Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 7, 2012
   Pages 1075 — 1082

Abstract — Visual symptomatology and referral patterns for Operation Iraqi Freedom and Operation Enduring Freedom veterans with traumatic brain injury

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Ryan Bulson, OD, MS, FAAO;1-2* Weon Jun, OD, FAAO;1-2 John Hayes, PhD2

1Portland Department of Veterans Affairs Medical Center, Portland, OR; 2Pacific University College of Optometry, Forest Grove, OR

Abstract — Advances in protective armor technology and changes in the "patterns of war" have created a population of Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans with traumatic brain injury (TBI) that provide a unique challenge to Department of Veterans Affairs (VA) healthcare practitioners. The purpose of the study was to determine the frequency of symptomatic ocular and visual sequelae of TBI in OIF/OEF veterans at the Portland VA Medical Center, a Polytrauma Support Clinic Team site. A retrospective analysis of 100 OIF/OEF veterans with TBI was conducted to determine the prevalence of ocular and visual complaints. Referral patterns were also investigated. Visual symptoms were reported in approximately 50% of veterans with TBI. Loss of consciousness, but not number of deployments or number of blast exposures, was found to have a statistically significant association with severity of reported visual symptoms. The most commonly reported symptoms included blurred vision (67%), photosensitivity (50%), and accommodative problems (40%). Visual symptoms of OIF/OEF veterans at the Portland VA Medical Center are reported at slightly lower rates than similar studies conducted at the Palo Alto and Edward Hines Jr VA facilities.

KeyWords: Neurobehavioral Symptom Inventory, Operation Enduring Freedom, Operation Iraqi Freedom, postconcussive syndrome, postdeployment, posttraumatic stress disorder, symptom, traumatic brain injury, veteran, vision.


View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 7

This article and any supplementary material should be cited as follows:
Bulson R, Jun W, Hayes J. Visual symptomatology and referral patterns for Operation Iraqi Freedom and Operation Enduring Freedom veterans with traumatic brain injury. J Rehabil Res Dev. 2012;49(7):1075-82.
http://dx.doi.org/10.1682/JRRD.2011.02.0017

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Last Reviewed or Updated  Wednesday, October 24, 2012 1:11 PM

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