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Development of a mild traumatic brain injury-specific vision screening protocol: A Delphi study.
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Development of a mild traumatic brain injury-specific vision screening protocol: A Delphi study Gregory L. Goodrich, PhD; Gary L. Martinsen, OD, PhD; Heidi M. Flyg, OD; Jennine Kirby, OD; Steven M. Asch, MD, MPH; Karen D. Brahm, OD; John M. Brand, OD; Diana Cajamarca, OD; Jenette L. Cantrell, OD; Theresa Chong, OD; John A. Dziadul, OD; Barbara J. Hetrick, OD; Michael A. Huang, OD; Carolyn Ihrig, OD; Shanida P. Ingalla, OD; Bradley R. Meltzer, OD; Chrystyna M. Rakoczy, OD; Ashley Rone, OD; Elliot Schwartz, OD; Jane E. Shea, OD
Aim • Derive expert opinions from panel of 16 optometrists concerning visual examination of patients with mild traumatic brain injury (mTBI) in order to provide optimal and uniform vision care. • Relevance • Many problems are associated with mTBI, including oculomotor and vision problems that can impede daily activities such as reading. • Correct diagnosis and treatment of mTBI-related vision problems is important to patient recovery.
Method • Used modified Delphi method consisting of online questionnaires with 16 Department of Veterans Affairs optometrists around country.
Results • Process resulted in clinical tool containing: • 17 history questions. • 7 examination procedures.
Conclusion • This tool provides clinical guidelines that can be used by any eye care provider either as screening tool or adjunct to full eye examination for patient with history of mTBI.