Treatment of vertical heterophoria ameliorates persistent post-concussive symptoms: A retrospective analysis utilizing a multi-faceted assessment battery

Brain Injury : [BI]
Mark S RosnerArthur J Rosner

Abstract

To examine the effectiveness of neutralizing prismatic lenses for reduction of headache, dizziness and anxiety in patients with persistent post-concussive symptoms and vertical heterophoria (VH). Approximately 5-10% of patients with traumatic brain injury (TBI) develop persistent post-concussive symptoms. Many rehabilitation/treatment modalities are tried, but are largely unsuccessful, indicating a need for more effective treatment. This retrospective study included 38 patients with persistent post-concussive symptoms, who were diagnosed by an optometric binocular vision sub-specialist with VH (a sub-set of binocular vision dysfunction [BVD] that manifests as vertical eye and image misalignment). Data was collected both before and after prism application and included validated survey instruments for headache, dizziness, anxiety and BVD symptom burden; subjective rating (0-10 scale) of headache, dizziness and anxiety severity; and a sub-analysis of the BVD survey instrument questions that pertain specifically to headache, dizziness and anxiety. Upon conclusion of treatment, subjective assessment of overall improvement of heterophoria symptoms was obtained utilizing a 10 cm visual analogue scale. Results demonstrated marked reduc...Continue Reading

References

Apr 1, 1991·Optometry and Vision Science : Official Publication of the American Academy of Optometry·M Surdacki, B Wick
Jun 1, 1996·Optometry and Vision Science : Official Publication of the American Academy of Optometry·T L SchroederT P Grosvenor
May 31, 2002·Current Treatment Options in Neurology·Neera Kapoor, Kenneth J. Ciuffreda
Aug 22, 2006·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Rajula Karania, Bruce J W Evans
Apr 2, 2008·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Lyle S Gray
Dec 2, 2010·Brain Injury : [BI]·Amber L DoughertyMichael R Galarneau
Mar 7, 2012·Strabismus·Danielle N Jackson, Harold E Bedell
Nov 13, 2013·Annual Review of Psychology·Amanda R RabinowitzHarvey S Levin

❮ Previous
Next ❯

Citations

Mar 19, 2019·Journal of Neurologic Physical Therapy : JNPT·Susan L Whitney, Patrick J Sparto
Apr 11, 2018·Disability and Rehabilitation·Mary E Simpson-Jones, Anne W Hunt
Jun 11, 2020·International Journal of Environmental Research and Public Health·Martina GuglielmettiPaolo Martelletti
Oct 27, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Debby L FeinbergArthur J Rosner
Aug 23, 2020·Survey of Ophthalmology·Jason J S Barton, Paul J Ranalli

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.