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PROFESSIONALS

This section has new research and articles that discuss the visual consequences of concussions. Check this section periodically, as new research will be added as it becomes available

treatment protocols

Even if an optometrist is not directly involved in vision therapy, there are some important caveats to keep in mind when examining a recently concussed patient:

  1. History
  2. Take a comprehensive clinical history including a detailed account of the accident or injury.

  3. FOR PATIENT COMFORT
    • Minimize movements that surround the patient
    • Keep the room illumination relatively dim (use incandescent, rather than fluorescent, lighting when possible)
    • Have the patient close their eyes in between tests
    • Work slowly to allow for the patient to answer accurately
  4. PRESCRIPTION SPECTACLE CONSIDERATIONS
    • Small prescriptions can be significant (hyperopia, myopia, or astigmatism)
    • Near vision prescriptions can be very helpful in pre-presbyopic patients
    • Consider small amounts of prism correction for:
      1. Vertical Deviations
      2. Convergence insuffeciency or excess
    • Prescribe sunglasses for photosensitivity
    • Blue or purplish tints often make patients more comfortable in harsher indoor lighting
    • Consider avoiding progressive addition lenses and prescribe separate distance and near prescriptions.