Skip to main content
Bright Eyes Family Vision Care in New Tampa FL
Bright Eyes Kids in Westchase Fl

2 locations, 1 phone number
New Tampa & Westchase

Home »

Vivid Vision

Podcast #9: Vivid Vision with James Blaha

Welcome to The Bright Eyes Podcast: Advice for Healthy Vision for All Ages. Your hosts are Dr. Nate Bonilla-Warford & Dr. Beth Knighton, residency-trained optometrist that provide eye exams for glasses and contacts, and specialty services including vision therapy, myopia control, orthokeratology, and sports vision training. Their mission to empower patients by providing the best in friendly, professional, and individualized eye care.

In this episode, Dr. Nate talks with James Blaha From Vivid Vision about virtual reality vision therapy.

** See the related blog post of previous text interview with James Blaha.

** See the related episode about how vision and performance – #3 VISION LEADS.

** See the related episode with Edna Moore – #8 VISION THERAPY.

The Full transcript:

Intro: 00:01 Welcome to the bright eyes podcast advise for healthy vision for all ages. Your hosts are Dr. Nate Bonilla- Warford and Dr. Beth Knighton residency trained optometrist providing eye care to all ages with exams for glasses and contacts and specialty services including vision therapy, Myopia control, Ortho-keratology, and sports vision training. Their mission is to empower patients by providing the best in friendly, professional and individualized care.

James: 00:39 It’s march and so that means it’s fall in Florida when all the leaves and pollen make everyone miserable. This is the bright eyes podcast. This is episode number nine. I’m Dr Nate Bonilla- Warford, Dr. Beth is away, and I have a special guest with me, James Blaha. Vivid vision. How are you doing, James?

James: 00:59 I’m good. Thanks for having me on.

Dr. Nate: 01:01 Yeah, well I’ve, uh, I’m excited about doing this. We’ve talked many times over the last few years and I had wanted to have you as a guest on our podcast for a while and so, I’m glad that it worked out. So for listeners who don’t know, vision therapy is a program of treatment to help people who have certain types of functional visual problems that can be an eye movement problem, an eye focusing problem, an eye alignment problem, or other kinds of problems. There are many different strategies in many different ways that vision therapy can be performed, but vivid vision is a way to apply those same principles in a virtual reality environment. And that is the product of years of work that James had done. Now, the interesting thing about this is that James is not an optometrist. What is your background?

Vivid Vision Logo With CircleJames: 02:01 I’m I’m a programmer and an entrepreneur, um, but I also grew up with Amblyopia and Strabismus. So I got Interested in all of this from my own personal perspective going through treatment as a kid and later as an adult reading about it.

Dr. Nate: 02:16 Yeah. Which I think is fascinating. So when you were first developing this, it was nowhere near the level that it is now in terms of features and sophistication. What was the first kind of prototype like?

James: 02:32 Yeah. So when I, when I first started building it, I guess I was kind of a naïve as to what the complexities of all this would actually be like. I thought it would be a lot simpler than it actually is. The first version I had a cube in VR (Virtual Reality) and basically I can use the arrows on my keyboard to make it brighter and my weak eye in dimmer in my strong, and I would make an adjustment until I could see parts of the cube with my weak eye. So that was sort of our first, the first test we made. And that was basically a rough estimate of suppression of the weaker eye first game I had, it was actually a version of what’s now Breaker, which is like a breakout style game, but in 3D in VR where you use paddles to hit a ball to destroy bricks on the other side of a marina. So the very first version we would take a measurement of the suppression using the first tool and then we would set up the game so the bricks were brighter and the weak eye and dimmer in the strong eye according to that measurement, and that was about four years ago, I guess

Dr. Nate: 03:35 Four years ago and a lot in four years. So for patients who might be listening with the features and the current state of the virtual reality treatment, a vivid vision in particular who would be a candidate?

James: 03:50 You would probably be able to answer that even better than that I could, you know. But in general Amblyopia, Strabismus, although with Strabismus it can be complicated and it really depends on the case I think. And also convergence problems and divergence problems. We’ve seen the most success with refractive Amblyopia. That seems to be easiest to treat.

