Vision Therapy Singapore

This is why multidisciplinary collaboration is so important. We are not just managing the visual impairment. We are helping the person so that they can cope better with their activities of daily living

Visual Impairment Linked with Certain Neuropsychiatric Symptoms of Dementia
These included hallucinations, depression, agitation, psychosis and mania, but some of this relationship may be explained by age, comorbidities and other factors.

In terms of ocular care, the study authors believe that that, “given the increasing prevalence of sight-threatening eye disease such as cataract, diabetic retinopathy and macular degeneration among the elderly population worldwide, these findings highlight the importance of early and ongoing ophthalmologic care for older adults beyond correcting refractive error because effective treatments such as surgery, laser photocoagulation and intravitreal injection may halt or slow the progression of vision loss in these disease entities.”

Read more: https://www.reviewofoptometry.com/article/visual-impairment-linked-with-certain-neuropsychiatric-symptoms-of-dementia

This is not our usual patient. Meet the guide dog belonging to one of our low vision patients. Yes. Blind and partial sighted patients need eye check too!!!! We provide a wide range of optometry services, including the functional assessment of low vision, so that we can help to maximise the remaining vision so as to cope with specific tasks and their activities of daily living.

As the most established vision therapy centre in Singapore, IGARD has been voted #1, ranked #2 for their expertise in lazy eyes (amblyopia), and they hold 3 clinical fellowships that supports the high quality work in vision therapy and neuro visual development and rehabilitation 👍 ♥️ 👌 🎉 Here are some of the many reasons why patients insists on IGARD for vision therapy
✔️ Patient centric approaches & good results
✔️ Competently trained practitioners
✔️ Caring and sincere

—->>>> We thank our patients for the trust and spreading the good words that makes us one of the most awarded eye care practices 🇸🇬

IGARD Eye & Vision on Google As the most established vision therapy centre in Singapore, IGARD has been voted #1, ranked #2 for their expertise in lazy eyes (amblyopia), and they hold 3 clinical fellowships that supports the high quality work in vision therapy and neuro visual development and rehabilitation 👍 ♥ 👌 🎉 H...

Here are some of the many reasons why patients insists on IGARD for vision therapy
✔️ Patient centric approaches & good results
✔️ Competently trained practitioners
✔️ Caring and sincere

We thank our patients for the trust and spreading the good words that makes us one of the most awarded eye care practices 🇸🇬

Ask the eye doctor 👨‍⚕️

Ask a Scientist: Eyes at Night Updated version of this video: https://youtu.be/A8NwE9Qg-9YDr. Cheri Wiggs explains what our eyes do while we sleep and why we can't see colors well in the d...

Research confirms sustained improvements from vision therapy.

Long-Term Benefits of VT for Convergence Insufficiency Sustained in Children
One-year follow-up shows improvements in NPC and positive fusional vergence after 16-week vergence/accommodative therapy were maintained.

“There were similar percentages of participants classified as ‘normal,’ ‘normal and/or improved’ and ‘normal and improved’ based on near point of convergence and positive fusional vergence at the one-year visit compared with the 16-week primary outcome visit," the researchers wrote in their study.

Read more: https://www.reviewofoptometry.com/article/longterm-benefits-of-vt-for-convergence-insufficiency-sustained-in-children

IGARD (Dr Yap & Associates) - Voted Best Eye Specialist (Gold Award 2023). Dr Yap Tiong Peng is the first person in Singapore to receive international board certification in Vision Therapy and Children Visual Development. He is Certified in Evidence Based Myopia Management too. He is a Fellow in Optometric Vision Development and Rehabilitation (FOVDR)/ American College of Optometrists in Vision Development (FCOVD), Fellow of the American Academy of Optometry (FAAO), and Fellow of the Australasian College of Behavioural Optometrists (FACBO). He is also the first person in Singapore to complete the Fellowship in Science Communication Training of the Association for Research in Vision and Ophthalmology (ARVO).

Photos from the World Congress of Paediatric Ophthalmology and Strabismus and the Malaysian Society of Ophthalmology Annual Scientific Meeting

La ambliopía se conoce como "ojo perezoso" porque el ojo más fuerte funciona mejor. Sin embargo, las personas con ambliopía no son perezosas y no pueden controlar el funcionamiento de sus ojos. Aprenda más: https://www.nei.nih.gov/espanol/aprenda-sobre-la-salud-ocular/enfermedades-y-afecciones-de-los-ojos/ambliopia-ojo-perezoso-u-ojo-vago

Red light therapy

Study Finds Red Light Therapy Cuts Ocular Elongation Rate and SER Increase
Fourteen months of TID application saved 0.28mm of AL growth and -0.64D of refractive progression in treated subjects.

Clinicians outside the US are already using low-level red light therapy to slow ocular growth in pediatric myopia cases, as this treatment has been shown to substantially reduce rates of myopia progression. The treatment is not yet available here, but US optometrists and ophthalmologists have been following the treatment’s ups and downs with interest in anticipation of potential future adoption in their practices. The treatment came in for some recent criticism after safety issues were reported, but has generally shown positive results.

