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Vision Therapist Training Document — Optic Nerve Health

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👁️ Vision Therapist Training Document — coMra Therapy for Optic Nerve Health

1. Introduction & Purpose

  • Role of coMra therapy in optic nerve conditions.
  • How it supports clinic goals (nerve protection, circulation, field recovery, patient confidence).

2. Device Overview

  • The four radiances (laser, colour LEDs, ultrasound, magnetism).
  • Safety profile: non-invasive, non-thermal, low-intensity.
  • Device controls relevant to VT (power, mode, timer).

3. Treatment Modes

  • Contact Mode: device gently resting on closed eyelid.
  • Hover Mode: device held slightly above eyelid (no contact).
    • When to use: post-surgery, fragile tissue, doctor’s instruction.
  • Visual examples (to be added as diagrams/images).

4. Protocol Delivery (Step-by-Step)

Setup

  • Prepare treatment area.
  • Clean/cover terminals.
  • Seat patient comfortably.

Application

  • Position device (contact or hover).
  • Start session (timing/sequence per protocol).
  • Monitor patient comfort.

Completion

  • End session and remove device.
  • Clean terminals.
  • Prepare device for next use.

5. Safety & Contraindications

  • Never apply pressure to the globe.
  • Avoid treating through dressings.
  • Use hover mode for recent post-op or fragile tissue.
  • Stop immediately if patient reports pain, swelling, or sudden vision change.

6. Patient Communication Basics

  • “You may see a blinking light with your eyes closed — that’s normal.”
  • “The treatment is safe, comfortable, and only takes a few minutes.”
  • Defer detailed questions to supervising OD/MD.

7. Documentation & Escalation

  • Record session details (date, eye(s), duration, protocol used).
  • Note patient-reported feedback.
  • Escalate to OD/MD if red-flag symptoms appear.

8. Appendix: Condition-Specific Notes

Glaucoma

  • Goal: support optic nerve, circulation, long-term field preservation.

Post-Stroke Visual Field Loss

  • Goal: re-establish communication between eye and brain.

Diabetic Retinopathy / Ischemia

  • Goal: support microcirculation and protect against ischemic stress.

Optic Neuritis / ION / Atrophy

  • Goal: support repair, preserve remaining vision, ease strain.