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Posttraumatic convergence insufficiency.

G B Krohel, R W Kristan, J W Simon

    Annals of Ophthalmology
    |March 1, 1986
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    Head trauma can cause convergence insufficiency, affecting reading and causing double vision. The severity of head injury did not correlate with the condition

    Area of Science:

    • Neuroscience
    • Ophthalmology
    • Neurology

    Background:

    • Convergence insufficiency is a common visual disorder.
    • Closed head trauma can lead to various neurological deficits.
    • Visual disturbances following head injury require thorough investigation.

    Purpose of the Study:

    • To investigate the occurrence and characteristics of convergence insufficiency after closed head trauma.
    • To determine potential correlations between head trauma severity and convergence insufficiency.
    • To explore treatment outcomes and possible anatomical locations of lesions.

    Main Methods:

    • Retrospective analysis of 23 patients with convergence insufficiency post-head trauma.
    • Clinical assessment including near point of convergence and convergence reserves.

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  • Review of treatment strategies and patient responses.
  • Main Results:

    • Convergence insufficiency was observed in 23 patients following head trauma, with reading difficulties and diplopia as primary symptoms.
    • No correlation found between head trauma severity and convergence insufficiency severity.
    • Abnormal convergence reserves were noted even in patients with a normal near point of convergence.
    • Treatment outcomes were variable and often incomplete, with two patients requiring surgery.

    Conclusions:

    • Convergence insufficiency is a potential consequence of closed head trauma.
    • The exact anatomical site of injury causing this syndrome is undetermined, but occipital lobe or upper midbrain lesions are suspected.
    • Management requires tailored approaches, and outcomes can be unpredictable.