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Vision Diagnoses Are Common After Concussion in Adolescents
Christina L Master1, Mitchell Scheiman2, Michael Gallaway2
1The Children's Hospital of Philadelphia, Philadelphia, PA, USA Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA masterc@email.chop.edu.
Clinical Pediatrics
|July 10, 2015
Summary
Many adolescents with concussion experience vision problems, including accommodative disorders and convergence insufficiency. Comprehensive vision exams are recommended for concussion evaluation and classroom accommodations.
Area of Science:
- Neuroscience
- Ophthalmology
- Pediatric Medicine
Background:
- Concussion, a common brain injury in adolescents, can lead to a variety of symptoms.
- Vision disorders are increasingly recognized as a significant post-concussion issue.
Purpose of the Study:
- To determine the prevalence of vision diagnoses in adolescents following a concussion.
- To highlight the need for visual assessments in concussion care.
Main Methods:
- Cross-sectional study conducted between July 2013 and February 2014.
- Evaluated 100 adolescent patients (aged 11-17) within a comprehensive concussion program.
Main Results:
- 69% of adolescents presented with at least one vision diagnosis.
- Common diagnoses included accommodative disorders (51%), convergence insufficiency (49%), and saccadic dysfunction (29%).
- 46% of patients had multiple vision diagnoses.
Conclusions:
- Adolescents with concussion exhibit a high prevalence of vision disorders, such as accommodative, binocular convergence, and saccadic eye movement issues.
- These findings suggest that thorough visual examinations are beneficial for evaluating adolescents with concussion.
- Academic accommodations should consider these vision diagnoses for students returning to school.
