Visual acuity and eye refraction disturbances following brain injury in school-aged children
DOI:
https://doi.org/10.52556/2587-3873.2022.1(92).02Keywords:
visual acuity, brain injury, childrenAbstract
Visual disturbances may result in a long-term complication after mild traumatic brain injury(mTBI) in children. The purpose of the study was to assess the visual acuity (VA) disturbances and refractive status in children with persisting symptoms after mild traumatic brain injury. The research aimed 48 patients with persisting visual symptoms after mTBI. Visual symptoms and refractive status were assessed. Thus, in the mTBI group, the visual acuity for the right eye was of 0.09—0.5 in 83.7% (40 patients), in 16.3% (8 patients) – right eye 0.6—0.8, compared to the control group, were 62% of patients had the visual acuity ranged almost in 1.0, just 14% (7 patients) was ranged 0.09-0.5 and in 24% (12 patients) la 0.6—0.8. The visual acuity for the left eye in the research group was of 0.09—0,5 in 89.8% (43 patients), in 10.2% (5 patients) –for the left eye was 0.6—0.8, compared to the control group, were 66% of patients had the visual acuity ranged almost in 1.0, just 24% (12 patients) was ranged 0.09-0,5 and in 14% (5 patients) – 0,6—0.8. VA is affected primarily after head trauma although it improves in a time perioranginged between 3 and 6 months after the trauma. Autorefraction data usually will reveal slight hyperopia with a possible astigmatic component ranging between 1D to 3D, and in 4.1%–8.2% cases slight myopia also ranged between 1D and 3D
References
1. mcKinlay A., grace R.c., horwood l.J., et al. Prevalence of traumatic brain injury among children, adolescents and young adults: Prospective evidence from a birth cohort. Brain inj 2008;22(2):175-81. https://doi.org/10.1080/02699050801888824
2. langlois J.A., Rutland-Brown W., Thomas K.E. The incidence of traumatic brain injury among children in the united states: differences by race. J head Trauma Rehabil 2005;20(3):229-38. https://doi.org/10.1097/00001199-200505000-00006
3. Thornhill s., Teasdale g.m., murray g.d., et al. disability in young people and adults one year after head injury: prospective cohort study. BmJ 2000;320(7250).1631 https://doi.org/10.1136/bmj.320.7250.1631
4. centers for disease control and Prevention. heads up to healthcare providers. Atlanta: cdc, 2015. Available at www.cdc.gov/headsup/providers [Accessed 16 June 2016].
5. corrigan J.d., selassie A.W., orman J.A.l. The epidemiology of traumatic brain injury. J head Trauma Rehabil 2010;25(2):72-80. https://doi.org/10.1097/HTR.0b013e3181ccc8b4
6. Barlow K.m., crawford s., stevenson A., et al. Epidemiology of postconcussion syndrome in pediatric mild traumatic brain injury. Pediatrics 2010;126(2):e374- 81. https://doi.org/10.1542/peds.2009-0925
7. centers for disease control and Prevention. nonfatal traumatic brain injuries related to sports and recreation activities among persons aged ≤19 years - united states, 2001-2009. morbidity and mortality Weekly Report 2011;60(39):1337-42.
