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脑震荡的瞳孔动力学、调节和聚散。

Pupillary dynamics, accommodation and vergence in concussion.

机构信息

Department of Optometry, Ridley College of Optometry, a unit of Chandraprabha Eye Hospital, Assam, India.

Department of Physiology, Gauhati Medical College, Gauhati, India.

出版信息

Clin Exp Optom. 2024 May;107(4):385-394. doi: 10.1080/08164622.2024.2311692. Epub 2024 Feb 7.

Abstract

Concussion, which is usually associated with head injuries, has received considerable attention in recent years because of its possible long-term cognitive and visual consequences. The review summarised the mild traumatic brain injury literature. Pupillary dynamics, which are primarily mediated by the autonomic nervous system, play an important function in regulating the amount of light entering the eye, but they can be dramatically impacted after a concussion. This can result in aberrant pupillary responses, which may have ramifications for light sensitivity, a common post-concussion symptom. In concussed individuals, accommodation and vergence - the visual processes responsible for focusing on near and distant objects - might be interrupted, potentially leading to fuzzy vision, eyestrain, and difficulty with tasks that require precise visual coordination. Understanding the delicate interplay between these three components of vision in the setting of concussions is critical for creating more targeted diagnostic and rehabilitative techniques, ultimately enhancing the quality of life for those who have had head injuries.

摘要

脑震荡通常与头部损伤有关,近年来由于其可能存在长期认知和视觉后果而受到广泛关注。本综述总结了轻度创伤性脑损伤的相关文献。瞳孔动力学主要由自主神经系统介导,在调节进入眼睛的光量方面发挥着重要作用,但在脑震荡后会受到显著影响。这可能导致异常的瞳孔反应,这可能对光敏感性产生影响,光敏感性是常见的脑震荡后症状。在脑震荡患者中,调节和聚散——负责聚焦近距和远距物体的视觉过程——可能会受到干扰,可能导致视力模糊、眼疲劳和难以完成需要精确视觉协调的任务。了解脑震荡背景下这三个视觉成分之间的微妙相互作用对于开发更有针对性的诊断和康复技术至关重要,最终可以提高头部受伤患者的生活质量。

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