Dr. Nate: 04:15 Yeah. Well, I agree with that. In our office, uh, we use it for people who have Amblyopia, which commonly is called a lazy eye by people. People also use the term lazy eye to mean Strabismus, where the eyes aren’t necessarily aligned all the time, or maybe not, some of the time. Those conditions result in a condition called suppression where one, it sort of takes over, dominates the other one, is dominant and less dominant eye. And so the whole point of this virtual reality treatment is to stimulate the eye that suppressed, to get the eyes to work together in a very, very engaging in immersive way. Uh, what we see in the clinic is that it works extremely well, it’s very very effective. But also it’s, very fun.

James: 05:01 Yeah. The motivation part of it is sort of one of the missing parts of other treatments. It’s a lot easier to do the actual therapy time and I think the therapy times more effective when people want to do it and are engaged in it as well.

Dr. Nate: 05:17 Yeah, I think that that’s true kind of across the board. If it’s more engaging, if it’s more interesting the brain’s gonna learn faster and make better use of that information and so we try to do that as much as possible, but few things are has engaging has a virtual reality video games, I think we’re gonna see a lot more of in different contexts. And I’m excited to be able to be able to offer it. Now we’ve had some tremendous success stories, people who’ve improved dramatically in terms of how clear they can see with their Amblyopia eye. We’ve had patients who formerly didn’t see in 3D, but then we’re able to develop their depth perception. I would imagine that you’ve heard just a huge number of wide variety of success stories all over the country and all over the world. Do you have maybe like a couple of, like a favorite case that really you really kinda sticks with you, I guess, aside from your own because your own is pretty compelling?

James: 06:21 Yeah, I’d have to I’d have to think about that a little bit. I think, um, we have heard of cases all over, you know, one of the cases that sort of sticks out in my mind was a guy in his fifties who had a strabismus surgery and following the surgery, he used a vivid vision with an ophthalmologist and actually saw a really big results getting stereo for the first time in his fifties after the surgery. And it sort of surprised the ophthalmologists and um, usually we don’t expect recovery and Strabismus and let that, you know, later in life, but it seems like right after her surgery is the right time to be doing this practice. And so that, that case really interested because um, you know, it could be, uh, something we’re going to study a little more closely in the future whether or not there’s this period after surgery that’s really optimal for, for doing the perceptual training.

Dr. Nate: 07:16 And that’s actually one thing that’s exciting, you know, your team has grown a whole lot since four years ago and now you have a optometrists visual scientists research and so that’ll be, you know, that’s going to be great to see, you know, as we learn more about what the opportunities are and what the results are right now. It’s all so new. It’s exciting but it’ll be even more exciting when we have more data behind it.

James: 07:48 Yeah. I’m working with a number of universities right now. Each group has sort of a specific area they’re looking at in detail. One of the sort of hard things about this is that every patient has has a unique situation going on and so it’s really difficult to study, you know, lazy eye when it’s really a bunch of different things each with their own causes and effects.

Dr. Nate: 08:10 Right. Yeah, absolutely. And I know that the newest update also includes one of the activities that’s beneficial for sports vision, so peripheral vision, reaction time and so, I assume that you are working on more opportunities for treatment as time goes on. I’m sure you have a lot of stuff that kind of in the pipeline that you’re not ready to talk about, but it’s probably super exciting. So, you know, that’s, that’s gotta be really fun to be, you know, this far ahead of something that has so much potential.

James: 08:48 Yeah, I think, um, you know, over the next couple of years, like you said, we’ve been growing and are hoping to grow a little more. Part of that is expanding, researching development and sort of expanding the kinds of things we measure in treat with VR headsets. So sports vision is part of that. We’re doing a little work in low vision as well, and we actually just announced publicly that we’re working on a visual field test. I’m using that headset

Dr. Nate: 09:16 Now, one of the things that’s most exciting, I think, is that the virtual reality VR devices are becoming so common and widespread,at home, everything from kind of higher end oculus rift to like the Samsung gear VR. So the opportunity to be able to do what is extremely sophisticated visual treatment at home is something that I think has been a goal of yours for a long time. And I know that people are interested because we get emails from all over the world. We actually had a family that, lives in Brazil, but they came to Florida to go to Disney world for vacation. But then they took a day off of their Disney world vacation to come to my office to see if they were a candidate for vivid vision. And she is, this young girl had had two different surgeries to align her eyes. And I thought she was an excellent candidate, so they just recently started doing a vivid vision at home in Brazil, which is way more exciting, I think with potential for benefit, than they were able to do a locally before, you know, that’s just one story. And I’m sure that there are many stories like that, that people have access to, you know, to this kind of therapy where they didn’t before. So I think that that’s going to be a wonderful for patients all over.

