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Visual function, traumatic brain injury, and posttraumatic stress disorder

Visual function, traumatic brain injury, and posttraumatic stress disorder. Gregory L. Goodrich, PhD; Gary L. Martinsen, OD, PhD; Heidi M. Flyg, OD; Jennine Kirby, OD; Donn W. Garvert, MS; Christopher W. Tyler, PhD, DSc. Aim

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Visual function, traumatic brain injury, and posttraumatic stress disorder

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  1. Visual function, traumatic brain injury, and posttraumatic stress disorder Gregory L. Goodrich, PhD; Gary L. Martinsen, OD, PhD; Heidi M. Flyg, OD; Jennine Kirby, OD; Donn W. Garvert, MS; Christopher W. Tyler, PhD, DSc

  2. Aim • Report results of vision tests in patients with history of traumatic brain injury (TBI), both with and without posttraumatic stress disorder (PTSD). • Relevance • TBI and PTSD can be comorbid with overlapping symptoms, making diagnosis and treatment difficult. • TBI is associated with changes in vision function, but vision problems secondary to PTSD have not been documented.

  3. Method • Reviewed medical records of 100 patients with history of TBI, noting: • PTSD diagnoses. • Visual symptoms. • Vision function abnormalities. • Medications with visual side effects.

  4. Results • PTSD diagnoses: • 41 patients with. • 59 without. • High rates of binocular vision and oculomotor function deficits in patients with TBI. • No significant differences between patients with or without PTSD. • However, patients with PTSD had more self-reported visual symptoms and significantly higher complaint rates for light sensitivity and reading problems.

  5. Conclusion • Findings may be beneficial in understanding vision problems in patients with comorbid TBI and PTSD vs those with TBI alone.

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