optometric Vision Development 33 (2): 75-115, 2002.
55.)  Hayes G.J., Cohen B.E., Rouse M.W., De Land P.N. Normative values for the nearpoint of convergence of elementary schoolchildren. Optom Vis Sci, 1998, Jul;75(7):506-12.
56.)  Jenkins R.H. Characteristics and Diagnosis of Convergence Insufficiency. American Orthoptic Journal, 1999, 49:7-11.
57.)  Johnson R., Zaba J. Examining the link between vision and literacy. Journal of Behavioral Optometry, 1994; 5(2): 41-43.
58.)  Johnson RA, Zaba JN. The visual screening of adjudicated adolescents. Journal of Behavioral Optometry 10 (1): 13-17, 1999.
59.)  Johnson R., Zaba J. Vision screening of at-risk college students. Journal of Behavioral Optometry, 1995; 6(3): 62-65.
60.)  Keech, R.V. Symposium: Near Vision and Reading Disorders. American Orthoptic Journal, 1999, 49:1-47.
61.)  Koskela PU, Mikkola T, Laatikainen L. Permanent results of pleoptic treatment. ACTA Ophthalmologica, 69: 39-44, 1991.
62.)  Krumholtz I., FitzGerald D. Efficacy of treatment modalities in refractive amblyopia. Journal of the American Optometric Association, 1999, June; 70(6): 399-404.
63.)  Kulp MT, Schmidt PP. Effect of oculomotor and other visual skills on reading performance: a literature review. Optometry and Vision Science, April;73(4): 283-292, 1996.
64.)  Kushner Burton J. The Treatment of Convergence Insufficiency. Archives of Ophthalmology 2005, 123:100-101.
65.)  Lazarus SM, The Use of Yoked Base-Up and Base-In Prism for Reducing Eye Strain At the Computer. J Am Optom Assoc, 1996(67) 204-208.
66.)  Learning about Learning Disabilities, 2nd ed.(edited by B Wong, published by Academic Press in 1998).
67.)  Lee, R. Active Vision Therapy on an Adult Strabismic Amblyope. Journal of Behavioral Optometry, 1999, 10(5).
68.)  Leslie S., Optometric Management of Persistent Streff Syndrome with Vertical Yoked Prisms. Behav Aspects Vision Care, 2001 (42) #1 33-42.
69.)  Luu CD, Green JF, Abel L. Vertical fixation disparity curve and the effects of vergence training in a normal young adult population. Optom Vis Sci, 2000, 77: 663-69.
70.)  Maples WC. Visual factors that significantly impact academic performance. Optometry 2003; 4:35-49.
71.)  McKane F, et al. A comparison of auditory/ language therapy with school visual support procedures in a public school setting. Journal of Optometric Vision Development 32 (2): 83-92, 2001.
72.)  Munoz DP, Armstrong IT, Hampton KA and Moore KD, "Altered Control of Visual Fixation and Saccadic Eye Movements in Attention-Deficit Hyperactivity Disorder." J Neurophysiol, 2003 (90): 503-514.
73.)  North RV, Henson DB. The effect of orthoptic treatment upon the vergence adaptation mechanism. Optom Vis Sci, 1992, 69:294-9.
74.)  Optometric clinical practice guideline: care of the patient with accommodative and vergence dysfunction. St. Louis: American Optometric Association, 1998.
75.)  Optometric Management of Learning-Related Vision Problems (Scheiman and Rouse, published by Mosby in 1994).
76.)  Optometric Management of Reading DysfunctionÜ(JR Griffin, GN Christenson, MD Wesson, GB Erickson, published by Butterworth-Heinemann in 1997).
77.)  Orfield A, Basa F, Yun J. Vision problems of children in poverty in an urban school clinic: Their epidemic numbers, impact on learning, and approaches to remediation. Journal of Optometric Vision Development 32 (3): 114- 141, 2001.
78.)  Petrunak JL. "The treatment of convergence insufficiency." American Orthoptic Journal, 1999, 49:12-16.
79.)  Press, L.J.: The interface between ophthalmology and optometric vision therapy. Binocular Vision and Strabismus Quarterly, 2002, pages 6-11.
80.)  Press L. Applied concepts in vision therapy. St. Louis: Mosby, 1997.
81.)  Pritchard C, Ellis GS. "Management of intermittent exotropia: For non-surgical therapy." Am Orthoptic J, 48: 21-24, 1998.
82.)  Repka MX, Kraker RT, Beck RW, Cotter SA, Holmes JM, Arnold RW, Astle WF, Sala NA, Tien DR, Pediatric Eye Disease Investigator Group: Monocular oral reading performance after amblyopia treatment in children.  Am J Ophthalmol  146: 942-7, 2008  
83.)  Rounds B.B., Manley CW, Norris RH "The effect of oculomotor training on reading efficiency." J Amer Optom Assoc, 1991 (62): 92-97
84.)  Rouse M.W., Borsting E, Hyman L, Hussein M, Cotter SA, Flynn M, Scheiman M, Gallaway M, De Land PN, Frequency of Convergence Insufficiency Among Fifth and Sixth Graders. The Convergence Insufficiency and Reading Study (CIRS) group. Optom Vis Sci, 1999 Sep;76(9):643-9.
85.)  Rouse M.W., Hyman L, Hussein M, Solan H. "Frequency of convergence insufficiency in optometry clinic settings. Convergence Insufficiency and Reading Study (CIRS) Group." Optom Vis Sci, 1998 Feb;75(2):88-96.
