Journal article
Frequency of oculomotor disorders in adolescents 11 to 17 years of age with concussion, 4 to 12 weeks post injury
Vision research (Oxford), v 183, pp 73-80
Jun 2021
PMID: 33735759
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The purpose of the study was to determine the frequency of vision diagnoses after concussion in adolescents and evaluate the sensitivity and specificity of physician-administered screening for detecting convergence and accommodative disorders post-concussion. We enrolled participants 11 to 17 years old, assessed 4 to 12 weeks following a diagnosed concussion. During the initial concussion examination, a sports medicine physician measured the near point of convergence (NPC), monocular accommodative amplitude (AA), and symptoms using the Convergence Insufficiency Symptom Survey (CISS). A comprehensive oculomotor evaluation was performed by an optometrist. One hundred and thirteen adolescents were enrolled, with a mean age of 15.2 years. Seventy-nine of the 113 (70%) participants had at least one oculomotor diagnosis after concussion, with the most common problems being vergence disorders (60%) and accommodative disorders (57%). The most common vergence disorder was convergence insufficiency (35%). Among accommodative disorders, the most common problem was accommodative insufficiency (35%). In all, 47% of the participants had more than one oculomotor diagnosis following concussion. The sensitivity of physician screening using measures of NPC, AA, and CISS for detecting convergence and accommodative insufficiency was 63%, 43%, 48%, respectively. The results of this study provide additional evidence that vision problems are common in adolescents with persistent concussion symptoms in the sub-acute phase 4 to 12 weeks post-concussion, and current physician screening methods using the NPC, AA, or the CISS underperform. Thus, it is prudent that adolescents with post-concussion symptoms lasting more than 4 weeks post injury receive a comprehensive oculomotor examination.
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Details
- Title
- Frequency of oculomotor disorders in adolescents 11 to 17 years of age with concussion, 4 to 12 weeks post injury
- Creators
- Mitchell Scheiman - Salus UniversityMatthew F Grady - Children's Hospital of PhiladelphiaErin Jenewein - Salus UniversityRuth Shoge - Salus UniversityOlivia E Podolak - Children's Hospital of PhiladelphiaDavid H Howell - Children's Hospital ColoradoChristina L Master - University of Pennsylvania
- Publication Details
- Vision research (Oxford), v 183, pp 73-80
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pennsylvania College of Optometry (PCO)
- Web of Science ID
- WOS:000640411800007
- Scopus ID
- 2-s2.0-85102435011
- Other Identifier
- 991021900195804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Neurosciences
- Ophthalmology
- Psychology