7. halstead mE, Walter Kd, moffatt K; council on sPoRTs mEdicinE And FiTnEss. sport-Related concussion in children and Adolescents. Pediatrics. 2018 dec;142(6):e20183074. https://doi.org/10.1542/peds.2018-3074. https://doi.org/10.1542/peds.2018-3074
8. leddy J.J. et al. Early subthreshold aerobic exercise for sport-related concussion: a randomized clinical trial. JAmA pediatrics. - 2019. - т. 173. - №. 4. - с. 319-325. https://doi.org/10.1001/jamapediatrics.2018.4397
9. marar m., mcilvain n.m., Fields s.K. et al. Epidemiology of concussions among united states high school athletes in 20 sports. Am J sports med 2012;40(4).747-55. https://doi.org/10.1177/0363546511435626
10. mccrory P., meeuwisse W., Aubry m. et al. consensus statement on concussion in sport: The 4th international conference on concussion in sport held in Zurich, november 2012. Br J sports med 2013;47(5):250-58. https://doi.org/10.1136/bjsports-2013-092313
11. cernak i., chang T., Ahmed F.A. et al. Pathophysiological response to experimental diffuse brain trauma differs as a function of developmental age. dev neurosci 2010;32(5-6):442-53. https://doi.org/10.1159/000320085
12. creed J.A., dileonardi A.m., Fox d.P., Tessler A.R., Raghupathi R. concussive brain trauma in the mouse results in acute cognitive deficits and sustained impairment of axonal function. J neurotrauma 2011;28(4):547-63. https://doi.org/10.1089/neu.2010.1729
13. giza c.c., hovda d.A. The neurometabolic cascade of concussion. J Athl Train 2001;36(3):228-35.
14. Field m, collins mW, lovell mR, maroon J. does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. J Pediatr 2003;142(5):546. https://doi.org/10.1067/mpd.2003.190
15. grady m.F. concussion in the adolescent athlete. curr Probl Pediatr Adolesc health care 2010;40(7)154-69. https://doi.org/10.1016/j.cppeds.2010.06.002
16. lovell m.R., collins m.W., iverson g.l. et al. Recovery from mild concussion in high school athletes. J neurosurg 2003;98(2):296-301. https://doi.org/10.3171/jns.2003.98.2.0296
17. Kenneth J. ciuffreda, o.d., Phda, diana P. ludlam, Bs, coVTa , naveen K. Yadav, Bs optom, ms, Phdb , Preethi Thiagarajan, Bs optom, ms, Phd. Traumatic Brain injury Visual consequences, diagnosis, and Treatment. Advances in ophthalmology and optometry 1(2016) 303-333. https://doi.org/10.1016/j.yaoo.2016.03.013
18. macFarlane m.P., glenn T.c. neurochemical cascade of concussion. Brain inj 2015;29: 139-53. https://doi.org/10.3109/02699052.2014.965208
19. giza c.c., hovda d.A. The pathophysiology of traumatic brain injury//Traumatic brain injury in sports. - Taylor & Francis, 2020. - с. 45-70. https://doi.org/10.1201/9780367810535-4
20. Peter W. nathan, graham Ratcliff, charles R. noback, Peter B.c. matthews, Arthur d. loewy, Thomas l. lentz. human nervous system. Encyclopedia Britannica.
21. Zahid A.B. et al. Eye tracking as a biomarker for concussion in children//clinical journal of sport medicine. - 2020. - т. 30. - №. 5. - с. 433-443. https://doi.org/10.1097/JSM.0000000000000639
22. chan R.V., Paul m.d., Trobe Jonathan d. m.d. spasm of Accommodation Associated with closed head Trauma. Journal of neuro-ophthalmology: march 2002 - Volume 22 - issue 1, p. 15-17. https://doi.org/10.1097/00041327-200203000-00005
23. mohammad Reza sedaghat, hamed momeni-moghaddam, shehzad A. naroo, mohammad Etezad-Razavi and majid moshirfar induced myopia secondary to Blunt Trauma. case Reports in ophthalmological medicine. Volume 2019. https://doi.org/10.1155/2019/1632828
24. Fintan E. hughes, et al. Persistent pseudomyopia following a whiplash injury in a previously emmetropic woman. American Journal of ophthalmology case Reports Volume 8, december 2017, pages 28-30. https://doi.org/10.1016/j.ajoc.2017.09.006
