ABSTRACT
Introduction ................................................................................................... 428 Equipment ..................................................................................................... 430 Examination .................................................................................................. 430
Review of Records ............................................................................ 431 History ..............................................................................................431 Observation ....................................................................................... 431 Visual Acuity .................................................................................... 431 Ocular Alignment .............................................................................. 431 Fixations ........................................................................................... 432 Nuclear/Infranuclear Eye Movements .............................................. 432 Supranuclear Eye Movements .......................................................... 433 Vestibulo-Ocular Refl ex and Nonvisual Eye Movements ................. 434 Vergence Movements ........................................................................ 434 Common Disorders of Ocular Motility ............................................. 434 Visual Field ....................................................................................... 435 Visual Inattention/Neglect ................................................................ 435 Scanning ........................................................................................... 436 Pupil Refl exes ................................................................................... 436 Health Evaluation ............................................................................. 436 Specifi c Conditions ........................................................................... 436 Refraction ......................................................................................... 439
Treatment Planning ....................................................................................... 439 Conclusion .................................................................................................... 439
As discussed in Chapter 2, patients with brain injury frequently need acute intervention for vision problems, while they are still hospitalized followed by postacute vision intervention after their discharge. In both cases, the patient will typically have a rehabilitation team working with them, and the functional rehabilitation vision care doctor (frequently an optometrist) should be one of the members of that team. In this chapter, diagnosis and intervention in both the acute and postacute settings are discussed, as they are quite different in scope.
