The Eyes [May] Have It

I was heartened today to see one tiny article about the possibility that visual difficulties may aid in the accurate diagnosis of traumatic brain injuries in veterans who continue having troublesome symptoms after sustaining a blast.  Psychiatrist Elaine Peskind noted that the vets she tested had irregular movements of their eyeballs.  Neuro-Optomologist Randy Kardon demonstrated that the vets exposed to blasts had retinal cells that were thinner than expected and also had developed photo-sensitivity.  [ article located here at: http://www.turnto23.com/lifestyle/health/eyes-may-provide-new-insight-into-brain-problems-including-tbi-in-soldiers ]

I've known about tbi-related eye problems because I have them.  I was diagnosed with true photophobia, ocular-motor dysfunction, and dyplopia in one eye.  The external vertigo that I experience on a daily basis [the room spins to the left] with occasional temporary upswings  is responsible for my latest back injuries which have landed me back in physical therapy.  Nystagmus, I have it now.  I did not have it pre-injury.  Misinterpretation of visual data in the brain has caused visual disturbances.  These are not frightening.  And dry eyes.  Because I no longer blink as much automatically as I used to.  Reading was not possible for me for longer than thirty minutes [and sometimes not possible after much less than thirty minutes] until the introduction of an e-reader.  It is not large print that I need.  My visual acuity is within the range of "doesn't need glasses while driving."  What I do need, and the e-reader provides for me, is more white space between words and the ability to adjust the light settings.

When hunting down the research into the use of various visual tests and measurements in the diagnosis of traumatic brain injury with our troops, the earliest reference I found was dated 2009.  This is the sort of thing that should have been reported on by the media much earlier than yesterday.  The research has implications for all of us who have sustained brain injuries from a variety of causes.

While I applaud the Veterans' Administration for the research being undertaken on behalf of soldiers who have suffered and who will continue to suffer blast injuries, it is my sincere hope that refinements to the diagnosis of a t.b.i. and delivery of services designed to address tbi-related visual difficulties does not become bogged down in the usual bureaucratic paperwork and a system which seeks to deny our vets services when at all possible.

sapphoq healing t.b.i.


Other references:

http://www.rehab.research.va.gov/jour/09/46/6/pdf/cockerham.pdf

http://www.wired.com/wiredscience/2013/05/neurologist-markam-human-brain/

http://www.army.mil/article/74675/

http://www.lowvision.org/traumatic_brain_injury.htm

https://www.ncbi.nlm.nih.gov/pubmed/20104404

http://www.brainline.org/content/2010/02/vision-issues-after-brain-injury-brainline-talks-with-dr-gregory-goodrich_pageall.html