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Case Reports
. 2010 May 24:2:47-55.
doi: 10.2147/eb.s9188. eCollection 2010.

Scanning training in neurological vision loss: case studies

Paul Koons  1 , Scott Johnson  2 , John Kingston  2 , Gregory L Goodrich  3
Affiliations
Case Reports

Scanning training in neurological vision loss: case studies

Paul Koons et al. Eye Brain. .

Abstract

The purpose of this paper is to describe the response of a Department of Veterans Affairs medical center's development of a rehabilitation program for patients with hemianopsia. Hemianopsia affects significant numbers of troops returning from Afghanistan and Iraq and their neurological vision loss presented unique challenges in developing an appropriate and effective rehabilitation program. A literature review indicated that existing therapies lacked supporting scientific evidence and that traumatic brain injury (TBI)-related vision loss affects large numbers of civilians. The increasing number of patients with TBI-related vision loss necessitated the development of an innovative program which combined elements of therapies that the literature suggested were most promising. In this paper we briefly review the literature, describe the rehabilitation program developed, and present case studies of two patients who incurred vision loss as a result of a motor vehicle accident and a gunshot wound. The intent of the article is to begin the documentation of our ongoing, evidence-based neurological vision loss rehabilitation program. We also encourage others who do not currently do so to assess the need for implementing vision rehabilitation programs for patients with TBI-related vision loss.

Keywords: comprehensive neurological vision rehabilitation (CNVR); neurological vision loss.

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Figures

Figure 1
Figure 1
The NVT Scanning device and laptop computer.
Figure 2
Figure 2
(a) and (b) Right and left visual fields for Case AS.
See this image and copyright information in PMC

References

    1. Suchoff IB, Kapoor N, Ciuffreda KJ, Rutner D, Han E, Craig S. The frequency of occurrence, types, and characteristics of visual field defects in acquired brain injury: a retrospective analysis. Optometry. 2008;79:259–265. - PubMed
    1. Suchoff IB, Kapoor N, Waxman R, Ference W. The occurrence of ocular and visual dysfunctions in an acquired brain-injured patient sample. J Am Optom Assoc. 1999;70:301–308. - PubMed
    1. Goodrich GL, Kirby J, Cockerham G, Ingalla SP, Lew HL. Visual function in patients of a polytrauma rehabilitation center: a descriptive study. J Rehabil Res Dev. 2007;44:929–936. - PubMed
    1. Brahm KD, Wilgenburg HM, Kirby J, Ingalla S, Chang CY, Goodrich GL. Visual impairment and dysfunction in combat-injured military personnel: a population study. Optom Vis Sci. 2009;86:817–825. - PubMed
    1. Stelmack JA, Frith T, Van Koevering D, Rinne S, Stelmack TR. Visual function in patients followed at a Veterans Affairs polytrauma network site: an electronic medical record review. Optomety. 2009;80:419–424. - PubMed

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