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Updated: Apr 3, 2026

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Real-Time Monitoring of Neurocritical Patients with Diffuse Optical Spectroscopies
Published on: November 19, 2020
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Delayed visual disturbances in carbon monoxide poisoning: Identification and evaluation
Summary
Carbon monoxide poisoning frequently causes visual problems. Neuro-optometric evaluations reveal significant visual pathology in most affected patients, suggesting the need for specialized care.
Area of Science:
- Ophthalmology
- Neurology
- Toxicology
Background:
- Carbon monoxide (CO) poisoning can lead to neurological and neuropsychological issues, including visual disturbances.
- Patients experiencing vision or attention problems post-CO poisoning require specialized neuro-optometric assessment.
Purpose of the Study:
- To evaluate visual and oculomotor function in patients with persistent symptoms after carbon monoxide poisoning.
- To identify the prevalence and types of visual pathology resulting from CO exposure.
Main Methods:
- Retrospective chart review of 43 patients undergoing neuro-optometric evaluations after CO poisoning (2009-2013).
- Data collected included demographics, symptoms, and findings from comprehensive neuro-optometric examinations.
- Visual evoked potential (VEP) testing was performed on a subset of patients.
Main Results:
- 91% of patients exhibited visual pathology linked to CO poisoning.
- Common findings included convergence insufficiency (65%), oculomotor defects (33%), and peripheral vision defects (21%).
- Visual evoked potential (VEP) testing was abnormal in 73% of patients tested.
Conclusions:
- Carbon monoxide poisoning is a significant cause of visual pathology.
- Some identified visual abnormalities may be treatable with rehabilitation.
- Specialized visual evaluation is crucial for CO-poisoned patients with visual complaints.
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