Optometric Management of a Post-Concussion Patient: A Case Report

Abstract

Over the past decade, there has been increased emphasis on the diagnosis and treatment of concussion, especially in the military and in sports. In this case report, the optometric management of a post-concussion, young-adult is described. He was diagnosed with low myopic astigmatism, convergence insufficiency, fusional instability, oculomotor dysfunction, and photosensitivity. Treatment included tinted spectacle correction for fulltime wear and conventional oculomotor-based vision therapy. At the cessation of the vision therapy, as well as three years later, he was effectively asymptomatic with normal clinical findings. These results demonstrate the efficacy of a comprehensive optometric approach in concussion, with evidence suggestive of considerable residual visual system plasticity.