86.)  Rustein R.P. Alternative treatment for amblyopia. In: Problems in Optometry, RP Rustein (ed), 3(2): 331, 1991.
87.)  Rustein R.P., Fuhr PS. Efficacy and stability of amblyopia therapy. Optom Vis Sci, 69:747-54, 1992.
88.)  Scheiman M, Cooper J, Mitchell L, DeLand P, Cotter S, Borsting E, London R, Rouse M. A Survey of Treatment Modalities for Convergence Insufficiency. Optom. Vis. Sci. 79(3):151-157, 2002.
89.)  Scheiman M, Mitchell L, Cotter S, Cooper J, Kulp M, Rouse M, Borsting E, London R, Wensveen J, Convergence Insufficiency Treatment Trial (CITT) Study Group. A Randomized Clinical Trial of Treatments for Convergence Insufficiency in Children (Archives of Ophthalmology - Jan 2005).
90.)  Scheiman, M. and others. Vision characteristics of individuals identified as Irlen Filter candidates. Journal of the American Optometric Association, 1990, 61:600-605.
91.)  Scheiman M, Wick B. Clinical management of binocular vision: heterophoric, accommodative, and eye movement disorders. Philadelphia: Lippincott, 1994.
92.)  Shorter AD, Hatch SW. Vision therapy for convergence excess. N Engl J Optom, 45(2): 51-53, 1993.
93.)  Sigler G, Wylie T. The effect of vision therapy on reading rate: A pilot study. Journal of Behavioral Optometry 5 (4): 99-102, 1994.
94.)  Solan, H.A., In support of Vision Therapy. Review of Ophthalmology, 1998, March: 44-45.
95.)  Solan H.A. Learning disabilities, Chapter 21. In AA Rosenbloom and MW Morgan, Principles and Practice of Pediatric Optometry. JB Lippincott, Philadelphia, 1990; p. 486.
96.)  Solan, H.A., Ficarra, A.P. A study of perceptual and verbal skills of disabled readers in grades 4, 5, and 6 Journal of the American Optometric Association, 1990, pages 628-634.
97.)  Solan, H.A., Ficarra, A.P., Brannan, J.R., Rucker, F. Eye movement efficiency in normal and reading disabled elementary school children: Effects of varying luminance and wavelength. Journal of the American Optometric Association, 1998, pages 455-464.
98.)  Solan, H.A., Larson, S., Shelley-Tremblay, J., et al. Role of visual attention in cognitive control of oculomotor readiness in students with reading disabilities. Journal of Learning Disabilities, 2001, pages 107-118.
99.)  Stavis M., Murray M., Jenkins P., Wood R., Brenham B., Jass J. ?Objective improvement from base-in prisms for reading discomfort associated with mini-convergence insufficiency type exophoria in school children. Binocul Vis Strabismus Q, 2002 Summer;17(2):135-42.
100.)  Sterner B, Abrahamsson M, Sjostrom A. Accommodative facility training with a long term follow up in a sample of school aged children showing accommodative dysfunction. Doc Ophthalmol 99:93-101, 1999.
101.)  Streff JW, Poynter HL, Jinks B, Wolff B. Changes in achievement scores as a result of a joint optometry and education intervention program. Journal of the American Optometric Association 61 (6): 475-81, 1990.
102.)  Swanson M. At-risk students in elementary education: effective schools for disadvantaged learners. Springfield, IL; Charles C. Thomas Publishers, 1991.
103.)  Taylor Kulp M. Relationship between visual motor integration skill and academic performance in kindergarten through third grade. Optometry and Vision Science 76 (3): 159-163, 1999.
104.)  Taylor Kulp M, Edwards K, Mitchell L. Is visual memory predictive of below-average academic achievement in second through fourth graders? Optometry and Vision Science 79 (7): 431-434, 2002.
105.)  Taylor Kulp M, Schmidt P. Effect of oculomotor and other visual skills on reading performance: A literature review. Optometry and Vision Science 73 (4): 283-292, 1996.
106.)  Taylor Kulp M, Schmidt P. The relation of clinical saccadic eye movement testing to reading in kindergartners and first graders. Optometry and Vision Science 74 (1): 37-42, 1997.
107.)  Taylor Kulp M, Schmidt P. Visual predictors of reading performance in kindergarten and first grade children. Optometry and Vision Science, 73(4): 255-262, 1996.
108.)   Tong, D. Treatment of Intermittent Esotropia Incorporating Peripheral Awareness Training. Journal of Behavioral Optometry, 10(5), 1999.
109.)  Vision and ReadingÜ(edited by RP Garzia, published by Mosby in 1996).
110.)  Weissberg E., Lyons S.A., Richman JE Fixation Dysfunction With Intermittent Saccadic Intrusions Managed by Yoked Prisms: A Case Report. Optometry, 2000, (71) #3 183-188.
111.)  Wick B, Wingard M, et al. Anisometropic amblyopia: is the patient ever too old to treat? Optom Vis Sci, 1992, 69:866-78.
112.)  Young B, Collier-Gary K, Schwing S. Visual factors: A primary cause of failure in beginning reading. Journal of Optometric Vision Development, 32 (1): 58-71, 1994.


