After my concussion I had terrible double vision, partial vision loss, dyslexia. I was hit right above the visual cortex. Many of the vision issues gradually got better over the first two to three months afterward. The double vision did not get better. My eyes were off by 40+ degrees, and one was also looking slightly down. That was due the cranial nerve 6 being damaged where it passes through the hole in my skull going out to the face.

The emergency room did nothing to discuss or offer advice regarding the vision issues even though I mentioned them frequently. About a week after the injury we called a big ophthalmology practice to ask their advice. They had me come in right away and see their neuro-ophthalmologist. He also had me see a neurologist the next day to fully assess the concussion. They redid the MRI and CT, which were fine. Over the next year I saw the neuro-opth four or five times. He closely checked to see what improvements there were. After a year with only a 3 degree improvement he recommended surgery. He said that many times it will heal on it's own, but if it hasn't corrected itself within the first year, the chances of it correcting later are very, very slim. I then saw an ophthalmology surgeon. I ended up having surgery on the muscles of both eyes to realign the eyes. The surgery was 16 months after the injury. It worked perfectly! My vision was perfect as soon as I woke up.