The Center for Visual Management

The Center for Visual Management Providing comprehensive examinations for those with reading,learning or sensory challenges, ADHD, developmental delays, autism and traumatic brain injuries

Most people donโ€™t associate attention, learning, slow processing speed or difficult behaviors and emotions with vision. They should, however, because the brain is responsible for the way we collect, organize and interpret the material we are presented with by means of the eyes. If visual disturbances go undetected or untreated, a range of difficulties can develop. Too frequently, traditional eye exams will only address the central process of seeing, which is determined by sharp/clear visual acuity, otherwise known as nearsighted, farsighted or astigmatic eyesight. Visual processing however, including the complex functions involved in attention, tracking abilities, depth perception and sensory integration of vision involves much more than being able to see 20/20. Therefore, in addition to examining the sharpness of you or your childโ€™s vision, a detailed perceptual analysis will provide us with more information related to you or your child's needs, development and behaviors. This analysis includes perceptual and performance based measurements for examining both our verbal and nonverbal patients.

01/13/2026

๐Ÿ‘€ Rewriting the Rules: Visual Directionality, Divergent Brains, and the Hidden Architecture of Reading ๐Ÿง 

Most modern reading systems are designed around a narrow set of neuro-visual and anatomical assumptions. They presume a brain that is left-hemisphere dominant for language, a visual system that comfortably tracks from left to right, and a body whose fine motor control aligns with right-handed writing.

These assumptions are so deeply embedded into education, language, and literacy infrastructures that their biological exclusivity goes unquestioned.

Divergence from this model is not rare - and never was.

๐Ÿง  Neurodevelopment is not uniform; there is no 'normal'. However, we are socially conditioned from birth that the majority rules, and as a result, any deviations have historically been marginalized via the systems and institutions around us.

The lateralisation of brain function - particularly the distribution of language, spatial, and visual tasks across the hemispheres - follows a spectrum. While language is usually housed in the left hemisphere, this is only a probability curve. Up to 30% of left-handed people demonstrate right-hemisphere language dominance, bilateral language representation, and non typical trajectories.

๐Ÿงฌ Genetic studies have identified variants associated with altered lateralisation patterns, including those linked to handedness, and language delay. These include polymorphisms near PCSK6, LRRTM1, and genes involved in axon guidance, inter hemispheric connectivity, and neuronal migration. Divergent lateralisation is not pathology - it is a legitimate outcome of neurodevelopmental diversity, often accompanied by novel perceptual strengths, multi-modal integration, or atypical cognitive sequencing.

Yet, reading systems are designed for a single dominant pattern.

๐Ÿ“ˆ The Visual System is Complex, not Linear

Each eye receives input from both visual fields, but the left field of view from both eyes is processed by the right visual cortex, and the right field by the left cortex. This division occurs at the optic chiasm, an X like crossover point behind the eyes. As a result, when reading text that flows from left to right (as in English), the right hemisphere initially processes the left side of the page.

In individuals with typical left-hemisphere dominance, this visual information is efficiently transferred across the corpus callosum to the left-sided language regions for decoding. In people with atypical lateralisation - including bilateral or right-hemisphere language profiles - this process can involve additional inter hemispheric negotiation.

This added neurological cost may manifest as delays in reading fluency, visual strain, or misalignment between perceptual intake and linguistic decoding.

This is a structural mismatch between neuro-functional architecture and systemic design.

๐Ÿชž Mirror Writing and Midline Brain Organisation ๐Ÿง 

Mirror writing is a reproducible pattern observed in people with mixed handedness, and non-standard hemispheric dominance. It is also historically associated with polymaths and spatial thinkers - including Leonardo da Vinci, who wrote extensively from right to left using reversed glyphs. This was likely as a reflection of his visual-spatial dominance and left-handedness.

Divergent populations may show functional organisation across the midline, rather than clear left/right division - resulting in simultaneous, rather than sequential, processing styles. Mirror writing is a visible output of that functional topology.

Yet our systems treat it as error, deviance, or delay - rather than neurobiological divergence.

๐Ÿฉป Neurobiological Literacy: Connective Tissue, Eye Spacing, and Visual Mechanics ๐Ÿ‘€

Reading is not purely cognitive; it is biomechanical. It depends on precise coordination of the extraocular muscles, ocular lens, and binocular fusion system. These structures are deeply influenced by connective tissue integrity - particularly collagen elasticity and fascial tone. In people with hypermobility syndromes, including Ehlers-Danlos Syndrome (EDS), ocular instability is common: convergence insufficiency, vergence fatigue, and transient misalignment of the visual axis can all create difficulty reading.

