Traumatic brain injury and sight loss in military and veteran populations– a review

Military Medical Research

Thomas Zampieri¹  Robert A. Mazzoli²  Randy H. Kardon³  Zara Raza⁴  Andrew T. G. Cash⁴  Syeda F. Hussain⁴  Renata S. M. Gomes⁵ 

[1] Blinded Veterans Association, 1101 King Street, Suite 300, 22314, Alexandria, Virginia, USA;Department of Ophthalmology, Madigan Army Medical Center, 9040 Jackson Avenue, Tacoma, 98431, Washington, USA;Iowa City VA Health Care System and Iowa City VA Center for the Prevention and Treatment of Visual Loss, 52246, Iowa City, Iowa, USA;Department of Ophthalmology and Visual Sciences, The University of Iowa, 52242, Iowa City, Iowa, USA;Research & Innovation, Blind Veterans UK, 12-14 Harcourt Street, W1H 4HD, London, UK;Bravo Victor, Research, 12-14 Harcourt Street, W1H 4HD, London, UK;Research & Innovation, Blind Veterans UK, 12-14 Harcourt Street, W1H 4HD, London, UK;Bravo Victor, Research, 12-14 Harcourt Street, W1H 4HD, London, UK;Northern Hub for Veterans and Military Families Research, Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, NE7 7XA, Newcastle, UK;

关键词: Traumatic brain injury;    Visual impairment;    Military;    Veteran;   

DOI  :  10.1186/s40779-021-00334-3

来源: Springer

【 摘 要 】

War and combat exposure pose great risks to the vision system. More recently, vision related deficiencies and impairments have become common with the increased use of powerful explosive devices and the subsequent rise in incidence of traumatic brain injury (TBI). Studies have looked at the effects of injury severity, aetiology of injury and the stage at which visual problems become apparent. There was little discrepancy found between the frequencies or types of visual dysfunctions across blast and non-blast related groups, however complete sight loss appeared to occur only in those who had a blast-related injury. Generally, the more severe the injury, the greater the likelihood of specific visual disturbances occurring, and a study found total sight loss to only occur in cases with greater severity. Diagnosis of mild TBI (mTBI) is challenging. Being able to identify a potential TBI via visual symptoms may offer a new avenue for diagnosis.

【 授权许可】

CC BY