In-Office Vision Therapy for the Treatment of Post-Concussion Syndrome: Is It Beneficial? A Case Report.
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 subjec...
| Publicado en: | Optometry & Visual Performance Vol. 5; no. 6; pp. 221 - 224 |
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| Autores principales: | , |
| Formato: | case study tables/charts Journal Article |
| Publicado: |
Optometric Extension Program
Dec2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126991524&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126991524 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: Dec2017 vid: 5 iid: 6 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 126991524 126991524 126991524 126991524 ppf: 221 ppct: 3 formats: tig: atl: In-Office Vision Therapy for the Treatment of Post-Concussion Syndrome: Is It Beneficial? A Case Report. aug: au: Connolly, Katie Lyon, Don W. affil: Indiana University School of Optometry, Bloomington, Indiana. sug: subj: Brain Injuries Complications Postconcussion Syndrome Diagnosis Vision Disorders Therapy Postconcussion Syndrome Therapy Recovery Severity of Illness Neuropsychological Tests Adult Female Diplopia Etiology Activities of Daily Living Quality of Life Brain Concussion Eye Movements Adult: 19-44 years Female ab: 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. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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