Connective tissue divergence is a spectrum, like all Neuro and biological diversities. At one end of the connective tissue spectrum, hypomobility (collagen variants that predispose stiffness such as arthritic conditions) may present with early-onset presbyopia-like symptoms, reduced ciliary muscle flexibility, or decreased lens accommodation. These people may experience rigidity when shifting focus across depths, affecting both near vision and dynamic page tracking.

Additionally, interocular spacing (distance between the eyes) - determined during craniofacial morphogenesis - can alter binocular geometry. Wider-set eyes increase parallax and place greater load on fusion mechanisms; closer-set eyes, particularly in individuals with dense or stiff orbital tissue, may affect angle and focal alignment. Both extremes can result in reading discomfort, visual instability, or perceptual strain - especially under fluorescent or high-contrast conditions.

These are expressions of divergent structural development - often genomically grounded, and multi-systemically overlooked.

Beyond Dyslexia: Divergent Reading

Mainstream reading disorder classifications - particularly phonological dyslexia - fail to capture the full diversity of divergent reading profiles.

Some individuals process language auditorily but experience visual tracking issues.

Others excel in spatial reasoning but struggle with phoneme sequencing.

Some are hyperlexic, decoding words rapidly with slower integration.

Others are hypolexic, preferring visual scene cognition over symbolic language entirely.

These profiles reflect differences in cortical hierarchy and sensory prioritisation. Visual-spatial dominant individuals may rely more heavily on the dorsal stream (motion, position, depth) than the ventral stream (form, identity).

Those with disrupted magnocellular function - implicated in some forms of visual dyslexia - may exhibit reduced sensitivity to movement, flicker, or spatial attention, leading to visual crowding and reading fatigue.

The failure is not in the reader; it is in the uniformity of the system.

Language Directionality is not Universal

Left-to-right reading is not a biological imperative - it is a cultural artifact. Languages such as Arabic, Hebrew, Syriac, and historical forms of Chinese and Japanese follow different directionality: right-to-left, vertical, or modular block formats. Neurological studies have shown that reading direction affects eye movement patterns, hemispheric activation, and even cognitive bias in spatial reasoning tasks.

Despite this, Western educational systems enforce a singular model of reading fluency, treating deviation as pathology rather than mismatch. Children who reverse letters, mirror shapes, or prefer alternate tracking directions are flagged for remediation, despite evidence that these may be developmentally appropriate expressions of alternative processing.
The page is rigid; the brain is not.

There is no single cognitive path to language. Yet educational models continue to demand alignment with a narrow neurodevelopmental blueprint - privileging phoneme sequencing, linear visual tracking, and black text on white backgrounds, regardless of sensory comfort or neurobiological organisation.

What would it mean to design adaptive literacy systems? Systems that allowed right-to-left tracking, mirror-format recognition, multi-sensory decoding, or nonlinear page layouts? Systems that treated form perception, eye movement variability, and biomechanical constraint as integral to reading - not obstacles to be corrected?

I wonder how many right hemisphere dominant children are pressured into left hemisphere dominant literacy, and what happens to those in the middle somewhere...

What if the ability to read and write was not judged by how well a child conforms to the page - but by how well the page conforms to the child?

selur eht etirwer ot emit sโ€™ti ebyaM

- ยฉ๏ธ Neurotopia CIC 2026

After two years of school-based vision therapy, Zaiden has made remarkable progress! Improved visual function has helped...
01/13/2026

After two years of school-based vision therapy, Zaiden has made remarkable progress! Improved visual function has helped him overcome double vision, reading challenges, and classroom difficulties. Today, heโ€™s a confident student and athleteโ€”with less anxiety and a brighter outlook.

Stories like Zaidenโ€™s remind us why we do what we do at The Center for Visual Management. Vision therapy isnโ€™t just about seeing clearlyโ€”itโ€™s about living fully. If youโ€™re wondering whether we can help you or your child, weโ€™d love to talk.




01/12/2026

Light enters the eyes and writes instructions into the nervous system.
The retina is not a passive visual organ, it is living neural tissue that directly regulates brain chemistry, circadian timing, pain modulation, and cognitive performance. Before you think, move, or feel, light has already altered dopamine, serotonin, cortisol, melatonin, and thalamic signaling.

