| Sumario: | Background: Visual symptoms are present in the majority of patients following mild traumatic brain injury (mTBI) or concussion. Currently, both the severity of and the expected recovery from mTBI are assessed primarily with neuropsychological evaluation, which can be easily skewed by variable subjective responses. Because evaluation is highly subjective, proper and standard treatment for post-concussive syndrome is debatable. Visual symptoms can linger past six months; however, it is unknown whether performing vision therapy for patients with post-concussive syndrome can lessen this healing time or improve the quality of healing. Case Report: A 20-year-old Caucasian female presented due to diplopia following mTBI three weeks prior. She was diagnosed with post-concussive fusional vergence dysfunction and accommodative paresis. Vision therapy was recommended, and she completed 23 weeks of in-office vision therapy with at-home reinforcement. Following vision therapy, she reported rare diplopia that only occurred when she was fatigued, and she felt comfortable to return to all of her activities of daily living. Conclusion: Due to the limited objective diagnosis methods currently available following mTBI, treatment methods currently used to reduce residual visual symptoms are somewhat controversial. Additional randomized, controlled data is needed to determine the effectiveness of in-office vision therapy following mTBI compared to cognitive and physical rest. This report demonstrates a case in which visual symptoms were resolved following vision therapy.
|
|---|