When we went to a COVD vision therapist, we already had been to our own optometrist who recommended this therapist. So for us, no additional eye exam. Our optometrist has a machine that takes pictures of the retina with no dilation though it is a little tricky for the kids to get their eye open far enough.
The vision therapist did an initial evaluation that was a mix of vision processing with some sensory that took about 3 hours. I may just be remembering more of the vision processing stuff because that is what we were more concerned. HTH
