Evaluation of the Visual System by the Primary Care Provider Following Concussion

Area of Science:

• Pediatric neurology
• Ophthalmology
• Sports medicine

Background:

• Concussion is a frequent childhood injury with significant quality of life implications.
• Visual disturbances are increasingly identified as common post-concussion symptoms in children.
• Pediatricians are often the first point of care, necessitating their proficiency in identifying concussion-related visual issues.

Purpose of the Study:

• To support vision and concussion policy recommendations.
• To define the physiology of the visual system in relation to concussion.
• To detail clinically feasible testing for assessing visual function after concussion.

Main Methods:

• Review of current literature and clinical guidelines.
• Description of physiological aspects of the visual system relevant to concussion.
• Outline of practical bedside testing methodologies for visual assessment.

Main Results:

• Visual issues are a common and significant sequela of pediatric concussion.
• Clinically feasible methods exist for pediatricians to assess visual function post-concussion.
• Guidance is provided for managing visual symptoms and facilitating return to activities.

Conclusions:

• Pediatricians play a crucial role in the initial evaluation of concussion-related visual problems.
• Standardized assessment aids in directing clinical management and referral decisions.
• Timely identification and management of visual issues are essential for optimal recovery and return to daily life.