Vision Issues After Brain Injury

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Comments (56)

Please remember, we are not able to give medical or legal advice. If you have medical concerns, please consult your doctor. All posted comments are the views and opinions of the poster only.

I didn't read this word by word as reading on the computer is hard for me. But I did not pick up on a mention of midline shift. I have multiple visual affects from my brain injury, field loss, double vision and midline shife the predominant ones. Many, many, many survivors of brain injury have some degree of midline shift and that creates many of the problems that uninformed practitioners apply to vestibular problems even if there is little to no dizziness. If you walk a crooked line, always heading to one side or the other without realizing it, get checked for midline shift. Behavioral optometrists are trained in this. The doctors at Mass. Eye and Ear did not find it; my optometrist did.
Is there a reason monocular diplopia is not mentioned anywhere (double vision in a single eye--irrespective of binocular focus or visual neglect issues)? That is my problem since TBI, as well as issues (perhaps related) with high contrast "vibration" especially with type (black on white page) or stripes.
It should be noted that in many TBI patients with symptomatic epilepsy, the treatment is anterior temporal lobectomy. As the optic nerve travels through the temporal lobe (Myer's loop) it is often damaged by the surgery, resulting in permanent quadrantopsia.
Thank you for highlighting this issue. Thanks to hearing an expert in the field at a Brain Injury Assoc. caregivers conference, I was able to obtain vision therapy from a qualified optometrist for my husband who has global eschemia from hypoxia. The results so far are subtle but encouraging.
Thank you for sharing this article. I was wondering why there was not more discussion on the cognitive/perceptual deficits that are related to TBI?
Bravo for this article on vision issues after TBI. I have struggled with this since sustaining mTBI in 1994 (and 1998). But I have found that my best compensatory strategy has been my sense that part of the difficulty I encounter in the community is TBI related and the other part is the lack of knowledge on the part of the general public of the role played by environmental issues. I thought I could no longer read, until I learned that I could read pages that were "ragged right" (not fully justified). I advocated with BI organizations to make their print material more TBI-friendly. And I ask the state office of legislative services to print proposed legislation for me in a ragged right fashion. Although I can find science on what TBI does to vision, and what vision impairments contribute to reading difficulties, I cannot find the authoritative statement that puts them together (if I could, I could effect more change). Accommodating print colors, styles, line widths (and other practices of good design for print material) goes a long way to reduce the "I can'ts" that come with vision problems (aagh - filling out forms). Please do not ignore advocacy and civil rights issues when it comes to helping people learn to accommodate the impairments that come with vision disturbances following TBI! I wish that some group would come up with guidelines for print (and web) material to make the most readable materials for people with TBI vision impairments (and just for folks who are plain getting older). The CDC has been the BEST in this area; but unfortunately some organizations serving TBI populations need to develop awareness and make changes! I am glad vision issues have been brought out of the darkness. In vision, as well as other TBI-affected impairments to resuming life as best we can, self-advocacy and a good healthy sense of the American with Disabilities Act goes a VERY LONG WAY. And for those folks who participate in surveys about disabilities: speak up when a survey asks about vision impairments that are solely eye-ball related. Explain vision issues you experience so that future survey questions can be broadened (Surveys usually imply problems are with dimness; my problem is with glare!) Education and advocacy may not provide a "cure," but getting accommodations sure goes a long way in helping us see the light!

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