The practitioner should clear the patient's glasses of paint and wash the glasses thoroughly to remove any scratches on the lens and for sanitation reasons. Glasses are painted again using the same method. However, all efforts are taken not to make major changes, as one would not want to interfere with a process that has been successful already. This process is repeated every two weeks until the problem is totally resolved or maximum gain has been reached. Treatment is usually completed in four weeks. This is followed by having the patient wear glasses with clear lenses for two weeks. At the end of six weeks, a final visual field exam is conducted to make sure there are no relapses and no recurrences of the problem. As the individual ages, one cannot take the improvement for granted. Other problems can occur, causing regression. For example, if the original cause of the problem was several TIAs there is the possibility of having more TIAs, causing regression and requiring re-institution of the treatment. It is well known that patients with a neurological problem are prone to having additional neurological problems. In the case of a stroke, the possibility of having a second stroke is more then 60%. Therefore, careful monitoring of the condition is essential.
It should be emphasized that the use of color is quite benign and most patients adapt after two days to the color so well that they see external objects in their true colors while their field of vision is covered with a specific paint. This result is in contrast to visual constraint therapy where the obstruction remains a hindrance. In other words, they can live with the colored lenses while adjusting to the visual constraint.
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For Dr. Abbas Sadeghian
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