Occurrence of oculomotor dysfunctions in acquired brain injury: A retrospective analysis

Ciuffreda, Kenneth J.; Kapoor, Neera; Rutner, Daniella; Suchoff, Irwin B.; Han, M.E.; Craig, Shoshana

doi:10.1016/j.optm.2006.11.011

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Volume 78, Issue 4 , Pages 155-161, April 2007

Occurrence of oculomotor dysfunctions in acquired brain injury: A retrospective analysis

State University of New York State College of Optometry, Raymond J. Greenwald Rehabilitation Center, New York, New York.

Abstract

Background

The purpose of this retrospective study was to determine the frequency of occurrence of oculomotor dysfunctions in a sample of ambulatory outpatients who have acquired brain injury (ABI), either traumatic brain injury (TBI) or cerebrovascular accident (CVA), with associated vision symptoms.

Methods

Medical records of 220 individuals with either TBI (n = 160) or CVA (n = 60) were reviewed retrospectively. This was determined by a computer-based query spanning the years 2000 through 2003, for the frequency of occurrence of oculomotor dysfunctions including accommodation, version, vergence, strabismus, and cranial nerve (CN) palsy.

Results

The majority of individuals with either TBI (90%) or CVA (86.7%) manifested an oculomotor dysfunction. Accommodative and vergence deficits were most common in the TBI subgroup, whereas strabismus and CN palsy were most common in the CVA subgroup. The frequency of occurrence of versional deficits was similar in each diagnostic subgroup.

Conclusion

These new findings should alert the clinician to the higher frequency of occurrence of oculomotor dysfunctions in these populations and the associated therapeutic, rehabilitative, and quality-of-life implications.

Keywords: Acquired brain injury, Traumatic brain injury, Cerebrovascular accident, Stroke, Oculomotor dysfunction, Strabismus, Accommodation, Eye movements, Cranial nerve palsy