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J. Stelmack, S. Rinne, T. Stelmack, D. Van Koevering, T. Frith; Visual Conditions in Veterans Followed at a VA Polytrauma Network Site. Invest. Ophthalmol. Vis. Sci. 2008;49(13):3154.
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© ARVO (1962-2015); The Authors (2016-present)
The Veterans Health Administration has established a polytrauma system to provide medical care and rehabilitation services for veterans with traumatic brain injury (TBI) occurring during OEF/OIF. The polytrauma network site (PNS) in this system provides post-acute rehabilitation services. An observational study was performed to describe the visual function of veterans receiving vision screening and eye examinations.
A retrospective medical record review was performed for all (194) patients with polytrauma and or TBI followed by the PNS.
Mean age and visual acuity were 30.14 years, .047 log MAR with 4 NLP. Visual field loss was found in 9.52% of those examined. Vision complaints were expressed during screening by 74.24% and 65.15% of those screened were referred for eye examination. Symptoms most frequently reported included: blurred vision (51.28%), difficulty with night vision (23.08%), photosensitivity (43.59%), difficulty reading (35.90%), new reading symptoms since injury (23.08%), diplopia (16.67%), pain around eyes (11.54%), floaters (7.05%), flashes (5.13%) and pain on eye movement (4.49%). Diagnoses included: orbit/eye trauma (15.48%) optic neuropathy (1.19%), other cranial nerve defects (1.19%), strabismus (5.95%), accommodative disorders (39.95%), convergence disorders (17.86%), pursuits/saccade disorders (7.14%), fixation disorders (3.57%), diplopia (9.52%) and suppression (1.19%). Treatments prescribed included: ophthalmic surgery (4.76%), spectacle prescription (54.76%), contact lenses (2.38%), vision therapy (7.14%), blind rehabilitation (5.92%), and low vision rehabilitation (1.19%).
The frequency of visual symptoms and diagnoses supports inclusion of vison care services at the PNS.
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