Rehabilitation of visual disorders

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 the...

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Published inHandbook of Clinical Neurology Vol. 178; pp. 361 - 386
Main Authors Leff, Alexander, Barton, Jason J.S.
Format Book Chapter Journal Article
LanguageEnglish
Published The Netherlands Elsevier Health Sciences 2021
Elsevier
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ISBN9780128213773
0128213779
ISSN0072-9752
DOI10.1016/B978-0-12-821377-3.00015-5

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Abstract 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.
AbstractList 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.
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.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.
Author Leff, Alexander
Barton, Jason J.S.
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  organization: Departments of Medicine (Neurology), Ophthalmology and Visual Sciences, and Psychology, University of British Columbia, Vancouver, BC, Canada
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Keywords Hemianopia
Prisms
Alexia
Mild traumatic brain injury
Prosopagnosia
Ocular motor training
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References Bohnen, Twijnstra, Wijnen (bb1005) 1991; 238
Wright, Tierney, McDevitt (bb1020) 2017; 27
Naatanen (bb1015) 1975; 2
Di Russo, Spinelli, Morrone (bb1010) 2001; 41
References_xml – volume: 2
  start-page: 237
  year: 1975
  end-page: 307
  ident: bb1015
  article-title: Selective attention and evoked potentials in humans—a critical review
  publication-title: Biol Psychol
– volume: 27
  start-page: 27
  year: 2017
  end-page: 37
  ident: bb1020
  article-title: Visual-vestibular processing deficits in mild traumatic brain injury
  publication-title: J Vestib Res
– volume: 238
  start-page: 443
  year: 1991
  end-page: 446
  ident: bb1005
  article-title: Tolerance for light and sound of patients with persistent post-concussional symptoms 6 months after mild head injury
  publication-title: J Neurol
– volume: 41
  start-page: 2435
  year: 2001
  end-page: 2447
  ident: bb1010
  article-title: Automatic gain control contrast mechanisms are modulated by attention in humans: evidence from visual evoked potentials
  publication-title: Vision Res
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Snippet While there is a long history of rehabilitation for motor deficits following cerebral lesions, less is known about our ability to improve visual deficits....
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StartPage 361
SubjectTerms Alexia
Hemianopia
Mild traumatic brain injury
Ocular motor training
Prisms
Prosopagnosia
Title Rehabilitation of visual disorders
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