Koons Paul, Johnson Scott, Kingston John, Goodrich Gregory L
Blind Rehabilitation Outpatient Specialist, Polytrauma Transitional Rehabilitation Program, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, VA, USA.
Western Blind Rehabilitation Center, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Eye Brain. 2010 May 24;2:47-55. doi: 10.2147/eb.s9188. eCollection 2010.
The purpose of this paper is to describe the response of a Department of Veterans Affairs medical center's development of a rehabilitation program for patients with hemianopsia. Hemianopsia affects significant numbers of troops returning from Afghanistan and Iraq and their neurological vision loss presented unique challenges in developing an appropriate and effective rehabilitation program. A literature review indicated that existing therapies lacked supporting scientific evidence and that traumatic brain injury (TBI)-related vision loss affects large numbers of civilians. The increasing number of patients with TBI-related vision loss necessitated the development of an innovative program which combined elements of therapies that the literature suggested were most promising. In this paper we briefly review the literature, describe the rehabilitation program developed, and present case studies of two patients who incurred vision loss as a result of a motor vehicle accident and a gunshot wound. The intent of the article is to begin the documentation of our ongoing, evidence-based neurological vision loss rehabilitation program. We also encourage others who do not currently do so to assess the need for implementing vision rehabilitation programs for patients with TBI-related vision loss.
本文旨在描述退伍军人事务部医疗中心针对偏盲患者制定康复计划的情况。偏盲影响着大量从阿富汗和伊拉克回国的军人，他们的神经性视力丧失在制定合适且有效的康复计划方面带来了独特挑战。文献综述表明，现有疗法缺乏科学依据支持，且创伤性脑损伤（TBI）相关的视力丧失影响着大量平民。TBI相关视力丧失患者数量的增加，使得有必要开发一种创新计划，该计划结合了文献中显示最有前景的疗法要素。在本文中，我们简要回顾文献，描述所制定的康复计划，并呈现两名因机动车事故和枪伤导致视力丧失患者的案例研究。本文的目的是开始记录我们正在进行的、基于证据的神经性视力丧失康复计划。我们还鼓励其他尚未开展此项工作的人评估为TBI相关视力丧失患者实施视力康复计划的必要性。
