Reynolds Mark E, Barker Felix M, Merezhinskaya Natalya, Oh Gi-Taik, Stahlman Shauna
MSMR. 2019 Sep;26(9):13-24.
This analysis describes the incidence of visual dysfunctions following a diagnosis of traumatic brain injury (TBI) among active component service members. The visual dysfunctions were divided into 9 major categories. A comparison group of service members with no history of TBI was used to determine relative incidence rates. The most commonly diagnosed visual dysfunctions were subjective visual disturbances, convergence insufficiency (CI), visual field loss, and accommodative dysfunction (AD). Service members with mild or moderate/severe TBI had significantly higher incidences of AD and CI compared to service members with no TBI. Results of survival analysis showed that service members with mild or moderate/severe TBI had lower probabilities of remaining without the visual dysfunction outcome at almost every week of follow-up in the first year after TBI diagnosis compared to those with no TBI. The findings of this report suggest opportunities to improve both documentation and access to care for service members with these conditions.
本分析描述了现役军人创伤性脑损伤（TBI）诊断后视觉功能障碍的发生率。视觉功能障碍分为9大类。使用无TBI病史的军人作为对照组来确定相对发病率。最常诊断出的视觉功能障碍是主观视觉障碍、集合不足（CI）、视野缺损和调节功能障碍（AD）。与无TBI的军人相比，轻度或中度/重度TBI的军人AD和CI的发生率显著更高。生存分析结果显示，与无TBI的军人相比，轻度或中度/重度TBI的军人在TBI诊断后的第一年几乎每周的随访中，无视觉功能障碍结果的概率更低。本报告的研究结果表明，有机会改善对患有这些病症的军人的记录和医疗服务获取情况。
