Radomski Mary Vining, Finkelstein Marsha, Llanos Imelda, Scheiman Mitchell, Wagener Sharon Gowdy
Mary Vining Radomski, PhD, OTR/L, is Clinical Scientist, Courage Kenny Research Center, 800 East 28th Street @ Chicago (No. 12212), Minneapolis, MN 55407;
Marsha Finkelstein, MS, is Senior Scientific Advisor, Courage Kenny Research Center, Minneapolis, MN.
Am J Occup Ther. 2014 Jul-Aug;68(4):422-9. doi: 10.5014/ajot.2014.011445.
Vision impairment is common in the first year after traumatic brain injury (TBI), including among service members whose brain injuries occurred during deployment in Iraq and Afghanistan. Occupational therapy practitioners provide routine vision screening to inform treatment planning and referral to vision specialists, but existing methods are lacking because many tests were developed for children and do not screen for vision dysfunction typical of TBI. An expert panel was charged with specifying the composition of a vision screening protocol for servicemembers with TBI. A modified nominal group technique fostered discussion and objective determinations of consensus. After considering 29 vision tests, the panel recommended a nine-test vision screening that examines functional performance, self-reported problems, far-near acuity, reading, accommodation, convergence, eye alignment and binocular vision, saccades, pursuits, and visual fields. Research is needed to develop reliable, valid, and clinically feasible vision screening protocols to identify TBI-related vision disorders in adults.
视力障碍在创伤性脑损伤（TBI）后的第一年很常见，在伊拉克和阿富汗部署期间脑部受伤的军人中也是如此。职业治疗从业者会进行常规视力筛查，以指导治疗计划并转诊至视力专家处，但现有方法存在不足，因为许多测试是针对儿童开发的，无法筛查出TBI典型的视力功能障碍。一个专家小组负责确定针对患有TBI的军人的视力筛查方案的组成。一种改良的名义群体技术促进了讨论并客观地确定了共识。在考虑了29项视力测试后，该小组推荐了一项九项测试的视力筛查，该筛查检查功能表现、自我报告的问题、远近视力、阅读、调节、集合、眼位和双眼视觉、扫视、跟踪和视野。需要开展研究以制定可靠、有效且临床可行的视力筛查方案，以识别成人中与TBI相关的视力障碍。
