Case Series: Optometric Approach to Vision-Related Concussion Symptoms, Diagnosis, and Management.
Background: Sport-related concussions frequently result in persistent visual dysfunctions, including accommodative, binocular, oculomotor, and oculo-vestibular impairments. These deficits can significantly impact quality of life and are often overlooked in standard eye examinations. Optometric visio...
| Published in: | Optometry & Visual Performance Vol. 14; no. 2; pp. 130 - 138 |
|---|---|
| Main Authors: | , , |
| Format: | case study tables/charts Journal Article |
| Published: |
Optometric Extension Program
Jun2026
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195202342&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195202342 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: Jun2026 vid: 14 iid: 2 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 195202342 195202342 195202342 195202342 ppf: 130 ppct: 8 formats: tig: atl: Case Series: Optometric Approach to Vision-Related Concussion Symptoms, Diagnosis, and Management. aug: au: Rutenberg, Zuzana Eichler, Rachel Gantz, Liat affil: Jerusalem Multidisciplinary College Jerusalem, Israel sug: subj: Brain Concussion Complications Vision Disorders Therapy Ocular Motility Disorders Therapy Vestibular Diseases Therapy Vision Disorders Diagnosis Ocular Motility Disorders Diagnosis Vestibular Diseases Diagnosis Female Adult Ocular Physiology Eye Movements Photophobia Headache Visual Perception Rehabilitation Methods Athletic Injuries Case Studies Adult: 19-44 years Female ab: Background: Sport-related concussions frequently result in persistent visual dysfunctions, including accommodative, binocular, oculomotor, and oculo-vestibular impairments. These deficits can significantly impact quality of life and are often overlooked in standard eye examinations. Optometric vision therapy offers targeted rehabilitation to address these dysfunctions. This case series highlights the benefit of vision therapy in three female patients with sport-related concussions referred for visual evaluation and treatment long after the concussion was sustained. Case Reports: Three patients (ages 20, 27, and 34) with persistent visual symptoms years after one or more concussions were previously examined by eye care providers, yet visual complaints remained unresolved. Each underwent a comprehensive binocular vision assessment revealing various combinations of accommodative excess (patients 1, 2, 3) or insufficiency (patient 2), fusional vergence dysfunction (patients 2, 3), oculomotor deficits (patients 1, 2, 3), and vestibulo-ocular dysfunction (patients 1, 2, 3). Patients completed 11-12 sessions of individualized vision therapy, supplemented by daily home exercises. Following therapy, all patients demonstrated clinically significant improvements in objective findings and selfreported symptoms. Brain Injury Vision Symptom Survey scores improved by 55-59% (34-35 points) across the three cases. Notable functional gains included reduced photophobia, improved reading, less fatigue, and return to academic or physical activities. Conclusions: This case series underscores the essential role of optometrists in post-concussion care. Optometric vision therapy is an effective intervention, even when initiated long after the initial injury. Comprehensive visual function assessment and interdisciplinary collaboration are critical to identifying and managing postconcussion visual dysfunction, ultimately improving patient outcomes. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|