The impact of traumatic brain injury on visual processing: a neuro-ophthalmological perspective.

IF 3.6 4区医学 Q1 MEDICINE, GENERAL & INTERNAL Postgraduate Medical Journal Pub Date : 2024-12-26 DOI:10.1093/postmj/qgae188

Hajar Nasir Tukur, Olivier Uwishema, Dalal Sheikhah, Hatice Akbay, Tarek Emir Chehab, Jack Wellington

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Abstract

Introduction: Traumatic brain injury (TBI) is a critical global health issue characterized by perturbance in cerebral function attributed to mechanical force. TBI often precipitates significant visual impairment that negatively impacts the patients' quality of life. This review examines the effects of TBI on visual function from a neuro-ophthalmological perspective, focusing on the assessment, diagnostics, and management of associated sequelae.

Methods: A comprehensive literature review was conducted using PubMed/MEDLINE, ScienceDirect, and Google Scholar to garner and collate relevant data.

Results: TBI may result in visual field defects, ocular motor dysfunction, insufficiency of accommodation, and photosensitivity. Early detection remains a profound challenge, partly due to a dearth of standardized protocols for evaluating visual impairment. Diagnostic methodologies include visual field testing, ocular motility assessments, and fundus photography, while rehabilitation approaches encompass vision therapy and low-vision rehabilitation.

Conclusion: Establishing hospital-based multidisciplinary teams is essential for effectively addressing TBI-related visual impairment. Future research should prioritize evidence-based treatment protocols and explore diverse vision rehabilitation strategies through large-scale studies.

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外伤性脑损伤对视觉加工的影响：神经-眼科学视角。

外伤性脑损伤（TBI）是一种严重的全球性健康问题，其特征是机械力引起的脑功能紊乱。创伤性脑损伤通常会导致严重的视觉损害，对患者的生活质量产生负面影响。本文从神经眼科学的角度探讨了脑外伤对视觉功能的影响，重点介绍了相关后遗症的评估、诊断和处理。方法：通过PubMed/MEDLINE、ScienceDirect、谷歌Scholar等网站进行文献综述，收集整理相关资料。结果：创伤性脑损伤可导致视野缺损、眼运动功能障碍、调节功能不全、光敏性下降。早期检测仍然是一个巨大的挑战，部分原因是缺乏评估视力障碍的标准化协议。诊断方法包括视野测试、眼球运动评估和眼底摄影，而康复方法包括视力治疗和低视力康复。结论：建立以医院为基础的多学科团队是有效解决创伤性脑损伤相关视力损害的必要条件。未来的研究应优先考虑循证治疗方案，并通过大规模研究探索多样化的视力康复策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Postgraduate Medical Journal 医学-医学：内科

CiteScore

8.50

自引率

2.00%

发文量

131

审稿时长

2.5 months

期刊介绍： Postgraduate Medical Journal is a peer reviewed journal published on behalf of the Fellowship of Postgraduate Medicine. The journal aims to support junior doctors and their teachers and contribute to the continuing professional development of all doctors by publishing papers on a wide range of topics relevant to the practicing clinician and teacher. Papers published in PMJ include those that focus on core competencies; that describe current practice and new developments in all branches of medicine; that describe relevance and impact of translational research on clinical practice; that provide background relevant to examinations; and papers on medical education and medical education research. PMJ supports CPD by providing the opportunity for doctors to publish many types of articles including original clinical research; reviews; quality improvement reports; editorials, and correspondence on clinical matters.