Neuro-optometric Diagnosis, Treatment and Rehabilitation Following Traumatic Brain Injuries: A Brief Overview

Zelinsky, Deborah

doi:10.1016/j.pmr.2006.11.005

Cited by 9 publications

(5 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Changes in visual signaling traveling through the pointto-point retinotopic brain mapping are quantifiable using modern technology. 17 Thus, use of customized lenses as a therapeutic instrument in a clinical setting is an innovative way to alter brain mapping using the underlying concepts of neurophotonics.…”

Section: Discussionmentioning

confidence: 99%

Quantitative electroencephalograms and neuro-optometry: a case study that explores changes in electrophysiology while wearing therapeutic eyeglasses

Zelinsky¹,

Feinberg

2017

Neurophoton

Self Cite

View full text Add to dashboard Cite

Abstract. The brain is equipped with a complex system for processing sensory information, including retinal circuitry comprising part of the central nervous system. Retinal stimulation can influence brain function via customized eyeglasses at both subcortical and cortical levels. We investigated cortical effects from wearing therapeutic eyeglasses, hypothesizing that they can create measureable changes in electroencephalogram (EEG) tracings. A Z-Bell SM test was performed on a participant to select optimal lenses. An EEG measurement was recorded before and after the participant wore the eyeglasses. Equivalent quantitative electroencephalography (QEEG) analyses (statistical analysis on raw EEG recordings) were performed and compared with baseline findings. With glasses on, the participant's readings were found to be closer to the normed database. The original objective of our investigation was met, and additional findings were revealed. The Z-bell SM test identified lenses to influence neurotypical brain activity, supporting the paradigm that eyeglasses can be utilized as a therapeutic intervention. Also, EEG analysis demonstrated that encephalographic techniques can be used to identify channels through which neuro-optomertric treatments work. This case study's preliminary exploration illustrates the potential role of QEEG analysis and EEG-derived brain imaging in neuro-optometric research endeavors to affect brain function.

show abstract

Section: Discussionmentioning

confidence: 99%

Quantitative electroencephalograms and neuro-optometry: a case study that explores changes in electrophysiology while wearing therapeutic eyeglasses

Zelinsky¹,

Feinberg

2017

Neurophoton

Self Cite

View full text Add to dashboard Cite

show abstract

“…Similar results were also reported in adolescent population where accommodative disorders (51%) and convergence insufficiency (49%) were the most prevalent dysfunctions (Master et al, 2016 ). Accommodative and convergence insufficiency have also been reported as being one of the most recuring visual dysfunctions in concussed patients in several clinical guidelines (Zelinsky, 2007 ; Green et al, 2010 ; Ciuffreda and Ludlam, 2011 ; Suter and Harvey, 2011 ; Thiagarajan et al, 2011 ; Ciuffreda et al, 2014 ; Ventura et al, 2014 ; Padula et al, 2017 ; Fox et al, 2019 ). Not surprisingly, in a Delphi study seeking to design an optometric examination protocol for the evaluation of vision related complaints in concussed patients, testing for accommodative insufficiency (AI) and CI represented the two core components of the protocol with the highest consensus amongst experts for their importance of testing (Goodrich et al, 2013 ).…”

Section: Review Of the Most Common Visual Complaints Systems Affected...mentioning

confidence: 99%

“…Most resources could be categorized in two broad groups: the first group consists of review papers mainly designed for optometrists or specialized health care professionals involved in the visual rehabilitation of mTBI patients; these papers were mostly detailed reviews of the literature highlighting the possible ways in which components of the visual system could be influenced by a TBI. Some also include broad visual testing procedures and vision therapy rehabilitation strategies (Zelinsky, 2007 ; Cilo et al, 2010 ; Sussman et al, 2016 ; Fox et al, 2019 ). While informative for their intended readership, these reviews did not address the main goal of our proposed protocol—to design a fast and efficient tool for GPs to screen potential concussed patients needing further visual testing.…”

Section: Review Of the Most Common Visual Complaints Systems Affected...mentioning

confidence: 99%

Montreal Brain Injury Vision Screening Test for General Practitioners

Farishta

Farivar

2022

Front. Hum. Neurosci.

View full text Add to dashboard Cite

Visual disturbances are amongst the most commonly reported symptoms after a traumatic brain injury (TBI) despite vision testing being uncommon at initial clinical evaluation. TBI patients consistently present a wide range of visual complaints, including photophobia, double vision, blurred vision, and loss of vision which can detrimentally affect reading abilities, postural balance, and mobility. In most cases, especially in rural areas, visual disturbances of TBI would have to be diagnosed and assessed by primary care physicians, who lack the specialized training of optometry. Given that TBI patients have a restricted set of visual concerns, an opportunity exists to develop a screening protocol for specialized evaluation by optometrists—one that a primary care physician could comfortably carry out and do so in a short time. Here, we designed a quick screening protocol that assesses the presence of core visual symptoms present post-TBI. The MOBIVIS (Montreal Brain Injury Vision Screening) protocol takes on average 5 min to perform and is composed of only “high-yield” tests that could be performed in the context of a primary care practice and questions most likely to reveal symptoms needing further vision care management. The composition of our proposed protocol and questionnaire are explained and discussed in light of existing protocols. Its potential impact and ability to shape a better collaboration and an integrative approach in the management of mild TBI (mTBI) patients is also discussed.

show abstract

“…Those hypersensitive patients would benefit from more in depth testing of brain circuitry via retinal sensitivity. [62]. By using various eyeglasses and contact lenses to effect auditory localization with retinal circuitry as a way to access brain function, even many non-verbal patients can be accurately measured.…”

Section: Diagnosis Of Dysfunctions After Brain Injurymentioning

confidence: 99%

Neuro-optometric Diagnosis, Treatment and Rehabilitation Following Traumatic Brain Injuries: A Brief Overview

Cited by 9 publications

References 37 publications

Quantitative electroencephalograms and neuro-optometry: a case study that explores changes in electrophysiology while wearing therapeutic eyeglasses

Quantitative electroencephalograms and neuro-optometry: a case study that explores changes in electrophysiology while wearing therapeutic eyeglasses

Montreal Brain Injury Vision Screening Test for General Practitioners

Auditory/Visual Integration Assessment and Treatment in Brain Injury Rehabilitation

Contact Info

Product

Resources

About