James: 10:44 Yeah. You know, that’s, um, our original mission was to have some kind of home treatment and then we found out how complicated it is, found out doctors really, really do need to be involved in and make that initial diagnosis and follow-up on the treatment and sort of manage it on and make sure things are going correctly. And so it took us a little longer than we expected to get out the home version and sort of make sure we were doing it correctly. Um, but now that it’s out, you know, we’ve been hearing a lot of stories like that of doctors. I’m managing the treatment of patients who normally wouldn’t have access to a good care.

Dr. Nate: 11:19 Yeah. I think it’s anything, it’s extremely exciting. And I, you know, we talked to you kind of early on and as soon as it was kind of out of the Beta testing stage, we, you know, we implemented in the office and we’ve been very happy with it. Uh, and so, uh, I know that I will see you at some of the, uh, upcoming vision therapy meetings, COVD is a big meeting and that’s, you know, that’s coming up soon. So that’s, you know, that’s exciting. Um, anything else that you’d like to share with patients before wrap this? Wrap this up?

James: 11:55 Yeah, I guess, uh, you know, one of the things that, that really helps companies like us to hear from patients and just sort of here, you know, what people want, what people need, um, those stories really help us figure out what we should prioritize, what we should be working on. So it’s always great to, um, you know, getting, getting an email from somebody or something like that through our website. Just hearing you know, what their problems are and what we can try to figure out what we can do to help fix it.

Dr. Nate: 12:26 Yeah, that’s a great point. I’ll definitely make sure that we include your contact info and the website is seevividly.com

James: 12:26 Yeah, That’s right.

Dr. Nate: 12:38 Yeah, absolutely. All right. Well, I really do appreciate you taking the time to talk to me today and uh, I’m looking forward to editing this, this episode so we can get it up for people to listen to.

James: 12:52 Yeah, very nice talking to you. Thanks for having me on.

Dr. Nate: 12:54 Yes. And to our listeners, thanks for listening. If you have any questions, comments, or suggestions, you can email us at office@brighteyestampa.com. And until next time we’ll see you later.

Outro: 13:05 Brought to you by bright eyes, family, vision, care, and bright eyes kids. Find previous episodes and more detailed information at brighteyetampa.com, creative Commons, copyright attribution, non-commercial use. The only purpose of this podcast is to educate and to inform. It is no substitute for professional care by a doctor experienced in the area you require. This podcast is provided on the understanding that it does not constitute medical or other professional advice or services. Please consult your physician for diagnosis and treatment.

Intro/outro music: Lucas Warford of Three For Silver.

 

VRVT

Dr. Nate meets with USF Pre-Optometry Society

IMG 1845

Last week, Dr. Nate spent an evening at Bright Eyes Kids with the USF Pre-Optometry Professional Society. The event was arranged by the group’s president, Melissa Kontos who also works at Bright Eyes Family.

The group had a great time discussing optometry school, the life of an optometrist, and practice management. They also covered the specialty services of pediatric vision care, vision therapy, myopia control and more. The students had a chance to experience the Vivid Vision Virtual Reality treatment (below).

Dr. Nate has lectured to the USF POPS group for a decade and always finds it to be a fun and rewarding time.

20180307 195837

Dr. Beth and Dr. Nate lecture in Miami

This weekend, Dr. Nate, Dr. Beth and vision therapists took a trip to Miami Beach to attend the 6th Annual Florida COVD Study Group. Dr. Nate is one of the founding members of the group and usually goes each summer to listen, lecture, and discuss the very latest treatments for patients.

The talks were very good. Bob Orsillo, OD spoke about about sports vision enhancement. Dr. John Kuluz from Miami Children’s Neurology Dept spoke about sports-related concussion. Dr. Matthew Kay, South Florida’s leading neuro-ophthalmologist, spoke about double vision.

