Binovi vs VOR Eye Rehab: vision therapy incumbent vs vestibular-oculomotor challenger (2026)

Disclosure: I founded VOR Eye Rehab, and I'm about to compare us to the incumbent in vision therapy software. To keep myself honest: if you run a pediatric optometric vision therapy practice doing amblyopia and convergence insufficiency programs, there's a decent chance Binovi — or classic HTS — is the better fit, and I'll say exactly why below.

Binovi (by Eyecarrot) is a practice-wide vision therapy platform: clinician management tools, tablet-based therapy activities, telehealth, and hardware, built on decades of the VT world's workflows. VOR Eye Rehab is a vestibular and oculomotor rehabilitation platform aimed at the concussion, dizziness, and neuro-PT world, which happens to share the eyeball-muscle territory.

TL;DR

Choose Binovi if

You're an optometric VT practice running structured pediatric programs (amblyopia, strabismus, CI) with VT-specific activity protocols and in-office stations

Choose VOR Eye Rehab if

Your caseload is concussion, dizziness, and vestibular dysfunction with oculomotor involvement — and you want symptom-gated progression, VOR instrumentation, and PT-side RTM economics

These products share saccades and pursuits and differ on almost everything else. Binovi is built for the optometry vision-therapy practice: decades of VT workflow, in-office stations, home therapy tied to VT protocols. VOR Eye Rehab is built for the vestibular and concussion clinic: instrumented VOR training, five-metric symptom gating, optokinetic projection, and balance with the eye exercises — not instead of them.

The two at a glance

	VOR Eye Rehab	Binovi
Price	USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month	Quote-based; hardware stations historically ~$3,000+ each plus practice subscriptions
Heritage	Vestibular + concussion rehab (PT/Neuro)	Optometric vision therapy (COVD world)
Oculomotor exercises	Saccade, pursuit, convergence, OKN — interactive with symptom gating	Deep VT activity library (anti-suppression, vergence, tracking, perceptual)
VOR / vestibular	Core: instrumented x1/x2, habituation, balance progression	Not a focus
Symptom tracking	5 vestibular metrics pre/post every session	VT progress scoring within activities
In-clinic delivery	Projector mode — any wall becomes the stimulus	Purpose-built station hardware and tablets
Home program	Free patient app, no hardware	Home therapy via Binovi Touch / linked tools
RTM billing (US PT)	Dedicated dashboard	Not applicable to their model

Where Binovi is genuinely better

Pediatric vision therapy is a discipline with its own protocols, its own outcome conventions, and its own referral economy, and Binovi lives inside all of it. Their activity library — built up through the HTS/CAVT lineage Eyecarrot acquired — covers anti-suppression, vergence, and perceptual work at a depth we don't attempt, and their in-office station model matches how VT sessions actually run: patient at the activity station, therapist orchestrating.

If your practice is optometric VT — amblyopia, strabismus, convergence insufficiency, developmental vision — the ecosystem fit (Bernell hardware, COVD workflows, VT-literate support) is worth real money, and I'd tell you to stay in it. Our platform doesn't know what a VT practice needs day to day, and pretending otherwise would be dishonest.

Where VOR Eye Rehab wins

The concussion and vestibular world trains eyes for a different reason: the oculomotor system is downstream of a vestibular injury, and eye exercises without symptom management make post-concussion patients worse before they get better. Our platform gates every saccade, pursuit, and convergence block against five symptom metrics (dizziness, brain fog, headache, eye strain, nausea) and regresses difficulty when symptoms spike — the thing a VT platform never needed to build and hasn't.

Add instrumented VOR x1/x2 at measured head velocity (no VT product does this — it's not their discipline), optokinetic projector mode, real-world video habituation, DHI/ABC/VVAS outcomes, and RTM billing for US physical therapists, and the picture inverts: for the mTBI, dizziness, and neuro-PT caseload, we're the specialist and Binovi is the generalist visitor. Also: USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month, published, no station hardware.

1. Binovi

Best for: Established optometric vision therapy practices, especially pediatric programs
Price: ≈$3,000+ per station + practice subscription (quote)
Oculomotor + vestibular coverage: The incumbent VT workflow — activities, stations, VT ecosystem

Binovi is what a mature VT practice looks like when it's been digitized by people who know VT: clinician dashboards, in-office activity stations, home therapy, telehealth, and data flowing between them. Eyecarrot's acquisition of computer-aided vision therapy assets deepened the protocol library further, and the platform's lineage (HTS heritage) means VT-literate onboarding.

