Ciuffreda Kenneth J, Kapoor Neera, Rutner Daniella, Suchoff Irwin B, Han M E, Craig Shoshana
Department of Vision Sciences, State University of New York State College of Optometry, Raymond J. Greenwald Rehabilitation Center, New York, New York 10036, USA.
Optometry. 2007 Apr;78(4):155-61. doi: 10.1016/j.optm.2006.11.011.
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.
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.
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.
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.
这项回顾性研究的目的是确定患有获得性脑损伤（ABI）（包括创伤性脑损伤（TBI）或脑血管意外（CVA））并伴有视力症状的门诊患者样本中动眼功能障碍的发生率。
回顾性分析220例TBI（n = 160）或CVA（n = 60）患者的病历。这是通过对2000年至2003年期间基于计算机的查询来确定动眼功能障碍（包括调节、转位、聚散、斜视和脑神经（CN）麻痹）的发生率。
大多数TBI（90%）或CVA（86.7%）患者表现出动眼功能障碍。调节和聚散缺陷在TBI亚组中最常见，而斜视和CN麻痹在CVA亚组中最常见。每个诊断亚组中转位缺陷的发生率相似。
这些新发现应提醒临床医生注意这些人群中动眼功能障碍的较高发生率以及相关的治疗、康复和生活质量影响。
