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Visual function, traumatic brain injury, and posttraumatic stress disorder.

Identifieur interne : 001053 ( Main/Corpus ); précédent : 001052; suivant : 001054

Visual function, traumatic brain injury, and posttraumatic stress disorder.

Auteurs : Gregory L. Goodrich ; Gary L. Martinsen ; Heidi M. Flyg ; Jennine Kirby ; Donn W. Garvert ; Christopher W. Tyler

Source :

RBID : pubmed:25144168

English descriptors

Abstract

Traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD) are signature injuries of the Iraq and Afghanistan conflicts. The conditions can be comorbid and have overlapping signs and symptoms, making it difficult to diagnose and treat each. TBI is associated with numerous changes in vision function, but vision problems secondary to PTSD have not been documented. To address this shortcoming, we reviewed the medical records of 100 patients with a history of TBI, noting PTSD diagnoses, visual symptoms, vision function abnormalities, and medications with visual side effects. Forty-one patients had PTSD and 59 did not. High rates of binocular vision and oculomotor function deficits were measured in patients with a history of TBI, but no significant differences between patients with or without PTSD were evident. However, compared to patients without PTSD, patients with PTSD had more self-reported visual symptoms in all four assessments and the complaint rates were significantly higher for light sensitivity and reading problems. Together, these findings may be beneficial in understanding vision problems in patients with TBI and PTSD as comorbid conditions compared with those with TBI alone.

DOI: 10.1682/JRRD.2013.02.0049
PubMed: 25144168

Links to Exploration step

pubmed:25144168

Le document en format XML

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<name sortKey="Goodrich, Gregory L" sort="Goodrich, Gregory L" uniqKey="Goodrich G" first="Gregory L" last="Goodrich">Gregory L. Goodrich</name>
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<name sortKey="Martinsen, Gary L" sort="Martinsen, Gary L" uniqKey="Martinsen G" first="Gary L" last="Martinsen">Gary L. Martinsen</name>
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<name sortKey="Kirby, Jennine" sort="Kirby, Jennine" uniqKey="Kirby J" first="Jennine" last="Kirby">Jennine Kirby</name>
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<term>Blast Injuries (complications)</term>
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<term>Violence (MeSH)</term>
<term>Vision Disorders (diagnosis)</term>
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<div type="abstract" xml:lang="en">Traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD) are signature injuries of the Iraq and Afghanistan conflicts. The conditions can be comorbid and have overlapping signs and symptoms, making it difficult to diagnose and treat each. TBI is associated with numerous changes in vision function, but vision problems secondary to PTSD have not been documented. To address this shortcoming, we reviewed the medical records of 100 patients with a history of TBI, noting PTSD diagnoses, visual symptoms, vision function abnormalities, and medications with visual side effects. Forty-one patients had PTSD and 59 did not. High rates of binocular vision and oculomotor function deficits were measured in patients with a history of TBI, but no significant differences between patients with or without PTSD were evident. However, compared to patients without PTSD, patients with PTSD had more self-reported visual symptoms in all four assessments and the complaint rates were significantly higher for light sensitivity and reading problems. Together, these findings may be beneficial in understanding vision problems in patients with TBI and PTSD as comorbid conditions compared with those with TBI alone. </div>
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