Dr. Beth and Dr. Nate gave a 2 hour Prezi called “Amblyopia and Strabismus Therapy Treatment with Virtual Reality“. It was an interactive discussion of our use of Vivid Vision, the Oculus Rift-based VR vision therapy tool. It was created to bring immersive new technology to long-standing principles of vision therapy. You can read more about Vivid Vision here.

After hours there was swimming, food and drinks, and more discussion about vision therapy. 🙂

The meeting was sponsored by Eyecarrot. They the company behind, Binovi, the new vision therapy tracking technology that we are using at Bright Eyes.

Here are a few pictures from the meeting:

01 Vivid Vision in action02

2017 Spring Newsletter:New Hours, Sales, Giveaway, Ortho-K, VR & more!

 

Hello, Bright Eyes Patients! Welcome to our first email update of 2017. We have so much to tell you that we’ll get right to it:

Not One But Two Spring Events

Spring EventsSpring has sprung and we have 2 big events coming up! The first is our Spring Eyewear Show on Wednesday, April 26 from 4 to 8pm. This is a trunk show of all the Banana Republic and Smith Optics eyeglasses, including sunglasses. Win a FREE pair of prescription sunglasses from Smith! The second is the Spring Cleaning Sale Monday April 24 through Friday, April 28. The doctors are away at a conference most of the week, but both offices will be open – all eyeglasses and sunglasses on sale! Read more here.

Hours Reminder

Our Westchase office has new hours: Monday, Tuesday and Thursday 9am-5pm. Wednesday is still 12-8pm, Friday 8:30am-4:30pm and Saturday 9am-2pm. See all the details here.

Big News about Ortho-K!

We have been getting more requests than ever about Ortho-K, the overnight contact lenses that allows for clear, glasses-free vision. You might have seen Dr. Nate on the news! You can read about Dr. Nate’s daughter’s own experience with Orthok-K and also read more about the process here. Treehouse Eyes is an office in Washington DC that specializes in myopia control, and they did a story on Dr. Nate’s daughter.

VR Home Therapy is Live

We are one of the first eye doctors to offer Vivid Vision Virtual Reality Vision Therapytreatment for amblyopia and strabismus, but we are now able to offer this treatment as part of a home Vision Therapy program. This is a game-changer for patients both children and adults. If you are interested, call us at 813-792-0637.

Updated Website

You may have noticed that we’ve been hard at work on our website BrightEyesTampa.com, especially pages on Myopia Control, Ortho-k, Vivid Vision and others. Check it out!

Other topics of interest from our blog

We’ve covered some important topics such as Top 10 For Screentime, Women’s Eye Health & Safety Month, Cleaning Your Glasses, The Importance Blue Light, & Eye Color.

Reviews

Finally, we want to say that we are very thankful for all the Yelp and Google reviews. Most people find us through online reviews or word-of-mouth, and as a small business, we appreciate it! If you haven’t left a review, it would mean a lot if you did.

Thanks and have a great spring! 🙂

-Dr. Nate

Bright Eyes Family and Bright Eyes Kids

A custom uploaded image.

Vivid Vision Hom Virtual Reality TherapyGood news! I am thrilled to announce that Bright Eyes Family Vision Care is now offering Vivid Vision Virtual Reality-based vision therapy system for home use. For a year we have offered Vivid Vision in our Bright Eyes Kids clinic in new Tampa and I have been extremely impressed with the benefits of the system. Vivid Vision uses computer-generated virtual reality to deliver the well-established vision therapy treatments for conditions such as strabismus and amblyopia. We have already seen several impressive upgrades to the system. If fact, you may have seen the multiple news segments showcasing the benefits for both children and adults.

Well, after much waiting, I am very excited that Bright Eyes is among the first in the world to offer this ground-breaking treatment at use at home in addition to the office. This will allow for patients to receive virtual reality vision therapy treatment more frequently and more conveniently than before.

gearCurrently, the Vivid Vision Home therapy runs on either the Samsung Gear VR (shown left) or the more expensive Oculus Rift. It will be coming to Google Daydeam and HTC Vive as well.

It should be pointed out that for the patient’s safety, Vivid Vision Home therapy must be performed under the supervision of an eye doctor specially trained in vision therapy. An initial visual evaluation is necessary to determine the correct diagnosis and treatment options. Vivid Vision Home should only be used within the context of a vision therapy program. As with all medical devices, it should be used as instructed. It is possible to over do it!

