Vectos, Vectos, and More Vectos…
Vectograms don’t always get the spotlight. They aren’t the flashiest tool in the therapy room, and they’re not likely to show up in a trendy Instagram reel. But when used well, they’re one of the most effective ways to help a struggling visual system organize, stabilize, and connect. They offer reliable feedback, a meaningful challenge, and a way to visually feel the work happening in real time.
I’ll be honest—I didn’t always appreciate them. Early on, I reached for other tools that looked more impressive or seemed more fun. But time and experience have a way of shifting priorities. What I’ve learned is that vectograms, in the right hands, can offer incredible insight into binocular function. They reveal patterns that might otherwise stay hidden, and they give us a gentle, progressive way to build foundational skills.
In the past, we have touched on the pieces and parts that go into a good vectogram activity – fixation, accommodation, fusion, and central/peripheral integration, to name a few. Understanding practical applications, patient selection, progressions, and common pitfalls can be hard to manage in real time, much less write about. This is why I am excited to have the opportunity to speak about them next Monday, June 23rd in a one hour virtual presentation.
Whether you’re just getting started with vectograms or you’ve been using them for years but want to get more intentional with your approach, this session is designed to bring clarity and confidence. And let’s be clear; I don’t pretend to have all the answers, but what I do have it years of experience asking questions (some good, and some not so good) of patients who are ready to take on this activity
Although vectograms may not be the sexiest tool in our collection, they maintain their place as something deeply meaningful. When a patient starts to engage more fully, trust their vision more completely, feel more stable in their world—it matters. And vectograms can play a quiet but powerful role in making that happen.
If you are interested in joining us for this one hour virtual presentation, you can find more information HERE.
Hope to see you all there!
Cheers!
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Robert, great article. I have added Just look Retinoscopy observations for an internal perspective and direct observations of binocularity, accommodation, balance between eyes, i.e., what is going on in there! I call it Just Look to differentiate from other reasons for using a retinoscope but also to call attention to these internal observations. When you observe from the “outside,” you cannot observe some of these subtleties directly whereas when observing with a retinoscope, some of these subtleties modulations are amazing.