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Visual function, traumatic brain injury, and posttraumatic stress disorder.

Gregory L Goodrich1, Gary L Martinsen, Heidi M Flyg

  • 1Department of Veterans Affairs Palo Alto Health Care System, 795 Willow Road Bldg T-365, Menlo Park, CA 94025. Gregory.Goodrich@va.gov.

Journal of Rehabilitation Research and Development
|August 22, 2014
PubMed
Summary
This summary is machine-generated.

Traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD) can co-occur. Patients with TBI and PTSD reported more vision problems, like light sensitivity and reading difficulties, than those with TBI alone.

Keywords:
binocular visionblast-relatedmedication side effectsnon–blast-relatedoculomotor functionposttraumatic stress disordertraumatic brain injuryvision lossvision functionvisual symptoms

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Area of Science:

  • Neuroscience
  • Ophthalmology
  • Psychiatry

Background:

  • Traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD) are common in military personnel.
  • Comorbidity of TBI and PTSD presents diagnostic and treatment challenges due to overlapping symptoms.
  • Vision dysfunction is known in TBI, but its association with PTSD is under-documented.

Purpose of the Study:

  • To investigate the prevalence and nature of visual symptoms in patients with TBI, comparing those with and without comorbid PTSD.
  • To identify specific vision problems associated with the comorbidity of TBI and PTSD.

Main Methods:

  • Retrospective review of medical records for 100 patients with a history of TBI.
  • Data collected included PTSD diagnosis, reported visual symptoms, vision function assessments, and medications.
  • Comparison of visual complaints and function deficits between TBI patients with and without PTSD.

Main Results:

  • No significant differences in binocular vision or oculomotor deficits were found between TBI patients with or without PTSD.
  • Patients with comorbid TBI and PTSD reported significantly more visual symptoms across all assessments.
  • Higher rates of light sensitivity and reading problems were reported by TBI patients with PTSD compared to those without.

Conclusions:

  • While objective vision function deficits may not differ, subjective visual complaints are elevated in TBI patients with PTSD.
  • Increased self-reported visual symptoms, particularly light sensitivity and reading difficulties, are associated with comorbid TBI and PTSD.
  • These findings aid in understanding and addressing vision problems in the context of comorbid TBI and PTSD.