For more information on Vivid Vision Home, please see their website. To find out if Vivid Vision Home therapy is right for you or a family member call us at 813-792-9637 or fill out a request at the form below.

 

– Dr. Nate

Fox 13’s Dr. Jo Comes to Bright Eyes to Cover Vision Therapy for Amblyopia

I usually go to bed around 9:30pm, so I was surprised when Edna, Bright Eyes Family Vision Care’s head Vision Therapist, texted me at 10:15 pm to say “You are on the news! Turn on Fox 13!”

She was right. The 4 minute video on our vision therapy program was shown that night and it was repeated the next morning. It was seen by lots of people, judging by the phone calls and email afterward.

You might remember that this summer an adult patient, Betsy, and I were interviewed by Bay News 9 about virtual reality therapy for strabismus (mis-aligned eyes). Well, this was essentially a companion piece to that interview. This time the Dr. Jo from Fox 13 News and her camera man came to Bright Eyes Kids to do a story about amblyopia (sometimes called “lazy eye”). It featured a delightful young patient of mine, Ben, and his parents.

You can watch the video below and if you’d like to read the print story and see some pictures, you can go here.

[youtube]kSud8I5uv4A[/youtube]

I love this video. It makes some important points that modern treatment of amblyopia does not involve wearing an eye patch, but rather new technology to teach the eyes how to work together. Not all patients in vision therapy use contact lenses, but that is common in amblyopia treatment, even for young children.

Not only does it cover the subject of amblyopia well, but you can really see the excitement of Ben and his mom. He really has made incredible progress with vision therapy!

It is very rewarding that the media has been interested in our Vivid Vision Virtual Reality Vision Therapy program. It is a wonderfully fun and high-tech application of the principles we use in vision therapy to help children and adults with problems like amblyopia, strabismus and more.

If you are looking for evaluation or treatment of amblyopia, strabismus, or other visual problem for you or your child, request an appointment or call us at (813)-792-0637.

-Dr. Nate

Bright Eyes Family Vision Care and Bright Eyes Kids

Dr. Nate and Betsy Yaros discuss Vivid Vision on Bay News 9

Several weeks ago we mentioned that Dr. Randy Shuck from Bay News 9 interviewed Betsy Yaros and Dr. Nate about Vivid Vision, the Virtual Reality Vision Therapy.

You can watch the whole segment here:

[youtube]YL2T6XVBR6M[/youtube]

Here are the topics that are covered in the interview

  • Betsy discussed the nature of her vision problems. She explains that she was born premature with cross-eyed and required surgeries. Over time her vision got worse. When the eyes don’t work together, people cannot see 3D.
  • Dr. Nate explained that in some cases, such as Betsy’s, eye surgery can actually over-correct the problem and make it worse.
  • VRVTBetsy described some of the experience she had due her vision problem: being unable to read due to headaches, walking into walls, problems with depth perception, challenges with driving.
  • Dr. Nate explains how Vivid Vision applies Virtual Reality experiences to the principles used in vision therapy. In everyday life, each eye sees the world slightly differently and the brain puts the two images together to provide depth perception. In Vision Therapy, we carefully control the image that each eye sees. This is even more precisely controlled by the Occulus Rift VR system.
  • Betsy describes how easy and fun it was to use Vivid Vision and her experience seeing 3D for the first time.
  • Dr. Nate describes that frequently children do not recognize that they do not see the world the way others do and therefore they don’t complain. For this reason, optometrists recommend eye and vision exams and six months of age, 3 years of age, and every year while in school. This will test the visual skills they need to be successful in school, including the how the eyes move, focus, and work together. These skills can be developed through vision therapy, which includes Vivid Vision.
  • The age of patients that can use Vivid Vision is 6 to adulthood. In some cases, Vivid Vision can shorten the total length of treatment. It certainly makes it more fun.

You can see Betsy’s artwork and read her blog at her website: http://betsyyaros.com/

You can read more about Vivid Vision Virtual Reality Vision Therapy. If you have questions about whether or not Vivid Vision or Vision Therapy in general is an option for you or your child, call us at 813-792-9637, or use the comment section below.