Color and timing are biological commands, not lifestyle preferences.
Different wavelengths activate specific retinal pathways that influence energy, mood, inflammation, and neuroplasticity. Sunrise light programs the brainโ€™s hormonal rhythm for the entire day. Sunset light initiates repair, recovery, and sleep architecture. This is hard-wired human neurobiology, not a wellness trend.

Modern light environments are neurologically disruptive.
Artificial blue light at night suppresses melatonin and destabilizes sleep architecture. Chronic daytime sunglass use blocks critical retinal signaling, falsely telling the brain it is nighttime while the body is in full sun. The result is circadian mismatch, hormonal confusion, impaired recovery, and increased neurological stress.

You canโ€™t fix neural dysfunction without addressing the light that drives it.
Light is never neutral. It is either stabilizing the nervous system or silently dysregulating it. The question is not whether light is affecting your brain, it is whether you are using it intentionally or letting it work against you.

Educational content only. Not medical advice.

For years, Audrey was told by ophthalmologists and specialists that nothing more could be done for her diagnosis. Still,...
12/13/2025

For years, Audrey was told by ophthalmologists and specialists that nothing more could be done for her diagnosis. Still, she and her parents kept searching for answers as school and everyday life became more visually demanding and her headaches, vertigo, motion sickness, anxiety, and self-confidence all worsened.

After two years of school-based vision therapy, Audreyโ€™s days look very different. She can now learn comfortably in class without constant headaches, travel without fear of motion sickness, and use her visual system more fully despite Duaneโ€™s syndrome and double elevator palsy.

If youโ€™ve been told your eyes โ€œ๐˜ฅ๐˜ฐ๐˜ฏโ€™๐˜ต ๐˜ธ๐˜ฐ๐˜ณ๐˜ฌโ€ because of a diagnosis like Duaneโ€™s syndrome, strabismus, or amblyopia, we invite you to schedule a comprehensive visual perceptual evaluation with us. You may discover that your visionโ€”and your lifeโ€”can feel a lot more comfortable and hopeful than you were led to believe.



๐’๐š๐ฒ ๐›๐ฒ๐ž-๐›๐ฒ๐ž ๐ญ๐จ ๐œ๐ฅ๐ฎ๐ฆ๐ฌ๐ฒ ๐๐š๐ฒ๐ฌ!With her new prism glasses, this beautiful girl shared that everything finally looks so "๐˜ง๐˜ญ๐˜ข๐˜ต...
12/05/2025

๐’๐š๐ฒ ๐›๐ฒ๐ž-๐›๐ฒ๐ž ๐ญ๐จ ๐œ๐ฅ๐ฎ๐ฆ๐ฌ๐ฒ ๐๐š๐ฒ๐ฌ!

With her new prism glasses, this beautiful girl shared that everything finally looks so "๐˜ง๐˜ญ๐˜ข๐˜ต, ๐˜ฏ๐˜ฐ๐˜ณ๐˜ฎ๐˜ข๐˜ญ, ๐˜ข๐˜ฏ๐˜ฅ ๐˜ค๐˜ฐ๐˜ฎ๐˜ง๐˜ฐ๐˜ณ๐˜ต๐˜ข๐˜ฃ๐˜ญ๐˜ฆ".

Here at CVM, we go beyond just providing clear eyesight. We help our patients see their world as it truly is: clear and comfortably aligned for everyday life.

Schedule a comprehensive evaluation with us today and see how we can help your family step into a clearer, more comfortable world.




Today, our hearts are full of gratitude for our CVM community โ€” the children who inspire us, the families who trust us, ...
11/27/2025

Today, our hearts are full of gratitude for our CVM community โ€” the children who inspire us, the families who trust us, and the professionals who partner with us in care.

๐‘ป๐’‰๐’‚๐’๐’Œ ๐’š๐’๐’– ๐’‡๐’๐’“ ๐’ƒ๐’†๐’Š๐’๐’ˆ ๐’‘๐’‚๐’“๐’• ๐’๐’‡ ๐’๐’–๐’“ ๐’”๐’•๐’๐’“๐’š.

From everyone at The Center for Visual Management, we wish you a bright, cozy, and joyful Thanksgiving! ๐Ÿฆƒ๐Ÿ

CVM would not be what it is today without the thoughtful guidance and unwavering commitment of Barbara, our esteemed Exe...
11/04/2025

CVM would not be what it is today without the thoughtful guidance and unwavering commitment of Barbara, our esteemed Executive Director.