The costs are the mirror of the strengths: quote-based pricing with hardware stations that add up quickly for multi-room practices, no vestibular layer at all (VOR work isn't in their vocabulary), and symptom tracking that doesn't model the post-concussion cluster. For a dizziness and concussion caseload, those aren't small gaps — they're the discipline.

Visit Binovi

2. VOR Eye Rehab (mine)

Best for: Concussion, vestibular, and neuro-PT clinics with oculomotor involvement
Price: USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month · patient app free
Oculomotor + vestibular coverage: Oculomotor training built inside vestibular rehab, not beside it

We treat the eye exercises the way a vestibular clinician does: as one branch of a program that also contains VOR x1/x2 at measured head velocity, habituation, and balance work — all gated by the same five-symptom engine and progressed by the same AI. Post-concussion patients who can't tolerate convergence work today get regressed automatically and advanced when their brain fog clears, not when the next visit happens to land.

Projector mode gives you wide-field optokinetic and pursuit protocols on any wall, real-world video handles the visual-vertigo patients, and RTM tooling fits the US PT revenue model. What we don't have: anti-suppression and perceptual VT protocols, VT station hardware, and twenty years of COVD workflow. If your patients are dizzy rather than developmentally vision-impaired, you won't miss them.

Apply for the 30-Day Clinic Pilot

My honest pick

Running a pediatric vision therapy practice with amblyopia and CI caseloads? Stay in the Binovi/HTS ecosystem — the activity depth and workflow fit are built for you, and switching to a vestibular platform would mean rebuilding your protocols for no clinical gain.

Treating concussion, dizziness, and vestibular dysfunction where oculomotor symptoms ride along? That's literally our design center: symptom-gated eye exercises integrated with instrumented VOR work, at USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month instead of station hardware. Different disciplines, shared anatomy — buy for the discipline you practice.

What I'd do today

1 Classify last month's eye-exercise caseload: developmental/pediatric VT versus acquired/concussion/vestibular. The split decides this comparison.
2 If VOR or habituation work appears in more than a handful of programs, confirm any candidate platform measures head velocity — VT platforms generally don't.
3 Price the full stack, not the sticker: Binovi stations plus subscriptions versus the Professional plan (USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month) with patients using their own phones.
4 For concussion programs, test symptom gating deliberately: does the platform regress difficulty when dizziness spikes? That behavior is the difference between tolerance and flare-ups.

Questions

Is VOR Eye Rehab a vision therapy platform?

Partially. It covers oculomotor training — saccades, pursuits, convergence, optokinetics — but inside a vestibular rehabilitation context with symptom gating and progression logic built for concussion and dizziness patients. It does not include classic optometric VT protocols like anti-suppression or perceptual skill training. Pediatric developmental vision therapy is Binovi and HTS territory; acquired oculomotor dysfunction after concussion is ours.

How much does Binovi cost compared to VOR Eye Rehab?

Binovi doesn't publish pricing; historically their Touch hardware ran around $3,000+ per station plus practice-level subscriptions, quoted per clinic. VOR Eye Rehab is USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month with a free patient app and no hardware. For budgeting purposes: theirs is a quoted capital-plus-subscription model, ours is a transparent line item.

Can an optometry practice use VOR Eye Rehab alongside Binovi?

Yes — the natural division is developmental VT in Binovi and acquired/concussion oculomotor-vestibular cases in VOR Eye Rehab. Some practices also use our free patient app purely for home VOR programs after in-office repositioning or habituation initiation. Since the patient app is free, testing it on a few post-concussion patients is low-friction.

Which is better for post-concussion vision rehabilitation?

For mTBI caseloads, VOR Eye Rehab — because concussion oculomotor rehab fails without symptom management. Every exercise is gated by five tracked symptoms and progressed accordingly, and it sits alongside instrumented VOR, habituation, and balance work in one program. Binovi's activity library is strong for stable, symptom-tolerant patients doing classic VT, which describes developmental caseloads better than fresh concussions.

Run your next vestibular caseload on VOR Eye Rehab

Purpose-built VOR and oculomotor training, five-metric symptom tracking, AI progression, projector mode, and an RTM billing dashboard. Professional: USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month. Patient app free. 30-day founder-guided pilot.

Promotional platform fee before December 31, 2026; standard fee: USD 89/month. The patient app is free.

Apply for the Clinic Pilot

Binovi pricing and packaging checked against public sources in October 2026; their plans are quote-based, so request current terms. VT protocol coverage reflects publicly documented product capabilities.