Random Dot: More Control, Better Feedback

Several of you have asked, and now everyone gets to benefit: NVT has just rolled out a series of improvements to our family of Random Dot exercises.

Random Dot exercises are the workhorse of the NVT library. To date, patients have completed more than a million Random Dot exercises in NeuroVisual Trainer! Along the way, we've received plenty of thoughtful and practical suggestions from doctors and vision therapists; your wish lists spawn new ways to make NVT even more useful in practice and more effective for patients. We've taken some of our most common Random Dot & Vergence requests and baked them into our latest update, available now:

Starting Vergence

You can now specify a starting vergence value. Whether you're working Base In, Base Out, Base Up, or Base Down, patients can begin the exercise closer to the vergence ranges they actually need to train. No more spending the first part of every session grinding through the easy stuff just to reach the therapeutic range you want them to work. This will also let you start the patient at negative vergence, matching where they are at, and allow them to work up to Ortho.

Maximum Vergence

Similarly, you can now set a maximum vergence value to prevent patients from pushing too far beyond their comfort zone before they're ready.

Breaks & Recoveries

You've always been able to control how long a Random Dot exercise runs by setting the Duration for each attempt. Now, instead of choosing an arbitrary time limit, you can opt to end the exercise after a specified number of recoveries (meaning incorrect responses followed by a correct entry). We've also added new reporting to track this data, giving you more insight into how patients are performing.

Improvements to Random Dot Jump Vergence (In & Out)

One of the more common requests we've gotten is to eliminate the requirement to stop at 0.0△ between Base In & Base Out jumps. Now it's an option you can choose as you configure the exercise: stop at ortho, or don't, whatever works best for the eyes and brain in question.

Improved Reporting

To better support these updates, you'll also see improvements in reporting. Patients' daily activity logs and Progress Reports now include additional data highlighting maximum ranges as well as their breaks and recoveries, giving you more meaningful feedback on performance and progress. We've even updated existing Progress Reports with this new context for all patients, past and present. And if you prefer the original scoring metrics, maximums reached, number of correct responses, etc., don't worry. That information is still there, and can be filtered with a simple dropdown.

Improvements to Associated Phoria Test

Finally, we've added a Bounding Box option to the Associated Phoria Test. This frames the fixation target with a binocularly visible outline that serves as a fusion reference, allowing both eyes to maintain peripheral fusion while the associated phoria is measured.

We hope these improvements help you and your patients achieve even greater success as you work on their vergence skills. One of the reasons NeuroVisual Trainer continues to grow into the most comprehensive vision therapy platform available is the feedback we receive from the people who use it every day, you and your patients. Keep those ideas coming! We're always happy to discuss potential development to be included in future updates.