Research Reports - Vision diagnoses are common after concussion in adolescents

Clin Pediatr (Phila). 2015 Jul 7

Master CL(1), Scheiman M(2), Gallaway M(2), Goodman A(3), Robinson RL(4), Master
SR(5), Grady MF(6)

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.

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