Read more: https://www.reviewofoptometry.com/article/study-finds-red-light-therapy-cuts-ocular-elongation-rate-and-ser-increase

Hot off the press! Dr Yap Tiong Peng (IGARD, Singapore) and Dr Cathy Stern (Boston, USA) talks about how vision therapy teaches the brain to use both eyes together. They shared about how double vision can be treated. Both Dr Yap and Dr Stern are Fellows in Optometric Vision Development and Rehabilitation (College of Optometrists in Vision Development, USA).

In the photo is a child who was successfully treatment for strabismus with vision therapy at IGARD. Established since 2004, IGARD Centre is fully accredited in vision therapy and neurodevelopmental / behavioural optometry, including amblyopia / strabismus treatment without surgery www.igard.com.sg

Hot off the press! “Vision Therapy teaches the brain to use both eyes together”, written by Dr Yap Tiong Peng (IGARD Singapore) and Dr Cathy Stern (Boston, USA) to address the recent concerns amongst community optometrists due to the spike in cases of double vision as reported by the Singapore National Eye Centre. As reported by the Straits Times, the increase in cases of double vision in Singapore usually does not require surgery.

The team at IGARD frequently attends conferences to keep abreast with the latest advances in treatments and vision therapy. The team has international reputation in evidence based clinical practice and adopts international best practices. Beyond that, these are some of the latest peer-reviewed publications by Dr Yap in the past 6 years on children visual development, amblyopia treatment, vision issues related to brain injuries, myopia, astigmatism, visual evoked potentials (brainwaves), and public health. There will soon be another upcoming article on mild traumatic brain injuries (eg. concussion), which is supported by AAO and Cochrane Eye and Vision, so please watch this space to find out.

Good news! Two research papers by Dr Yap Tiong Peng as the first author on Vision Research and co-author on Ophthalmic and Physiological Optics; both published this week.

Read the articles here:

The development of meridional anisotropies in neurotypical children with and without astigmatism:
( https://www.sciencedirect.com/science/article/pii/S004269892400083X )

Strategies to address inequity of uncorrected refractive error in the Western Pacific:
( http://doi.org/10.1111/opo.13348 )

Undiagnosed vision disorder causes reading problems in kids Most people have been looking at eye charts at the optometrist for as long as they can remember. Most kids have their first eye exam as early as 6 months old...

Now you know. Therapists and doctors need continuing education too!

Here’s the reason if you’re wondering why it’s been so difficult to get an appointment lately — Dr Yap Tiong Peng recently completed his continuing education with Harvard Medical School in Neuro Rehabilitation 2024 (May 15-17). Although Dr Yap has been working on neuro visual rehabilitation and vision therapy for many years, there’s still a lot to learn as the field of neurorehabilitation entails the understanding of neurology and its interdisciplinary collaboration with many healthcare professions. This year, Dr Yap published a book chapter on the neuro optometric approach in managing hemiplegia. In addition there will soon be another book chapter by Dr Yap on the “Advances in Managing Oculomotor Dysfunction in Concussion” under the book series on “Current Practices in Ophthalmology”. Essentially, oculomotor dysfunction has to do with visual tracking skills which can contribute to symptoms, such as headaches, eyestrain and dizziness, and can hinder activities such as reading. Also in the area of traumatic brain injuries, Dr Yap is currently on the writing committee on concussion with the American Academy of Optometry - Cochrane Eye and Vision (AAO-CEV). Watch this space for more updates.

Vision Therapy Success!!!! Adults with long-standing constant strabismus may have vision goals related to binocularity. Here’s 3 interesting case reports of adults with unilateral esotropia who achieved random dot stereopsis with vision therapy. These three cases highlight the success that can be attained in motivated adult patients when visual therapy is used. This suggests neuroplasticity continues even through adult life. Vision therapy can facilitate this process in adult patients with longstanding strabismus to achieve stereopsis.

Case Series: Neuroplasticity and Vision Therapy in Adults with Unilateral Small-Angle Esotropia | Published in Clinical Insights in Eyecare By Silvia Han, Jeffrey Baker & 1 more. Adults with long-standing constant strabismus may have vision goals related to binocularity. This case series demonstrates that these patients can achieve random dot stereopsis after optometric vision therapy.

At the recent annual meeting in San Francisco, Dr Yap Tiong Peng is reaffirmed with the FOVDR professional title, which is awarded to individuals who are delivering the highest standards in Vision Therapy. As a pioneer in Vision Therapy in Singapore, Dr Yap is the first person to receive this professional title locally. He is also the first person in Singapore to receive U.S. Board Certification in Vision Therapy and full accreditation in Behavioural Optometry in the U.K. and Australia. In relation to his clinical work, he has been awarded the FAAO, FACBO and FCOVD professional titles.

