Visual evoked potentials (VEP) evaluating treatment for post-trauma vision syndrome (PTVS) in patients with traumatic brain injuries (TBI)

Brain Inj. 1994 Feb-Mar;8(2):125-33. doi: 10.3109/02699059409150964.

Abstract

Post-trauma vision syndrome (PTVS), which is characterized by binocular function problems, may be caused by dysfunction of the ambient visual process which is part of the sensory-motor feedback loop rather than specific oculomotor disturbance. Clinically, PTVS frequently presents with symptoms of diplopia, blur, seeing movement in the spatial environment, vertigo, and hallucination-like experiences. Visual evoked potentials (P100) were used to evaluate an experimental group (n = 10) of subjects who suffered a traumatic brain injury, and a control group (n = 10). A new treatment using prisms and bi-nasal occluders which affected amplitude responses of the VEP was evaluated. The results demonstrate the amplitude of the VEP is a function of cortical binocular integration, and that this is influenced by dysfunction of the ambient visual process. The results also demonstrate that base-in prism and bi-nasal occluders are an effective means to treat ambient vision disturbances resulting from head trauma which causes PTVS.

MeSH terms

  • Accommodation, Ocular / physiology
  • Adult
  • Brain Injuries / physiopathology*
  • Brain Injuries / rehabilitation
  • Evoked Potentials, Visual / physiology*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Ophthalmoscopy
  • Pursuit, Smooth / physiology
  • Vision Disorders / physiopathology*
  • Vision Disorders / rehabilitation
  • Vision, Binocular / physiology
  • Visual Fields / physiology
  • Visual Pathways / physiopathology