title: Static and dynamic aspects of accommodation in mild traumatic brain injury: a review.
abstract: Accommodation refers to the process of obtaining and maintaining a focused foveal retinal image of an object of interest. It involves optical, sensory, motor, perceptual, cognitive, pharmacologic, and biomechanical aspects, and hence represents a complex, multilevel neurologic control process. In patients with mild traumatic brain injury (mTBI), this process frequently is disrupted and compromised neurologically because of the pervasiveness of the coup-contrecoup, swelling, and shearing aspects of the brain injury. In this report, we review the earlier literature on accommodation in mTBI and then present several new findings from our clinical research unit, along with their clinical implications.
authors.affiliation: State University of New York State College of Optometry, SUNY Brain Injury Clinical Research Group, 33 W. 42nd Street, New York, NY 10036, USA.
authors.forename: Wesley
authors.initials: W
authors.lastname: Green
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Ciuffreda
authors.forename: Preethi
authors.initials: P
authors.lastname: Thiagarajan
authors.forename: Dora
authors.initials: D
authors.lastname: Szymanowicz
authors.forename: Diana P
authors.initials: DP
authors.lastname: Ludlam
authors.forename: Neera
authors.initials: N
authors.lastname: Kapoor
mesh_terms: D000065:Accommodation, Ocular; D001930:Brain Injuries / Q000150:complications* / Q000503:physiopathology*; D006801:Humans; D009907:Optometry / Q000379:methods; D014786:Vision Disorders / Q000209:etiology* / Q000534:rehabilitation*