How do I know if I'm getting good quality eye glasses for my child?

There are lots of places to purchase eye glasses these days. You can even buy them on the internet. Lenses change the way we view the world. Have you ever looked through a warped lens or an old window pane that has sagged? It changes the way things look. Improperly fit or poor quality eye glasses can cause the same effect, sometimes so slightly that you can't perceive a difference. Your vision may look better with the glasses just because things are clearer, but they may not be accurate. This may not be a problem for some adults, but in a young child, who has a visual system that is still developing, it can cause havoc. The only way you know is to find an office or optical that you trust and has a good reputation for good quality and accuracy. You also can have your glasses double checked by the doctor that prescribed them for you.

Safety is also an important issue with children's glasses. The lens material that has been used for ages is polycarbonate. It is the "safety lens". Although poly is safe, it has inferior optics. There is a newer material that is usually just as safe as polycarbonate and offers much better optics. This material is called Trivex. We recommend this material whenever possible for children. Be sure to ask your optician to specify the type of "safety lens" as lots of places default to polycarbonate.  You will want to make sure it is a good quality polycarbonate or ask for Trivex.


How does vision therapy work?

Vision therapy is designed specifically to treat the patient's needs. Most treatment plans consist of 1 hour weekly sessions in the office directly with our vision therapist. In addition to this, we prescribe home therapy activities that vary with the child's abilities and amount of time parents have to spend. Some children need or want to do more and some need to do less. Every 8 weeks, Dr. Marshall will perform a progress report to assess how things are going. At this visit, all of the child's skills will be assessed and any changes needed in the treatment plan will be made. Most treatment plans take 10 to 12 months.

