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This article and any supplementary material should be cited as follows: Magone MT, Kwon E, Shin SY. Chronic visual dysfunction after blast- induced mild.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Magone MT, Kwon E, Shin SY. Chronic visual dysfunction after blast- induced mild."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Magone MT, Kwon E, Shin SY. Chronic visual dysfunction after blast- induced mild traumatic brain injury. J Rehabil Res Dev. 2014;51(1):XX–XX. http://dx.doi.org/10.1682/JRRD.2013.01.0008 Slideshow Project DOI:10.1682/JRRD.2013.01.0008JSP Chronic visual dysfunction after blast- induced mild traumatic brain injury M. Teresa Magone, MD; Ellen Kwon, OD; Soo Y. Shin, MD

2 This article and any supplementary material should be cited as follows: Magone MT, Kwon E, Shin SY. Chronic visual dysfunction after blast- induced mild traumatic brain injury. J Rehabil Res Dev. 2014;51(1):XX–XX. http://dx.doi.org/10.1682/JRRD.2013.01.0008 Slideshow Project DOI:10.1682/JRRD.2013.01.0008JSP Aim – Investigate long-term visual dysfunction in patients after blast-induced mild traumatic brain injury (mbTBI). Relevance – Over 250,000 servicemembers have been diagnosed with traumatic brain injury since conflicts in Afghanistan and Iraq.

3 This article and any supplementary material should be cited as follows: Magone MT, Kwon E, Shin SY. Chronic visual dysfunction after blast- induced mild traumatic brain injury. J Rehabil Res Dev. 2014;51(1):XX–XX. http://dx.doi.org/10.1682/JRRD.2013.01.0008 Slideshow Project DOI:10.1682/JRRD.2013.01.0008JSP Method Retrospective case series: – 31 patients with mbTBI (>12 mo prior) without eye injuries.

4 This article and any supplementary material should be cited as follows: Magone MT, Kwon E, Shin SY. Chronic visual dysfunction after blast- induced mild traumatic brain injury. J Rehabil Res Dev. 2014;51(1):XX–XX. http://dx.doi.org/10.1682/JRRD.2013.01.0008 Slideshow Project DOI:10.1682/JRRD.2013.01.0008JSP Results 22 patients (71%) had loss of consciousness. – 15 were dismounted during blast injury. 21 patients (68%) had visual complaints: – Photophobia (55%). – Difficulty with reading (32%). – Convergence insufficiency (25%). – Accommodative insufficiency (23%). Patients with >1 mbTBI had higher rate of visual complaints (87.5%). Asymptomatic patients had significantly longer time since mbTBI than symptomatic patients.

5 This article and any supplementary material should be cited as follows: Magone MT, Kwon E, Shin SY. Chronic visual dysfunction after blast- induced mild traumatic brain injury. J Rehabil Res Dev. 2014;51(1):XX–XX. http://dx.doi.org/10.1682/JRRD.2013.01.0008 Slideshow Project DOI:10.1682/JRRD.2013.01.0008JSP Conclusion Long-term visual dysfunction after mbTBI is common even years after injury despite excellent distance visual acuity and is more frequent if >1 mbTBI occurred. We recommend obtaining careful medical history, evaluation of symptoms, and binocular vision assessment during routine eye examinations in this prepresbyopic patient population.

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