The name of these visits that occur after each group of eight therapy sessions is a bit misleading. As patients progress through their vision therapy both they and my staff are getting direct feedback as to the level of progress being made. We use a curriculum model of providing vision therapy. This refers to the fact that based on the kinds of unmet visual needs you present with I will have either selected an appropriate curriculum (sequence of activities in a proscribed order) program from our standard selections or customized a curriculum for your special needs. Based on the length estimate I gave you at the first visit we have a shared expectation of how long it will take to work through your curriculum. Each week we can see if you have mastered the prior weeks assignments and are ready to move on or if you require additional time to master these activities. As you move through the curriculum you will get a sense of accomplishment and will know you are making progress. As well, you will note many things in your life that are changing, as your needs are beginning to be met. For example it is not unusual for people who have come in with headaches when doing sustained near concentrated tasks to have those headaches be gone by the first 8-week progress evaluation. So if you and my staff and I know you are making progress why do we need to get together once every 8 weeks? The primary purpose is for me to take some independent objective measures to be sure that the curriculum we have chosen to work on is still most appropriate. Another aspect of the testing is to make sure that any lenses that you have are indeed correct. Many times lenses are given to help treat the underlying problem but as the therapy progresses their role changes from treatment to helping to reduce visual stress. In some cases the actual prescription will need to be changed and at others the form of the lens (ex: single vision lens to a bifocal) may need to occur. Finally, as your life demands change you may identify additional needs that we may be able to address which might require me to alter the curriculum we have set up for you. All this occurs during the progress examination. After you have completed your vision therapy, I generally see you at one, three and six months to make sure that all gains are holding and again that you have the correct lenses on. Vision therapy plants a seed. And through continued use, it generally continues to grow and develop well after we have finished office-centered therapy. Many people continue to make excellent gains during this post-therapy period.