RT Journal Article
SR Electronic
T1 Consensus Statement on Visual Rehabilitation in Mild Traumatic Brain Injury
JF Neurology: Clinical Practice
FD Lippincott Williams & Wilkins
SP 10.1212/CPJ.0000000000200071
DO 10.1212/CPJ.0000000000200071
A1 Prem S. Subramanian
A1 Jason J. S. Barton
A1 Paul Ranalli
A1 Craig Smith
A1 Courtney E Francis
A1 Benjamin Frishberg
YR 2022
UL http://cp.neurology.org/content/early/2022/08/31/CPJ.0000000000200071.abstract
AB Optometric visual rehabilitation therapy has been employed for a variety of visual disorders. Descriptively-named entities such as post trauma visual syndrome (PTVS), visual midline shift syndrome (VMSS), and vertical heterophoria syndrome (VHS) are frequently diagnosed by neuro-optometrists and/or behavioral optometrist in patients after stroke or head injury or in the setting of dizziness and/or headache. The scientific underpinnings of these diagnoses and treatments are weak, and published clinical studies comprise case reports and case series without comparison to control populations. Neuro-ophthalmologists are frequently questioned by patients about the utility of such treatment strategies. Many ophthalmologists and neurologists also are involved in the care of patients who carry these diagnoses and undergo these visual therapies. Involved physicians may benefit from guidance about the rationale, evidence, and level of evidence for the efficacy of these therapeutic approaches.