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Effectiveness of computerized oculomotor vision screening in a military population: Pilot study

Effectiveness of computerized oculomotor vision screening in a military population: Pilot study. José E. Capó-Aponte, OD, PhD; Aaron K. Tarbett, OD; Thomas G. Urosevich, OD; Leonard A. Temme, PhD; Navjit K. Sanghera, OD; Melvyn E. Kalich, PhD, OD. Aim

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Effectiveness of computerized oculomotor vision screening in a military population: Pilot study

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  1. Effectiveness of computerized oculomotor vision screening in a military population: Pilot study José E. Capó-Aponte, OD, PhD; Aaron K. Tarbett, OD; Thomas G. Urosevich, OD; Leonard A. Temme, PhD; Navjit K. Sanghera, OD; Melvyn E. Kalich, PhD, OD

  2. Aim • Evaluate effectiveness of computerized oculomotor vision screening (COVS) in a military population. • Relevance • Prevalence of oculomotor dysfunctions associated with blast-induced mild traumatic brain injury (mTBI) in warfighters has increased as a consequence of recent conflicts.

  3. Method • Assessed oculomotor functions with COVS and by conventional methods in 20 U.S. military personnel with and 20 without mTBI.

  4. Results • COVS had high sensitivity and specificity for screening near oculomotor functions. • COVS showed excellent validity and repeatability for assessing near lateral and vertical phorias, Worth 4 Dot, fixation, and pursuit and saccadic eye movements. • Bland-Altman analysis identified minor to moderate discrepancies for positive and negative fusional vergence and their associated recovery and for monocular accommodative facility measurements.

  5. Conclusion • Non-eye-care professionals may be able to use COVS as a tool to efficiently screen oculomotor functions in a military population with or without mTBI.

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