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Seeing double? Brain injury could be cause

Ophthamologist Air Force Maj. Thuy Tran evaluates a patient during an eye exam. (U.S. Air Force photo by Tech. Sgt. John Hughel) Ophthamologist Air Force Maj. Thuy Tran evaluates a patient during an eye exam. (U.S. Air Force photo by Tech. Sgt. John Hughel)

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Traumatic Brain Injury | Vision Loss

Vision problems are common symptoms of traumatic brain injury (TBI). Sometimes, they can have a major impact on your quality of life. In fact, an estimated 60 percent of people with TBI have vision issues that may affect their professional and academic performance.

Car accidents, blunt force trauma and other possible traumatic events may lead to swelling in the brain. This can cause problems with vision or eye coordination. Visual problems after a TBI often affect eye coordination and can be difficult to diagnose, especially when there is no loss of clear vision or other outward sign of injury.

If you have any of these symptoms after a TBI, you may have a vision problem:

  • Double vision
  • Loss of vision
  • Dizziness
  • Vestibular (balance) issues
  • Constant headaches
  • Flashing lights and/or floaters in vision
  • Increased sensitivity to light
  • Difficulty reading (including difficulty processing and retaining information)
  • Eye pain
  • Injury or a foreign body on the surface of the eye (can be indicated by a scratching feeling under the eyelid)
  • Visible injury of the eye or eyelid
  • Difficulty performing any vision-based activity, including walking

Vision Treatment Following TBI

Katie Stout, director of clinical affairs for Defense and Veterans Brain Injury Center (DVBIC), said specialized treatment is available for TBI-related vision challenges.

“These conditions often require specialty evaluation and treatment,” she said.

Specialty eye providers can prescribe corrective lenses, prisms, tints and rehabilitative therapy for TBI-related eye problems.

Dr. Felix Barker, an optometrist and associate director of research at the Defense Department Vision Center of Excellence, said appropriate specialty eye evaluation and care is a high priority when recovering from a TBI.

“Undiagnosed TBI visual coordination problems can affect near vision tasks such as reading, frustrating reintegration to normal work activities,” Barker said. “These silent visual effects of TBI may be inaccurately attributed to PTSD and cognitive problems often seen with TBI. Specialty eye evaluation and care is essential.”

If you recently experienced a TBI and notice problems with your vision, discuss the issue with your health care provider. Depending on the nature of the TBI and resulting vision symptoms, a health care provider may refer you to a specialist.

Disclaimer: Re-published content may have been edited for length and clarity. Read original post.

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Mindfulness-based stress reduction finds a place in the military

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7/7/2015
Mindfulness-based meditation and the military are generally two things that one would not associate with one another. But on Fort Sam Houston, Texas, Dr. Valerie Rice, chief, U.S. Army Research Laboratory's Human Research and Engineering Directorate Army Medical Department Field Element in San Antonio, has participated in the Army Study Program since 2012. She has led a study entitled "Evaluating Next Generation Resiliency Training using the Virtual World of Second Life" for the last four years. (Photo by Spc. Charles Probst)

The practice of mindfulness uses age-old meditation practices, offering practitioners an outlet for stress relief.

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6/25/2015
The Ahead 200 uses commercial smartphone technology to analyze a patient's brain activity for signs of a traumatic brain injury within 24 hours of the injury.

A new handheld medical device for analyzing brain injuries has been cleared by the U.S. Food and Drug Administration, or FDA.

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6/8/2015
U.S. Navy Capt. Penny Walter, executive director, Department of Defense Vision Center for Excellence, discusses eye injuries and treatments to repair vision for service members at a monthly Medical Museum Science Café hosted by the National Museum of Health and Medicine May 26, 2015. (National Museum of Health and Medicine photo by Paul Bello)

U.S. Navy Capt. Penny Walter, executive director, Department of Defense (DoD) Vision Center of Excellence (VCE), spoke at the National Museum of Health and Medicine during Healthy Vision Month on May 26. Her discussion included certain types of eye injuries and the treatments being developed to repair vision for service members.

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6/1/2015
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5/15/2015
Digital eyestrain can be a problem for many in the military with jobs requiring use of electronic displays, like these air traffic controllers aboard the U.S.S. Ronald Reagan. (Photo by Petty Officer 3rd Class Briana Brotzman)

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Donna and Adam Porras, along with Army Maj. Gen. Richard Thomas, director of the Defense Health Agency Healthcare Operations directorate, attend the Caregiver Recognition Luncheon at Fort Belvoir, Virginia, May 7, 2015. Donna was one of about 20 caregivers honored during the event for their support of their wounded warrior spouses.

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Eye shields are small, concave disks with padding around the edges that are made to keep pressure off eye injuries.

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Cmdr. Keith Stuessi, a family physician with the Concussion Restoration Care Center, examines Sgt. Gorge Segura, artilleryman with India Battery, 1st Battalion, 11th Marine Regiment, after he suffered a grade-two concussion. Photo Credit: Staff Sgt. Jennifer Brofer.

The Department of Defense’s Vision Center of Excellence and the Defense and Veterans Brain Injury Center have developed a clinical reference card to help providers recognize when a patient needs further eye evaluation and care following a mild traumatic brain injury.

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