Effect of Optometric Multisensory Training (OMST) on a Patient with Post-Concussive Visual Snow Syndrome.

Background: Optometric Multisensory Training (OMST) is a unique method involving the simultaneous presentation of sensory stimulations in a safe and controlled clinical situation. This includes syntonic optometric phototherapy, vestibular (motion) stimulation, and auditory stimulation. The purpose o...

Full description

Bibliographic Details
Published in:Optometry & Visual Performance Vol. 14; no. 2; pp. 146 - 153
Main Authors: Habermehl, Bradley E., Yadav, Naveen K.
Format: case study pictorial tables/charts Journal Article
Published: Optometric Extension Program Jun2026
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195202344&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 195202344
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        23253479
        HOOW
      jtl: Optometry & Visual Performance
      issn: 23253479
      maglogo: N
    pubinfo:
      dt: Jun2026
      vid: 14
      iid: 2
      pid: 46881
      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
    artinfo:
      ui:
        195202344
        195202344
        195202344
        195202344
      ppf: 146
      ppct: 7
      formats:
      tig:
        atl: Effect of Optometric Multisensory Training (OMST) on a Patient with Post-Concussive Visual Snow Syndrome.
      aug:
        au:
          Habermehl, Bradley E.
          Yadav, Naveen K.
        affil: OD • Western University of Health Sciences, College of Optometry Pomona, California
      sug:
        subj:
          Brain Concussion Complications
          Vision Disorders Therapy
          Sensory Stimulation Methods
          Phototherapy Methods
          Treatment Outcomes Evaluation
          Female
          Middle Age
          Brain Injuries
          Acoustic Stimulation
          Brain Concussion Symptoms
          Vision Disorders Symptoms
          Brain Injuries Symptoms
          Treatment Duration
          Visual Perception
          Eye Movement Measurements
          Vision Tests
          Rehabilitation of Persons with Vision Loss
          Functional Status
          Quality of Life
          Protocols
          Middle Aged: 45-64 years
          Female
      ab: Background: Optometric Multisensory Training (OMST) is a unique method involving the simultaneous presentation of sensory stimulations in a safe and controlled clinical situation. This includes syntonic optometric phototherapy, vestibular (motion) stimulation, and auditory stimulation. The purpose of this study is to evaluate the effectiveness of OMST in improving visual and post-concussive symptoms in a patient diagnosed with post-concussive visual snow syndrome (VSS) following mild traumatic brain injury (mTBI). Case Report: A 57-year-old female with a history of mTBI presented with persistent post-concussion syndrome (PCS), including VSS, oculomotor dysfunction, vestibular disturbances, cognitive deficits, and migraines. The patient underwent a 30-day OMST program consisting of in-office multisensory therapy combined with at-home syntonic phototherapy. Objective eye movement metrics and subjective symptom reports were assessed pre- and post-intervention. Results: Using the RightEye standardized testing protocol, significant improvements were observed in eye movement performance, with overall scores improving from an average of 24 pre-treatment to 61 post-treatment. Using the Brain Injury Vision Symptom Survey (BIVSS), the patient reported an 80% reduction in visual snow symptoms and a 60% reduction in overall PCS symptoms, along with improvements in sleep quality, vestibular function, and cognitive processing. Conclusion: OMST appears to be a promising neuro-optometric rehabilitation approach for patients with post-concussive VSS, demonstrating both objective and subjective clinical improvements.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N