25. Eklund A. et al. Jaw‐neck motor function in the acute stage after whiplash trauma //Journal of oral rehabilitation. - 2020. - т. 47. - №. 7. - с. 834-842. https://doi.org/10.1111/joor.12981
26. mavrakanas n., dreifuss s., safran A.B. ocT iii imaging of whiplash maculopathy Eye, 22 (6) (2008), pp. 860-861. https://doi.org/10.1038/sj.eye.6703093
27. Fortenbaugh F.c. et al. Blast mild traumatic brain injury is associated with increased myopia and chronic convergence insufficiency//Vision research. - 2021. - т. 186. - с. 1-12. https://doi.org/10.1016/j.visres.2021.04.004
28. Jenkins P.F. management and Treatment modalities in Traumatic Brain injury//Journal of Binocular Vision and ocular motility. - 2020. - т. 70. - №. 4. - с. 140-146. https://doi.org/10.1080/2576117X.2020.1779579
29. scheiman m., mitchell g.l., cotter s. et al. A randomized clinical trial of treatments for convergence insufficiency in children. Arch ophthalmo. 2005;123(1):14-24. https://doi.org/10.1001/archopht.123.1.14
30. hunt A.W., mah K., Reed n., Engel l., Keightley m. oculomotor-based vision assessment in mild traumatic brain injury: a systematic review. J head Trauma Rehabil 2016;31(4):252-61. https://doi.org/10.1097/HTR.0000000000000174
31. Fox s.m., Koons P., dang s.h. Vision rehabilitation after traumatic brain injury//Physical medicine and Rehabilitation clinics. - 2019. - т. 30. - №. 1. - с. 171-188. https://doi.org/10.1016/j.pmr.2018.09.001
32. lacroix Z., leat s.J., christian l.W. Role of primary care optometrists in the assessment and management of patients with traumatic brain injuries in canada - canadian Journal of optometry 2018. https://doi.org/10.15353/cjo.80.279
33. Jason c. Yam, et al. low-concentration Atropine for myopia Progression (lAmP) study. ophthalmology Volume 126, issue 1, January 2019, Pages 113-124. https://doi.org/10.1016/j.ophtha.2018.05.029
34. laria c., merino-suárez m.l., Piñero d.P., gómez-hurtado A., Pérez-cambrodí R.J. Botulinum Toxin as an Alternative to Treat the spasm of the near Reflex. semin ophthalmol. 2015;30(5-6):393-6. https://doi.org/10.3109/08820538.2014.912337
35. shanker V., nigam V. unusual Presentation of spasm of near Reflex mimicking large-Angle Acute Acquired comitant Esotropia. neuroophthalmology. 2015 Jul;39(4):187-90. https://doi.org/10.3109/01658107.2015.1053619
36. combined interventions for nonorganic Visual loss in a case with Pseudo-myopia: A Perspective from Vietnam. case Rep ophthalmol 2020; 11:229-233. https://doi.org/10.1159/000508236
37. Johansson J., nygren c., Boussard de et al. The effect of spectacle treatment in patients with mild traumatic brain injury: a pilot study clinical and Experimental optometry 2017 - Wiley online library. https://doi.org/10.1111/cxo.12458
38. scheiman m., Wick B. clinical management of Binocular Vision: heterophoric, Accommodative and Eye movement disorders. 4th ed. ed. Pennsylvania, usA: lippincott Williams & Wilkins, 2014.
39. hughes FE, Treacy mP, duignan Es, mullaney PB. Persistent pseudomyopia following a whiplash injury in a previously emmetropic woman. Am J ophthalmol case Rep. 2017 sep 22;8:28-30. https://doi.org/10.1016/j.ajoc.2017.09.006
40. siddiqui s.n., hannan A., mansoor h. et at. Anisometropia and refractive status in children with bilateral congenital nasolacrimal duct obstruction Journal of Physicians and surgeons Pakistan 2018 mar;28(3):210-213. https://doi.org/10.29271/jcpsp.2018.03.210
41. handa s., saffari s.E., Borchert m. Factors associated with lack of vision improvement in children with cortical visual impairment Journal of neuro ophthalmol 2018; 38: 429-43. https://doi.org/10.1097/WNO.0000000000000610
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