Rehabilitation of visual disorders

• Published in: Handbook of Clinical Neurology Vol. 178; pp. 361 - 386
• Main Authors: Leff, Alexander, Barton, Jason J.S.
• Format: Book Chapter Journal Article
• Language: English
• Published: The Netherlands Elsevier Health Sciences 2021; Elsevier
• Subjects: Alexia; Hemianopia; Mild traumatic brain injury; Ocular motor training; Prisms; Prosopagnosia; Hemianopia; Prisms; Alexia; Mild traumatic brain injury; Prosopagnosia; Ocular motor training
• ISBN: 9780128213773; 0128213779
• ISSN: 0072-9752
• DOI: 10.1016/B978-0-12-821377-3.00015-5

While there is a long history of rehabilitation for motor deficits following cerebral lesions, less is known about our ability to improve visual deficits. Vision therapy, prisms, occluders, and filters have been advocated for patients with mild traumatic brain injury, on the premise that some of their symptoms may reflect abnormal visual or ocular motor function, but the evidence for their efficacy is modest. For hemianopia, attempts to restore vision have had unimpressive results, though it appears possible to generate blindsight through training. Strategic approaches that train more efficient use of visual search in hemianopia have shown consistent benefit in visual function, while prism aids may help some patients. There are many varieties of alexia. Strategic adaptation of saccades can improve hemianopic alexia, but there has been less work and mixed results for pure alexia, neglect dyslexia, attentional dyslexia, and the central dyslexias. A number of approaches have been tried in prosopagnosia, with recent studies of small groups suggesting that face perception of prosopagnosic subjects can be enhanced through perceptual learning.