How to assess visual function in acquired brain injury—Asking is not enough
Abstract Background Acquired brain injury affects many brain areas and causes a range of dysfunctions including vision‐related issues. These issues can have negative impacts on rehabilitation progress and activities of daily life but may easily be overlooked. There is no common recommendation about...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-02-01
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| Series: | Brain and Behavior |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/brb3.1958 |
| _version_ | 1818716617135095808 |
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| author | Märta Berthold‐Lindstedt Jan Johansson Jan Ygge Kristian Borg |
| author_facet | Märta Berthold‐Lindstedt Jan Johansson Jan Ygge Kristian Borg |
| author_sort | Märta Berthold‐Lindstedt |
| collection | DOAJ |
| description | Abstract Background Acquired brain injury affects many brain areas and causes a range of dysfunctions including vision‐related issues. These issues can have negative impacts on rehabilitation progress and activities of daily life but may easily be overlooked. There is no common recommendation about how to assess visual impairments after ABI. The purpose of this study was to estimate the frequency of objectively measures oculomotor dysfunctions, and also how these findings are related to two inventories intended to support detection of visual impairment. Methods The study was cross‐sectional and included 73 outpatients. In addition to the standard evaluation program, the patients went through a comprehensive optometric examination. The inventories used were the Vision Interview (VI) and the Convergence Insufficiency Symptom Survey (CISS). Results All three types of examinations showed a high proportion vision‐related symptoms. Fusion vergence was the most common objectively measured finding, 83%. There were seven statistically significant associations between five VI items and five visual deficits. The strength of associations was moderate (Phi 0.261–0.487, p < .05). The sensitivity and specificity of the CISS were moderate. Conclusion We found high percentages of the patients with visual symptoms and dysfunctions. Due to the complexity of visual symptoms and functional deficits in ABI, we find it necessary to combine both symptom assessment and vision examination in order to capture visual function issues. |
| first_indexed | 2024-12-17T19:22:06Z |
| format | Article |
| id | doaj.art-22f8b0f047f34133b9d38d96519651cd |
| institution | Directory Open Access Journal |
| issn | 2162-3279 |
| language | English |
| last_indexed | 2024-12-17T19:22:06Z |
| publishDate | 2021-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Brain and Behavior |
| spelling | doaj.art-22f8b0f047f34133b9d38d96519651cd2022-12-21T21:35:29ZengWileyBrain and Behavior2162-32792021-02-01112n/an/a10.1002/brb3.1958How to assess visual function in acquired brain injury—Asking is not enoughMärta Berthold‐Lindstedt0Jan Johansson1Jan Ygge2Kristian Borg3Division of Rehabilitation Medicine Department of Clinical Science Karolinska Institute Danderyd University Hospital Stockholm SwedenEye and Vision Department of Clinical Neuroscience Karolinska Institute Stockholm SwedenEye and Vision Department of Clinical Neuroscience Karolinska Institute Stockholm SwedenDivision of Rehabilitation Medicine Department of Clinical Science Karolinska Institute Danderyd University Hospital Stockholm SwedenAbstract Background Acquired brain injury affects many brain areas and causes a range of dysfunctions including vision‐related issues. These issues can have negative impacts on rehabilitation progress and activities of daily life but may easily be overlooked. There is no common recommendation about how to assess visual impairments after ABI. The purpose of this study was to estimate the frequency of objectively measures oculomotor dysfunctions, and also how these findings are related to two inventories intended to support detection of visual impairment. Methods The study was cross‐sectional and included 73 outpatients. In addition to the standard evaluation program, the patients went through a comprehensive optometric examination. The inventories used were the Vision Interview (VI) and the Convergence Insufficiency Symptom Survey (CISS). Results All three types of examinations showed a high proportion vision‐related symptoms. Fusion vergence was the most common objectively measured finding, 83%. There were seven statistically significant associations between five VI items and five visual deficits. The strength of associations was moderate (Phi 0.261–0.487, p < .05). The sensitivity and specificity of the CISS were moderate. Conclusion We found high percentages of the patients with visual symptoms and dysfunctions. Due to the complexity of visual symptoms and functional deficits in ABI, we find it necessary to combine both symptom assessment and vision examination in order to capture visual function issues.https://doi.org/10.1002/brb3.1958brain injuriesocular motility disordersstroketraumatic brain injuryvision disorders |
| spellingShingle | Märta Berthold‐Lindstedt Jan Johansson Jan Ygge Kristian Borg How to assess visual function in acquired brain injury—Asking is not enough Brain and Behavior brain injuries ocular motility disorders stroke traumatic brain injury vision disorders |
| title | How to assess visual function in acquired brain injury—Asking is not enough |
| title_full | How to assess visual function in acquired brain injury—Asking is not enough |
| title_fullStr | How to assess visual function in acquired brain injury—Asking is not enough |
| title_full_unstemmed | How to assess visual function in acquired brain injury—Asking is not enough |
| title_short | How to assess visual function in acquired brain injury—Asking is not enough |
| title_sort | how to assess visual function in acquired brain injury asking is not enough |
| topic | brain injuries ocular motility disorders stroke traumatic brain injury vision disorders |
| url | https://doi.org/10.1002/brb3.1958 |
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