Post-Concussion Vision Rehabilitation in Fargo, ND

If you’ve had a concussion and the visual symptoms — headaches, double vision, light sensitivity, dizziness, difficulty reading or focusing — haven’t resolved, you’re not alone, and you don’t have to live with them. Roughly 70–90% of concussion patients have some form of vision dysfunction, and the symptoms are frequently dismissed as “you just need rest” when in fact they’re treatable.

At Lumen Vision in Fargo, post-concussion vision rehabilitation is a specific application of vision therapy that targets the visual system’s recovery. The program is led by Dr. Ryan Capouch, FOVDR — fellowship-trained in developmental and rehabilitative optometry.

Post-concussion symptoms we treat

  • Persistent headaches, especially with reading or screen time

  • Double vision, even briefly or only with fatigue

  • Light sensitivity (photophobia)

  • Dizziness or motion sensitivity

  • Difficulty reading — words swim, letters jump, lines skip

  • Difficulty driving, especially at night or in heavy traffic

  • Eye strain or fatigue

  • Trouble maintaining focus during meetings or conversations

  • Balance issues

  • “Brain fog” that worsens with visual demand

Why concussions affect vision

Vision is a remarkably complex process. About 80% of the brain is involved in some aspect of vision — eye movement control, focusing, eye teaming, depth perception, and visual processing. A concussion that disrupts neural pathways anywhere in this network can produce visual symptoms even when the eyes themselves are uninjured. Patients are sometimes told their eyes “look normal” after a concussion — and they do, structurally. The problem is in the brain’s coordination of the visual system, which is exactly what vision therapy retrains.

How post-concussion vision rehabilitation works at Lumen

The 5-step process is the same as our standard vision therapy:

  1. Comprehensive eye exam to rule out structural eye injury.

  2. Pre-testing battery focused on the visual systems most affected by concussion — accommodative function, vergence, ocular motility, visual processing speed, and visual-vestibular integration.

  3. 10-week therapy unit with exercises calibrated for post-concussion recovery. Unlike standard vision therapy, post-concussion exercises start gentle and build symptom-by-symptom — we never push past the point of triggering symptoms.

  4. Post-testing to measure recovery.

  5. Graduation or a second unit, depending on progress.

Many post-concussion patients see significant symptom reduction within the first 4–6 weeks of a unit. Some patients with longer-standing post-concussion syndrome (months or years post-injury) may need 2–3 units to reach full recovery.

We coordinate with your other providers.

Concussion recovery is rarely a solo journey. We work alongside (not instead of) your primary care physician, neurologist, physical therapist, vestibular therapist, and athletic trainer. We can communicate findings directly with referring providers and coordinate timing of vision therapy with vestibular therapy or physical therapy when both are part of your recovery plan.

Insurance and post-concussion vision rehabilitation

Vision therapy for post-concussion vision dysfunction is generally variably-covered by medical insurance, including Medicare and most commercial plans, when there’s a documented concussion or TBI diagnosis. The diagnosis is typically already in your record from the originating injury. We share a written coverage estimate before you commit.

Ready to recover the visual symptoms?

The first step is an evaluation. Call (701) 404-9096, email hello@lumen.vision, or book online.