-Dr. Nate

WIN-A-TRIP-1.png

THE LATEST TECHNOLOGY FOR AT HOME AND IN OFFICE VISION THERAPY

As seen in magazines such as TIME, Wired, Engaget and a few others, Vivid Vision is the first Virtual Reality Vision Therapy system created for treatment of various binocular vision problems. Using principles from the latest vision research, Vivid Vision is a part of our vision therapy program for treatment for Amblyopia (Lazy Eye), Strabismus, depth perception, suppression and more!

We have been following this technology for a long time, and we are thrilled to be the first office in Florida to offer this treatment option to our patients.

Vivid Vision uses the Oculus Rift virtual reality platform to provide therapeutic activities. This allows us to incorporate fun, comfortable VR experiences into the vision therapy program for faster progress. The vision therapy activities are designed as games so that they are immersive and exciting for the patients. You can see some of the examples in the video below. The more fun the games are, the more engaged the patient is and the faster treatment occurs. But even though they are designed as games, the virtual reality images are specifically constructed to improve visual clarity for amblyopic patients, improve depth perception, and other visual problems by selecting the visual information that each eye receives. This stimulates the brain to use both eyes together as a team and strengthen binocular vision.

We hope you are as excited about this as we are!

Dr. Nate

Virtual reality vision therapy at home

Remote Vision Therapy (At Home)

Request A Vision Therapy Appointment

BRIGHT EYES IN THE NEWS FOR VISION THERAPY

[youtube]YL2T6XVBR6M[/youtube]

[youtube]Ek1ZbGeYLbI[/youtube]

[youtube]kSud8I5uv4A[/youtube]

 VIVID VISION FAQ    

What is Vivid Vision?

Vivid Vision is a vision therapy device that combines virtual reality (VR) and games to help patients develop specific visual skills within a vision therapy program.

How does Vivid Vision work?

Vivid Vision is software that delivers a unique image to each eye in a fast-paced virtual reality game environment. The images are precisely manipulated to encourage the eyes to work together. If both eyes are not seeing simultaneously, the games cannot be played very well. The games are engaging visually and mentally, which helps encourage patients to use both eyes together.

What diagnosis can be treated with Vivid Vision?

Patients who have conditions where the eyes do not work well together can benefit. These may include amblyopia (lazy eye), strabismus (wandering or crossed eye), suppression (the “turning off” of an eye), or other binocular vision problems.

How is Vivid Vision different than Vision Therapy?

Vision Therapy is a program of activities to help patients develop their visual skills and eliminate visual problems. Vivid Vision is the first device to combine widely-used vision therapy techniques with virtual reality video games. Vivid Vision is designed to be used within a vision therapy program, as many patients would be unable to use Vivid Vision without some visual training first.

How do I find out if I am a candidate for Vivid Vision?

In order to see if you are a candidate for Vivid Vision, a thorough eye exam must be performed to determine if you have a visual diagnosis that can be treated with vision therapy. Additionally, there may be additional tests to ensure that there are no diseases or injuries that require treatment or would limit the benefit of Vivid Vision. Call us at call us at 813-792-0637 to schedule an appointment.

How much does treatment cost?

Vivid Vision treatment occurs within a Vision Therapy program, and Bright Eyes’ Vision Therapy programs cost between few hundred dollars and a few thousand dollars depending on the length of the program (ranging from one month to one year, depending on the diagnosis). Medical insurance may cover a portion of the evaluation and treatment, but may not.

What are the ages that can be treated with Vivid Vision?

Most patients 5 years of age and up can use Vivid Vision, as long as the patient can comfortably wear the Oculus Rift VR headset.

Are there other options for Virtual Reality Vision Therapy?

At this time, Vivid Vision is the only Virtual Reality device for use within a Vision Therapy program.

Can Vivid Vision be used at home?

There will be a home-version of Vivid Vision released for beta-testing soon. Patients will have to use the home version under a doctor’s supervision. Again, some patients will be unable to use Vivid Vision until certain visual capabilities are reached through a vision therapy program.

Is there scientific evidence that it works?

Vivid Vision has been developed with the paradigm of “perceptual learning” in mind. This has very strong scientific support. Likewise the system uses “dichoptic” presentation (each eye gets a different image). This also has strong support. cleardotA 2015 study of Vivid Vision can be found here.

x

Read this Important Information About COVID-19 and Bright Eyes!