Vision Diagnoses Are Common After Concussion in Adolescents
Vision Diagnoses Are Common After Concussion in Adolescents
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DOI：
10.1177/0009922815594367
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发表时间：
2016-03-01
影响因子：
1.6
通讯作者：
Grady, Matthew F.
中科院分区：
文献类型：
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作者：
Master, Christina L.;Scheiman, Mitchell;Grady, Matthew F.
目标。目的确定青少年脑震荡后视力诊断的患病率。方法。2013年7月1日至2014年2月28日，对11 - 17岁的脑震荡患者进行横断面研究。结果。共有100名青少年接受了检查，平均年龄为14.5岁。总体而言，69%的患者有以下一种或多种视力诊断：适应性障碍（51%），会聚功能不全（49%）和跳眼功能障碍（29%）。总的来说，46%的患者有不止一种视力诊断。结论。在这组青少年脑震荡患者中，视力诊断（适应性、双眼会聚和跳跃性眼动障碍）的患病率很高，其中一些人表现出不止一种视力诊断。这些数据表明，全面的视觉检查可能有助于评估青少年脑震荡的一个子集。为脑震荡学生返回教室提供的学术设施应考虑到这些视力诊断。
Objective. To determine the prevalence of vision diagnoses after concussion in adolescents. Methods. Cross-sectional study from July 1, 2013 to February 28, 2014, of patients aged 11 to 17 years with concussion evaluated in a comprehensive concussion program. Results. A total of 100 adolescents were examined, with a mean age of 14.5 years. Overall, 69% had one or more of the following vision diagnoses: accommodative disorders (51%), convergence insufficiency (49%), and saccadic dysfunction (29%). In all, 46% of patients had more than one vision diagnosis. Conclusions. A high prevalence of vision diagnoses (accommodative, binocular convergence, and saccadic eye movement disorders) was found in this sample of adolescents with concussion, with some manifesting more than one vision diagnosis. These data indicate that a comprehensive visual examination may be helpful in the evaluation of a subset of adolescents with concussion. Academic accommodations for students with concussion returning to the classroom setting should account for these vision diagnoses.