Neurolens FAQ\'s

Neurolens Contour Lens Design Faqs

Patient Ordering Neurolens Lenses

How much do the lenses typically cost?

Neurolens lenses cost anywhere from $799-$1400 (cost varies depending on features of the lenses wanted by the patient)

How long can a patient expect to wait to receive their specialty lenses?

It takes up to three weeks for the custom product to be manufactured.

Is there a guarantee for the lenses?

Yes, there is a 120-day satisfaction guarantee. The patient has the option of a full refund if not noting symptom improvement.

Patients Expectations – Starting With The Lenses

What is the process of getting Neurolens lenses?

Complete an assessment at Swoop Eye Care
Use the virtual reality headset (if possible, for the patient) – provides default prism values for a starting place
Your neuro-optometrist prescribes the prism as necessary

Who might be a candidate for these lenses?

Patients with binocular dysfunction have shown promising improvement in clinic at Swoop Eye Care.
Patients with headaches, neck pain, vision motion sensitivity (car sickness/dizziness), double vision, and eye fatigue

What should patients expect when picking up their glasses?

It is best to have the glasses adjusted in office
Wear the glasses full time starting the next morning
- If it is a challenge at first to wear the new glasses, it is recommended to add two hours each day until acclimated to the prescription glasses
Recheck within 30-60 days with your neuro-optometrist for any changes that may be necessar

Patients May Experience

What have patients been experiencing with the Neurolens lenses?

Decrease/resolution in headaches
Decrease/resolution in eye strain
Decrease/resolution in dizziness
Decrease/resolution in neck pain
Resolution of double vision symptoms
Decrease/resolution in vision motion sensitivity (in a car – car sickness)
Improved balance

My peripheral/side vision is blurry in the newest lenses…

The contour prism design does have some peripheral vision blur for both eyes when not looking in the center of the lenses. This is to be expected to create the contour prism design with variable prism from distance versus near. This is also noted in most lenses given the optic designs of lenses.

My vision looking down when walking has some blurriness...

Depending on the design of the lenses…

A progressive lens (no-line bifocal) will have blurriness when looking down if not at the appropriate level.
A single vision lens may be initially different as variable prism at distance versus at near can take time to acclimate (up to 30 days in the professional study).

My symptoms of dizziness/headaches/visual discomfort are WORSE…

While uncommon, there have been some patients with these symptoms. If this occurs, the patient may need to increase wearing time for at least one week. If the symptoms persist after one week, the patient should check-in with Swoop Eye Care staff and possibly schedule sooner for a follow-up.

All Clinicians - Faqs

Who might benefit from Neurolens lenses?

Symptoms: Double vision, Vision-Motion Sensitivity (Dizziness – car sickness), Neck discomfort, Eye Fatigue, Headaches
Swoop Eye Care has noted significant improvement in patient symptoms by prescribing Neurolens for several binocular vision dysfunctions such as: high exophoria, intermittent alternating exotropia, convergence insufficiency, and others.

Have there been clinical research to support patient outcomes with Neurolens?

Yes, the research focused on patients without traumatic/acquired brain injuries. However, Swoop Eye Care has prescribed over 250 lenses with significant success. Research is being discussed to have a double-blind clinical trial.
References
- 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

Occupational Therapist May Experience

Why are peripheral vision exercises more challenging?

The contour prism design does change the peripheral vision for the patient to be blurrier. The patient should still be able to complete peripheral vision exercises for ambient visual processing problems; albeit, he or she will notice it is not as clear. If necessary, the patient can take off his or her prescription lenses for this task.

Will this impact other tests such as brock string?

Neurolens, if prescribed appropriately, should help your patient with fusion tasks. It increases the base-in prism (to help patients with exo or eye turning outward at near ranges) for patients looking at near.

Why does my patient still experience double vision at near with the Neurolens?

The Neurolens lenses come in a default setting of 1.25BI prism diopters. Some patients would benefit from greater prism at near still; therefore, the neuro-optometrist may need to still prescribe a separate pair of glasses.

Physical Therapist May Experience

Will this have an impact on walking exercises for the patient?

Bifocal/Progressive: It may depending on the lenses chosen. For example, a progressive lenses (no-line bifocal increases magnification) for reading purposes. However, neuro-optometrists at Swoop Eye Care discourage bifocals/progressives when the patient is a fall risk. It is very important to note this in your referral when completing.
Clinical Experience: From Dr. Wallerich’s experience so far, patients have been more stable with Neurolens contour prism design. There have been multiple patients with the exact prescription in clinic with traditional prism lenses vs. Neurolens lenses. The patient noticed improved comfort walking, decreased listing, improved balance, and improved mobility. This was especially apparent when looking downward.

If a patient with Neurolens lenses experiences symptoms (dizziness, headaches, eye fatigue, blurry vision, double vision, or other symptoms) with the new lenses, what should be recommended?

Initial vision symptoms noted: ONLY INITIALLY.
- Explanation: This is to be expected, and it is recommended to start wearing the day after getting the glasses.
Persistent vision symptoms noted: PROLONGED – LESS THAN 7 DAYS.
- Explanation: Patients often must get used to the new lenses, as these are changing visual perception and eye movements.
- Recommendation: Start by increasing wear time by one hour each day until full time wear. Take note of any symptoms experienced with the lenses on.
Persistent vision symptoms noted: PROLONGED – GREATER THAN 7 DAYS.
- Explanation: If the symptoms are decreasing, this is a great sign! It can take up to 30 days to fully acclimate to the new lenses. If the symptoms are worse/not improving, we do recommend to follow-up with your neuro-optometrist sooner (if

What should be expected for the vestibular ocular reflex training?

Visual discomfort is expected in all prism lenses. Contour prism lenses are no different. When the patient looks away from the center point, the prism changes in all lenses. The patient will experience visual discomfort. Either wear the glasses (often recommended first) or remove the glasses to complete vestibular ocular reflex training.