Visual dysfunction is underestimated in patients with acquired brain injury

Berthold-Lindstedt, Märta; Ygge, Jan; Borg, Kristian

doi:10.2340/16501977-2218

Cited by 29 publications

(35 citation statements)

References 20 publications

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“…To monitor for ocular side effects, screening should include questions about chronic headache, fatigue, dizziness, reading difficulties, and trouble navigating the surrounding environment. The Vision Interview (TVI) is a questionnaire developed to screen for visual deficits in a brain injury program and includes questions to identify patients with impairments that may otherwise be missed [12]. This case raises awareness as to the importance of monitoring for ocular side effects while on amantadine, particularly in patients with brain injury or prior ophthalmologic pathology.…”

Section: Discussionmentioning

confidence: 99%

Amantadine‐Induced Corneal Edema in a Pediatric Neuro‐Oncology Patient: A Case Report

Beran

Okyere

Vova

2018

PM&R

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Amantadine is commonly prescribed as a neurostimulant in patients with brain injuries. This is a case of a 14-year-old male with a history of brain tumor that developed corneal edema after initiation of amantadine, a rare but documented side effect of this medication. After discontinuation of amantadine, the corneal edema resolved within two months, but endothelial cells density remained low. LEVEL OF EVIDENCE: V.

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Section: Discussionmentioning

confidence: 99%

Amantadine‐Induced Corneal Edema in a Pediatric Neuro‐Oncology Patient: A Case Report

Beran

Okyere

Vova

2018

PM&R

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“…Visual-related symptoms were assessed with the Vision Interview (VI), which is an adapted and translated version of "Die Anamnese Zerebral betingter Sehestörungen" (25), intended to pick up visual disturbances after ABI and described in detail previously (13). The VI has 18 questions, 16 of which cover the most common visual symptoms and their influence on visualbased activities.…”

Section: Assessment Methodsmentioning

confidence: 99%

“…This article is the third report from a cross-sectional study of patients with ABI admitted for neuro-rehabilitation (13,24).…”

Section: Participantsmentioning

confidence: 99%

“…The visual system is complex and widely distributed in the brain (10) and is therefore susceptible to injury after ABI. Studies show that 50-75% of patients experience visual dysfunction after ABI (11)(12)(13). The visual disturbances may manifest as a loss of visual field, photophobia, double vision, different types of ocular motor disturbances and visual vertigo (12,14).…”

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confidence: 99%

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Vision-related symptoms after acquired brain injury and the association with mental fatigue, anxiety and depression

Lindstedt¹,

Johansson²,

Ygge³

et al. 2019

J Rehabil Med

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LAY ABSTRACTBrain injury causes multiple symptoms. Among these, visual disturbances are common; 50-70% of patients experience some change in their vision after injury/illness. Other very common and disabling symptoms are fatigue, anxiety and depression. This study discusses whether the levels of fatigue, anxiety and depression are increased if the patients also experience vision disorders. A total of 123 patients enrolled in a day care rehabilitation unit for medium-to-severe brain injury completed questionnaires about self-experienced fatigue, anxiety, depression and self-experienced level and type of vision disturbances. Symptoms of fatigue, anxiety and depression were compared with the occurrence of visual disturbances. There was an association between visual disturbances and fatigue, but not between visual disturbances and anxiety/depression. How ever, some visual symptoms, such as glare, blurred vision and reading difficulties, showed great differences between patients with or without anxiety/depression. In conclusion, vision rehabilitation may be a tool for mitigating fatigue after acquired brain injury.Background: Brain injury causes multiple symptoms. Among these, visual disturbances are common; 50-70% of patients experience some change in vision after injury/illness. Other very common and disabling symptoms are fatigue, anxiety and depression. This study examines whether levels of fatigue, anxiety and depression are increased if the patients also experience vision disorders. Materials and Methods: A total of 123 patients enrolled in day care rehabilitation unit for medium-tosevere brain injury completed questionnaires about self-experienced fatigue, anxiety, depression and self-experienced level and type of visual disturbances. Symptoms of fatigue, anxiety and depression were compared with the occurrence of visual disturbances. Analyses were performed using binary logistic regression. Results: An association was found between visual symptoms and fatigue, but not between visual symptoms and anxiety/depression. However, some visual symptoms, such as glare, blurred vision and reading difficulties, showed great differences between patients with or without anxiety/depression. Conclusion: Vision rehabilitation may be a tool for mitigating fatigue after acquired brain injury.

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“…Visual impairments (VIs) after stroke include visual field loss, eye movement disorders, loss of central vision and perceptual disorders. Symptoms of VIs include sudden loss of vision, double vision, reading difficulties, reduced balance or mobility, clumsiness or inattention of visual information [6,7]. However, many stroke survivors do not relate these symptoms to impaired vision but attribute them to other problems, such as age, fatigue, and limb weakness [6].…”

Section: Introductionmentioning

confidence: 99%

“Invisible” visual impairments. A qualitative study of stroke survivors` experience of vision symptoms, health services and impact of visual impairments

Falkenberg

Mathisen

Ormstad

et al. 2020

BMC Health Serv Res

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Background: Visual impairments (VIs) have a negative impact on life and affect up to 60% of stroke survivors. Despite this, VIs are often overlooked. This paper explores how persons with VIs experience vision care within stroke health services and how VIs impact everyday life the first 3 months post stroke. Methods: Individual semi-structured interviews were conducted with 10 stroke survivors 3 months post stroke, and analyzed using qualitative content analysis. Results: The main theme, "Invisible" visual impairments, represents how participants experience VIs as an unknown and difficult symptom of stroke and that the lack of attention and appropriate visual care leads to uncertainty about the future. VIs were highlighted as a main factor hindering the participants living life as before. The lack of acknowledgement, information, and systematic vision rehabilitation leads to feelings of being unsupported in the process of coping with VIs. Conclusion: VIs are unknown symptoms pre stroke and sequelas after stroke that significantly affect everyday life. VIs and vision rehabilitation needs more attention through all phases of stroke health services. We request a greater awareness of VIs as a presenting symptom of stroke, and that visual symptoms should be included in stroke awareness campaigns. Further, we suggest increased competence and standardized evidence-based clinical pathways for VIs to advance all stroke health services including rehabilitation in order to improve outcomes and adaptation to future life for stroke survivors with VIs.

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Visual dysfunction is underestimated in patients with acquired brain injury

Abstract: Visual impairments are common after acquired brain injury, but some patients do not define their problems as vision-related. A structured questionnaire, covering the most common visual symptoms, is helpful for the rehabilitation team to facilitate assessment of visual changes.

Cited by 29 publications

References 20 publications

Amantadine‐Induced Corneal Edema in a Pediatric Neuro‐Oncology Patient: A Case Report

Amantadine‐Induced Corneal Edema in a Pediatric Neuro‐Oncology Patient: A Case Report

Vision-related symptoms after acquired brain injury and the association with mental fatigue, anxiety and depression

“Invisible” visual impairments. A qualitative study of stroke survivors` experience of vision symptoms, health services and impact of visual impairments

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