The type of vision therapy that we do retrains the brain. It involves integrating all of the senses to strengthen the visual processing. This can take a long time with some children. We do this by using activities that challenge current concepts and imbed the 25 vital skills that are necessary for efficient visual function. Over 90% of the brain is used in vision. During our therapy, we stimulate all the different areas that are necessary for development with the long term goal of perfect visual function that will last a lifetime.

There are many resources available on the internet that teach about vision therapy. Please visit our Links listing to visit these websites.


How often should my child be examined?

Every year after age 3 if all is normal. There are some instances where we may want to see your child more frequently and this will be discussed at your visit. A child's visual system changes rapidly as they grow and you may even want to bring them in more frequently if they are complaining or you notice something. 


How young can you examine a child?

The American Optometric Association recommends all children be examined at 6-9 months of age. It is also recommended sooner if there are signs of eye problems like an eye turning in, unequal red reflexes in photos, drooping eye lids, excessive redness or any other concerns. We love to examine babies and encourage it.
 


How young do you fit contact lenses?

Contact lenses can be fit on children as young as 6 months of age. This is very rare but is sometimes necessary for good binocular development. In cases where the child is unable to insert and remove the lenses, a parent is taught these skills. As soon as a child is ready emotionally and is motivated to be responsible enough to wear contacts, we can fit them. We always perform a free in-office-test-drive with contacts to make sure it is something they wish to do. Most children are ready around age 10, but some wish to wait and others are ready earlier. Contact lens fitting needs to be something that the child, the parents, and the doctor are all ready to do.


My child comes to you, why can't I?

Elemental Eyecare is a practice that is focused on providing children with the special care that they need. We do not want to deny anyone the care that they need and we also want to serve our community. Therefore, we will see anyone who will benefit from our services, even adults.  So yes, you can come to us.  :)


My child does not need glasses, what else do you test for?

In addition to checking for good eye health and for glasses and contacts, we also perform a function vision evaluation. Included in a comprehensive examination is a check for binocularity (using the eyes together and having the brain process the images with the correct area), eye tracking/teaming, focusing and appropriate eye posturing. If there are concerns in these areas or if additional testing is appropriate, we also test for visual processing, laterality, motor skills, auditory skills, spatial awareness and memory in our developmental work up. This work up also includes a computerized eye tracking evaluation. Seeing 20/20 is sometimes not enough and we go beyond that.


My child was screened for vision at school. Is this enough?

No. While school screenings check for distance vision and sometimes near, they do not evaluated your child's eye health, binocularity and perception. It is very important to have a comprehensive evaluation done by a doctor and more specifically a doctor that specializes in children.


Who needs or benefits from vision therapy?

Vision therapy is available to anyone who suffers from eye fatigue or pain, headaches, vision related learning disabilities, poor eye-hand coordination, double vision, blurry vision not corrected with glasses, computer vision syndrome, or anyone who just wants to improve their overall visual efficiency. Children who have been diagnosed with ADD/ADHD or dyslexia, labeled as slow learners, lazy or who just aren't performing up to their potential will often benefit from VT. Vision therapy is also very effective for children who have a strabismus (eye turn) or amblyopia (lazy eye).


Why don't you contract with all insurance plans?

We have chosen to focus most of our time on patient care and education. The insurance business has gotten very complicated and in order to be useful to you we would have to take time and resources away from the quality services we provide to learn about your plan and communicate with your insurance company.   However, we are very motivated to do whatever we can to help you obtain maximum reimbursement from your insurance company.  We do have a billing specialist that is available to research the best way to obtain out of network coverage and help you with the paperwork.  We are happy to bill your insurance company on your behalf (which means we will send in the bill) and process the payment.   We may ask that you pay for your visit up front even though we are billing for you.  If we do collect and your insurance company still pays us, we will refund you promptly.  Please check our services/professional fees page to see more information about which plans we do contract with.  Please call us and ask about Network Waivers since we are a specialty office.

2736 NW Crossing Drive, Ste. 120
Bend, OR 97703

(541) 323-3937

Fax: (541) 323-3938

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