title: Accommodation in mild traumatic brain injury.
abstract: Accommodative dysfunction in individuals with mild traumatic brain injury (mTBI) can have a negative impact on quality of life, functional abilities, and rehabilitative progress. In this study, we used a range of dynamic and static objective laboratory and clinical measurements of accommodation to assess 12 adult patients (ages 18-40 years) with mTBI. The results were compared with either 10 control subjects with no visual impairment or normative literature values where available. Regarding the dynamic parameters, responses in those with mTBI were slowed and exhibited fatigue effects. With respect to static parameters, reduced accommodative amplitude and abnormal accommodative interactions were found in those with mTBI. These results provide further evidence for the substantial impact of mTBI on accommodative function. These findings suggest that a range of accommodative tests should be included in the comprehensive vision examination of individuals with mTBI.
authors.affiliation: Department of Vision Sciences, The State University of New York, State College of Optometry, 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 / Q000502:physiology*; D000328:Adult; D001930:Brain Injuries / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology*; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008297:Male; D009907:Optometry / Q000379:methods; D014786:Vision Disorders / Q000209:etiology* / Q000534:rehabilitation*; D055815:Young Adult