Adhan Iniya K, Gunton Kammi B
Department of Pediatric Ophthalmology and Strabismus, Wills Eye Hospital, Philadelphia, PA, USA.
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Eye Brain. 2025 May 12;17:27-36. doi: 10.2147/EB.S492854. eCollection 2025.
Concussions are a mild form of traumatic brain injury (TBI) that is typically self-limited and transient with a high prevalence within our communities. Due to the vast visual network interconnectivity, visual symptoms secondary to a concussion occur about 90% of the time. A gold standard to confirm concussion acutely has not been well established. Visual function testing based on symptoms remains the standard of care in off-site evaluation for diagnosis of oculomotor dysfunction. This review covers the current diagnostic strategies for vision based disorders post-concussion for sideline testing, off-site testing, and research driven testing.
脑震荡是创伤性脑损伤（TBI）的一种轻度形式，通常具有自限性且短暂，在我们的社区中患病率很高。由于视觉网络存在广泛的相互连接性，脑震荡继发的视觉症状约90%的情况下会出现。目前尚未很好地确立急性确诊脑震荡的金标准。基于症状的视觉功能测试仍然是场外评估动眼功能障碍诊断的护理标准。本综述涵盖了脑震荡后基于视觉的疾病在现场测试、场外测试和研究驱动测试方面的当前诊断策略。
