BACKGROUND: Individuals who have suffered a concussion/mild traumatic brain injury (mTBI) frequently report symptoms associated with vestibular and/or oculomotor dysfunction (VOD) like dizziness, nausea, fatigue, brain fog, headache, gait and neurocognitive impairments which are associated with the development of chronic symptoms. The Vestibular/Ocular Motor Screening (VOMS) tool has been established as a reliable and clinically relevant complement to use alongside a battery of post-concussion tests to improve screening and referral for further evaluation and treatment of VOD. OBJECTIVES: This paper will review the pathoanatomy and symptomatology of common vestibular and oculomotor disorders after concussion, as well as the utility of the VOMS to assist in diagnosis, referral, and management. METHODS: Primary articles were identified using a search via PubMed, Google Scholar, OneSearch, and CINAHL. Search key terms were combinations of “mild traumatic brain injury” or “concussion” or “pursuit” or “accommodation” or “vergence” or “convergence insufficiency” or “saccades” or “vestibulo-ocular reflex” or “vestibular ocular motor screen” or “vestibular rehabilitation”, or “vision rehabilitation” including adult and pediatric populations that were published in print or electronically from 1989 to 2021 in English. Classic papers on anatomy of eye movements, vestibular system and pathological changes in mTBI were also included, regardless of publication date. RESULTS: Objective impairments are commonly found during testing of smooth pursuit, saccades, vergence, accommodation, vestibular ocular reflex, and visual motion sensitivity after mTBI. These deficits can be actively treated with vestibular physical therapy and oculomotor/neuro-optometric vision therapy. VOMS is an efficient and reliable tool that can be used by all healthcare and rehabilitation providers to aid in diagnosis of post-concussion VOD, to help facilitate the decision to refer for further evaluation and treatment to expedite symptomatic post-concussion recovery. CONCLUSIONS: VOD is common after concussion in acute, post-acute, and chronic phases. Once areas of impairments are identified through proper assessment, clinicians can maximize recovery by referring to vestibular physical therapy and/or neuro-optometry to design a targeted treatment program to address individual deficits.

As Artificial Intelligence (AI) technology advances, it is used in almost every aspect of our lives. However, AI is still complicated to implement without help from computer engineers. In the health care field, knowledge of medical and computer knowledge is necessary to create AI-based medical systems. Close cooperation between medical experts and computer experts is essential. For this reason, even if there has been a continuous effort to apply AI into the medical field, it has yet to be universalized. In particular, in the field of optometry and ophthalmology, more complex technology is required than in other medical fields because it is necessary to analyze an eye image to diagnose a disease. Therefore, this study explores the possibility for medical professionals with little computer knowledge in the field of ophthalmology to develop an AI-based diagnostic system without the help of computer engineers. In addition, it explores not only the possibilities but also the diagnostic accuracy of the developed system. Our results show that the diagnostic system discriminates against five common eye diseases to some extent. This study explores whether AI democratization is possible even in the field of ophthalmology that requires advanced skills and knowledge.