Vision therapy as part of neurorehabilitation after acquired brain injury – a clinical study in an outpatient setting

Clinical Practice Guidelines for Occupational Therapists in the Evaluation and Treatment of Oculomotor Impairment Following Traumatic Brain Injury

“…An optometry evaluation is warranted to determine the cause and treatment. One study found that 18 to 31% of patients required adjustments in their refraction for glasses following acquired brain injury, and in some cases, completely resolved the visual complaints [ 28 ]. An oculomotor impairment may also be present if a disparity between the patient’s near acuity and distance acuity is observed, and a referral to optometry or ophthalmology should be sought [ 17 ].…”

“…Typically, optometry completes a thorough vision evaluation and prescribes appropriate visual exercises for the patient. The vision exercises are often conducted by OTs under the supervision of the optometrist and can include Brock String, Hart Accommodation Charts, and eye push-ups [ 28 ]. Although some OTs have utilized this model without consultation with optometrists, caution should be taken as this is outside the domain of occupational therapy [ 29 ].…”