๐‘ฏ๐’‚๐’‘๐’‘๐’š ๐’ƒ๐’Š๐’“๐’•๐’‰๐’…๐’‚๐’š, ๐‘ฉ๐’‚๐’“๐’ƒ๐’‚๐’“๐’‚!
Thank you for guiding the CVM team and serving the patients with so much heart and care. You inspire us all, and weโ€™re lucky to celebrate you today! ๐Ÿฅณ

๐‘ฏ๐’‚๐’‘๐’‘๐’š ๐’ƒ๐’Š๐’“๐’•๐’‰๐’…๐’‚๐’š, ๐‘ญ๐’“๐’‚๐’๐’„๐’†๐’”๐’„๐’‚!The entire CVM family is celebrating you today and is wishing you a year filled with happiness...
10/13/2025

๐‘ฏ๐’‚๐’‘๐’‘๐’š ๐’ƒ๐’Š๐’“๐’•๐’‰๐’…๐’‚๐’š, ๐‘ญ๐’“๐’‚๐’๐’„๐’†๐’”๐’„๐’‚!

The entire CVM family is celebrating you today and is wishing you a year filled with happiness. โœจ

This  , we'll be sharing the personal, heartwarming words of our vision service providers who work tirelesslyโ€”not just t...
10/10/2025

This , we'll be sharing the personal, heartwarming words of our vision service providers who work tirelesslyโ€”not just to improve performance, but to help every patient unlock their unique potential.

This drive stems from the foundational truth shared by our late founder, Dr. Melvin Kaplan: โ€œ๐‘ท๐’†๐’๐’‘๐’๐’† ๐’˜๐’Š๐’•๐’‰ ๐’…๐’Š๐’”๐’‚๐’ƒ๐’Š๐’๐’Š๐’•๐’Š๐’†๐’” ๐’‚๐’“๐’† ๐’๐’๐’• ๐’…๐’Š๐’‡๐’‡๐’†๐’“๐’†๐’๐’•; ๐’•๐’‰๐’†๐’š ๐’‹๐’–๐’”๐’• ๐’‰๐’‚๐’—๐’† ๐’…๐’Š๐’‡๐’‡๐’†๐’“๐’†๐’๐’• ๐’๐’†๐’—๐’†๐’๐’” ๐’๐’‡ ๐’—๐’Š๐’”๐’–๐’‚๐’ ๐’‘๐’†๐’“๐’‡๐’๐’“๐’Ž๐’‚๐’๐’„๐’†.โ€

It's this deep understanding that inspires our team to make a lasting difference, one successful visual journey at a time.

๐“๐š๐ค๐ž ๐š ๐ฆ๐จ๐ฆ๐ž๐ง๐ญ ๐ญ๐จ ๐ญ๐ก๐š๐ง๐ค ๐š ๐ฏ๐ข๐ฌ๐ข๐จ๐ง ๐ญ๐ก๐ž๐ซ๐š๐ฉ๐ข๐ฌ๐ญ! If someone on our team has touched your life, share your story in the comments below! ๐Ÿ‘‡

A belated, but very warm, happy birthday to our fantastic team member, ๐‘บ๐’–๐’”๐’‚๐’๐’๐’†! Cheers to this hardworking ladyโ€”your eff...
10/09/2025

A belated, but very warm, happy birthday to our fantastic team member, ๐‘บ๐’–๐’”๐’‚๐’๐’๐’†!

Cheers to this hardworking ladyโ€”your efforts and contributions are incredibly valued by CVM! ๐Ÿฅฐ

We had the pleasure of welcoming this adorable boy for his very first comprehensive eye exam here at CVM! We know that c...
09/04/2025

We had the pleasure of welcoming this adorable boy for his very first comprehensive eye exam here at CVM!

We know that clear vision is a cornerstone of learning, and a simple eye exam can make a world of difference. It's a key part of the school readiness checklist that can impact everything from reading and writing to participating in class and sports.

This school year, help your child start strong with the gift of clear vision. Schedule a comprehensive eye exam with us today and let's make sure they're ready to learn and grow!

Final day! Our   ends today... so grab your new specs now before this deal is gone for good!
08/29/2025

Final day!

Our ends today... so grab your new specs now before this deal is gone for good!

Address

150 White Plains Road
Tarrytown, NY
10591

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+19146311070

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