“Teaching is a way of paying it forward”, said Dr Yap Tiong Peng, who was invited as the Keynote Speaker of the Asia Pacific Optometry Summit. Held in Durgapur, West Bengal, India, Dr Yap presented on the “Effect of Spectacles on Visual Processing in Refractive Amblyopia”. He last visited India in 2019, where he was an invited speaker at the India Optometry Conference in Kochi. 🇮🇳

Will myopia worsen using spectacles “overminus” lens treatment? (Dr Yap has the answer!)

Spectacles are often prescribed as part of the treatment plans concerning vision problems, such as strabismus and amblyopia. It is a very important consideration for patients undergoing vision therapy, so that an optimal spectacle prescription is used during the course of the treatment. At IGARD, vision therapy is usually recommended to children and adults with strabismus, including intermittent exotropia. While there are various treatment approaches, it is important to carefully consider the spectacle prescription with a doctor who is specialised in vision therapy. As proven from this recent research, childhood myopia tends to worsen with “overminus” lens treatment. It is important to clarify that this treatment approach did not involve vision therapy. However, the myopic shift became similar between overminus and non-overminus spectacles following treatment weaning/cessation, as reported in the research article. At IGARD, we focus on evidence-based approaches in our vision therapy and treatments. The research article can be accessed from this website:
[Link to JAMA Ophthalmology article: Refractive Error Change and Overminus Lens Therapy for Childhood Intermittent Exotropia, March, 2024]

Refractive Error Change and Overminus Lens Therapy for Childhood Intermittent Exotropia This extension of the Trial of Overminus Spectacle Therapy for Intermittent Exotropia compares refractive error change over 3 years in children with intermittent exotropia originally treated with overminus vs nonoverminus spectacles.

Here are some of the recent scientific publications by Dr Yap Tiong Peng (IGARD Centre ). Prior to working in a Vision Therapy practice, Dr Yap was a Lecturer in Optometry and a Research Fellow in Ophthalmology and Visual Science at Alexandra Hospital. Together with the team, he is the co-author on the American Journal of Ophthalmology in 2011 on “Utility Value of Visual Floaters”. This article is highly cited globally with nearly 100 citations. Dr Yap has also published on the topics on “Dyslexia and Vision”, and more recently on the topics on “Electrodiagnosis and Psychophysics of Amblyopia”, “Treatment of Oculomotor Dysfunction in Concussion”, and “Children Visual Development”. He has presented at many international conferences, and completed more than 100 peer reviews with scientific and ophthalmic journals worldwide. He is currently on the Editorial Review Board of the Journal of Optometry and Visual Performance. Dr Yap’s personal profile can be found on the website of the Association for Research in Vision and Ophthalmology: https://arvoconnect.arvo.org/profile?UserKey=ff8ce45d-4703-46fd-b1b3-dc3d9e8f6c1a

Children may not be complaining but the symptoms may last for months after a concussion. This is a finding from a recent research which examined postconcussive syndrome using developmentally appropriate measures. Some of these symptoms may be related to vision problems too, which is why it is important to get the children checked by an optometrist who is able to assess the children’s visual functions using age-appropriate tests.

Concussions in young children: symptoms still present three months later A study led by Sainte-Justine hospital researcher Miriam Beauchamp has found long-term symptoms in children aged six and under who suffered a concussion.

Flying the Singapore flag high during the
Binocular Vision symposium 🇸🇬
This is Dr Yap Tiong Peng from Singapore
🇩🇪 🇫🇷 🇸🇬 🇵🇹 🇮🇳 🇦🇪 🇹🇳 🇬🇧 🇺🇸 🇦🇺
🌍

Happening this Saturday in Dubai !!!

Our consultant Dr Yap Tiong Peng joins Optometry and Visual Performance (OVP) on the 2024 Editorial Review Board. This is an international peer reviewed journal dedicated to the advancement of the role of optometry in enhancing and rehabilitating visual performance.

The Optometry & Visual Performance (OVP) Journal is Excited to Unveil It's Esteemed 2024 Review Board! About Optometry & Visual Performance (OVP): OVP is an international, peer-reviewed journal committed to increasing awareness and access to clinically relevant information in functional, developmental, behavioral, and vision therapy aspects of optometry. It operates in an internet-based, open-access....

Are eye checks all the same? Not all doctors are the same as they may have different specialisation and clinical interests. Our consultant Dr Yap Tiong Peng is internationally board certified in vision therapy and fully accredited in vision therapy and behavioural/neurodevelopmental optometry. Here are some of Dr Yap’s professional qualifications and affiliations:

Upcoming conference in Durgapur, West Bengal, India. 🇮🇳 🇸🇬
Guest speaker: Dr Yap Tiong Peng

Motivational Quote on Optometry and Vision Therapy by Dr Yap Tiong Peng! This is why we are so passionate about Vision Therapy!

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Thank you very much!!!!