Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Minds Matter Concussion Program, Pediatric and Adolescent Sports Medicine, Division of Pediatric Orthopaedics, Karabots Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Pediatrics. 2022 Aug 1;150(2). doi: 10.1542/peds.2021-056048.
Concussion is a common injury in childhood and has the potential for substantial impact on quality of life. Visual issues have been increasingly recognized as a common problem after concussion. Many children initially seek care for concussion with their pediatrician, making it even more important for pediatricians to recognize, evaluate, and refer children with visual issues after concussion. This clinical report is intended to support the recommendations in the companion policy statement on vision and concussion and provides definitions of some of the physiologic aspects of the visual system as they relate to concussion. A description of clinically feasible testing methodologies is provided in more detail to aid the clinician in assessing the visual system in a focused fashion after concussion. This guidance helps direct clinical management, including support for return to school, sports, and other activities, as well as potential referral for subspecialty care for the subset of those with persistent symptoms.
脑震荡是儿童中常见的损伤，有可能对生活质量产生重大影响。视觉问题已越来越被认为是脑震荡后的常见问题。许多儿童最初因脑震荡寻求儿科医生的治疗，因此儿科医生更有必要识别、评估和转介脑震荡后有视觉问题的儿童。本临床报告旨在支持有关视觉和脑震荡的配套政策声明中的建议，并提供与脑震荡相关的视觉系统一些生理方面的定义。详细介绍了一些可行的临床测试方法，以帮助临床医生在脑震荡后有针对性地评估视觉系统。本指南有助于指导临床管理，包括支持重返学校、运动和其他活动，以及对持续存在症状的患者亚组进行专科转介。
