Remarkable Possibilities: Clinical Applications of Interactions Among the Cornea, Extraocular Muscles and Retina

by Deborah G Zelinsky, OD

2011 International Conference on: 
Clinical Research: Dermatology, Ophthalmology and Cardiology 

The significant increase in brain injuries, ocular surface disease and macular degeneration has stimulated extensive studies on the extraocular muscles, cornea and retina, respectively. Currently, the majority of research in these areas is isolated, yet the three structures are inextricably linked functionally via many electrical and chemical systems. The activity and changes of these interrelated ocular structures can be quantified using technological advancements, such as those that monitor brainwaves and/or chemical gradients. Alterations of one of those three components, stimulating adaptations in the other two structures via feedback and feedforward pathways, lead to changes in brain processing. Thus, by analyzing the combination of chemicals from the corneal tear layer with afferent stimuli from both proprioceptors in the extraocular muscles and retinofugal pathways, and efferent responses from retinopetal projections and cranial nerves III, IV and VI, assessments can be made regarding brain processing. From there, many future implications become possible. A few examples of attaining “bench to bedside” procedures might be 1) off-label usage of punctal plugs to induce modification of estrogen content in the corneal tear layer as a natural way to affect hormonal regulation, 2) peripheral retinal stimulation to lessen patient awareness of macular damage, or 3) filtering incoming retinal stimulation to affect seizure activity

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‘Dr. Zelinsky Is Renowned'

~ Norman Doidge, M.D. & Clark Elliott, Ph.D., and Patricia S. Lemer praise her accomplishments

“Zelinsky fit Elliott with a series of eyeglasses designed to improve the perceptual damage that made his life so difficult… Getting fitted for Zelinsky's eyeglasses is like no eye appointment you've ever had… Now, Elliott says, he is almost entirely symptom-free, able to problem-solve, multi-task and find his way easily — all abilities he lost in the auto accident in 1999. When he put on his Phase VI glasses he felt something that he hadn't felt for years: “I felt normal.”

Review: ‘The Ghost in My Brain'
– The Chicago Tribune

“One brilliant Chicago-area optometrist I know, Deborah Zelinsky OD, FNORA, FCOVD, has developed a unique, patented, easy-to-administer evaluation called the Z-Bell Test. This test measures the efficiency of integration between visual processing and listening….A 2014 study at Vendarbilt University found that children with autism do not synchronize their seeing and hearing…I have watched Dr. Zelinsky administer this test to disbelieving coleagues, who were astounded by its accuracy and results…Over the past two decades, the Z-Bell Test has become internationally recognized by the scientific community.”
– Patricia S. Lemer, Licensed Profesional Counselor (LPC)

“I visited Dr. Zelinsky, and she showed me how she can use optical lenses to alter sensory filtering, by directing light to different retinal cells and brain circuits. This can influence activity in the brain and the hypothalamus to better regulate body chemistry, sensory integration, and even some auditory processing. [Dr. Zelinsky] works frequently with patients working with learning and cognitive disorders as well as TBIs.”

– Norman Doidge, M.D.

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