FAQs for Clinicians/Therapists

Neurolens Contour Lens Design Faqs for Therapists/Clinicians

What is the process of getting Neurolens lenses and follow-up recommendations?

  • Initial Visit:
    • Virtual headset used for baseline measurements at Swoop Eye Care
    • Neuro-optometrist evaluates the findings in office
  • Purchase of Eyewear: Takes approximately 2-3 weeks
  • Follow-up: 6-8 weeks after initial visit

What should patients expect when picking up their glasses?

  • Adjustment takes place in office
  • Start wearing glasses full time the next day. If there is discomfort after a couple hours of wear, slowly increase wear time over the following week by adding one or two hours each day of wear.

Who might be a candidate for Neurolens lenses?

  • Patients with binocular vision dysfunction have shown significant improvement in their subjective symptoms.
  • Patients with headaches, neck pain, vision motion sensitivity (car sickness/dizziness), double vision, and eye fatigue have noted marked improvement in symptoms

Do Neurolens lenses have prism in the lenses?

  • Yes, all Neurolens lenses have a default of 1.25 base-in prism total when looking downward. This design continues to provide relief for patients with significant variation of distance versus near eye alignment.

What is the cost of the lenses?

  • The cost is anywhere from $800 to $1800. It often depends on the components preferred by the patient.

If patients wear Neurolens lenses now, will they always need Neurolens lenses in the future?

  • As of now (11/29/2025), it is uncertain whether patients will be able to opt into a different lens design after wearing Neurolens lenses. These lenses are therapeutic and treatment of more than refractive error. These lenses provide prismatic support to aid in the convergence at near distances.

What is the clinical support of these lenses?

  • Gupta, A., Nguyen, B., Zhu, D., Lehman, L., Richard, M., Zyrina, J., Bunya, V., & Massaro-Giordano, M. (2022). Correction of Accommodative and Non-Strabismic Binocular Visual Dysfunction in the Treatment of Multifactorial Dry Eye Disease. Investigative Ophthalmology & Visual Science, 63. https://iovs.arvojournals.org/article.aspx?articleid=2780308

  • Jaschinski, W. (2017). Individual Objective and Subjective Fixation Disparity in Near Vision. PLOS ONE, 12(1), e0170190. https://doi.org/10.1371/journal.pone.0170190

  • Labhishetty, V., Cortes, J., van de Pol, C., Maanpaa, V., Plumley, A., Amin, N., Hurley, J., Barton, T., White, T., Szeliga, R., Dixon, J. M., Grosswald, D., Knutson, J., & Maier, H. (2024). Impact of Neurolens Use on the Quality of Life in Individuals With Headaches: A Randomized Double-Masked, Cross-Over Clinical Trial. Translational Vision Science & Technology, 13(1), 27. https://doi.org/10.1167/tvst.13.1.27

  • Schroth, V., Joos, R., & Jaschinski, W. (2015). Effects of Prism Eyeglasses on Objective and Subjective Fixation Disparity. PLOS ONE, 10(10), e0138871. https://doi.org/10.1371/journal.pone.0138871

THERAPIST COMMENTS

Should my patient expect peripheral vision to blur in the lenses?

  • Peripheral blur exists in all ophthalmic lenses. If looking to the far periphery, the patient may experience blurry vision. If the blurry vision is too much for eye exercises for treatment of ambient visual processing disorders or other eye movements, consider taking the glasses off to complete these tasks (if possible).

Will Neurolens impact Brock string therapeutic intervention?

  • Brock string should not be impacted. If anything, Neurolens lenses will help support the therapeutic intervention for convergence eye activities.

Will Neurolens impact walking exercises for my patient?

  • This has not been identified. Most patients have noted significant improvement given the support of the prismatic power in the lenses when looking downward.

My patient notes dizziness after getting Neurolens lenses, what should I recommend?

  • Neurolens lenses have provided significant relief for most patients in office for dizziness; however, it is expected that patients will experience visual strain on the initial onset of wearing the lenses. Patients should start wearing upon awakening in the morning. If symptoms occur, the patient may have to slowly build up wear time to full time over the week (adding 1-2 hours daily).

  • A follow-up should always be on the schedule with the prescribing neuro-optometrist to ensure the most appropriate prescription with therapeutic prism.

What should be expected for the vestibular ocular reflex training?

  • Visual discomfort or blurry vision peripherally is expected when moving the head side to side. It is better to wear the glasses during the VOR exercises; however, the glasses should by removed if more uncomfortable during therapy exercises.