Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).


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Old 03-18-2014, 03:30 PM #1
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Default prism glasses

I see a lot of you saying you were prescribed prism glasses to wear. Will you have to wear them forever? Just for my own curiosity, I was not, it was not even mentioned for me. That is why I am asking. We used hand held prisms as part of my therapy that changed in value of magnification.

I saw an ophthalmologist and then was later told they do not believe in vision therapy and such. I was very surprised to find that my own eye doctors office had a doctor that diagnosed binocular disorders. Who would have guessed.
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Old 03-18-2014, 05:53 PM #2
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I use prism glasses for my vision mid line shift syndrome I was told it could be 6 months or it could be 2 years, but for me it was not indefinately.

Other people have prisms for double vision. It seems to vary from one person to the next.

I am going in May to recheck my eyes and see how things have progress over the year.
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MVA March 2012 pcs, post traumatic vision syndrome, convergence insufficiencies, vision mid line shift syndrome, gaze stabilization and vision tracking. Fatigue, headaches and sore eyes are main issues.

Current activities: chiro, massage, prism glasses, vision therapy, yoga, meditation, aquafit classes and rest.....
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Old 03-18-2014, 08:51 PM #3
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I have recently gotten rid of prisms in my distance lenses. I had both vertical and horizontal problems at a far distance. After one and a half years of wearing them, and doing a lot of vision therapy, I am going to try to go without them. Things look way better on the distance level.

I have drop down a prism to one on my computer distance and reading glasses. I'm picking those up this week so I will see how that goes. I have noticed huge improvement.

Prisms are useful for a few reasons, According to the research literature. They make your eyes work together so your brain does not have as hard time decoding two separate images that are being shot to the back of your retina. So it frees up a lot of brain energy for use elsewhere....memory, anyone? It also allowed me to reduce the amount of headaches and increase the amount of reading I was doing.

The second reason for using prisms is that there is a theory that they actually promote neuro plasticity. That thought is that the kickstart the brain and allow you to continue building new pathways on your own.

I recently saw an neuro-ophthalmologist who does not believe in vision therapy at all. Very old-school, and no help or suggestions were offered to me to help me heal from this horrible injury. The two neuro-ophthalmologists I have seen since my injury, both who are also research PhD's in neurology and ophthalmology and brain trauma, Have been nothing but helpful and believe in vision therapy, prisms and neuro plasticity.

The long term goal is to not use prisms. Obviously everyone is unique, but my own progress over the past 2 1/2 years shows that it might be possible!

I would find a neural ophthalmologist who believes in vision therapy. You have nothing to lose.
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What happened: Legs pulled forward by a parent's hockey stick while resting at the side of the rink at a family skate....sent me straight back. I hit the back of my head (with helmet) on the ice, bounced a few times, unconscious for a few minutes. September 11, 2011. Off work since then…I work part-time at home when I can. It has been hell but slowly feeling better (when I am alone☺).

Current symptoms: Vision problems (but 20/20 in each eye alone!) – convergence insufficiency – horizontal and vertical (heterophoria), problems with tracking and saccades, peripheral vision problems, eyes see different colour tints; tinnitus 24/7 both ears; hyperacusis (noise filter gone!), labyrinthian (inner ear) concussion, vestibular dysfunction (dizzy, bedspins, need to look down when walking); partial loss of sense of smell; electric shocks through head when doing too much; headaches; emotional lability; memory blanks; difficulty concentrating. I still can’t go into busy, noisy places. Fatigue. Executive functioning was affected – multi-tasking, planning, motivation. Slight aphasia. Shooting pain up neck and limited mobility at neck. Otherwise lucky!

Current treatments: Vestibular therapy, Vision therapy, amantadine (100 mg a day), acupuncture and physiotherapy for neck, slow return to exercise, magnesium, resveratrol, omega 3 fish oils, vitamins D, B and multi. Optimism and perserverance.

Last edited by Mokey; 03-18-2014 at 08:53 PM. Reason: Typos galore! Dictated message:)
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Old 03-18-2014, 10:30 PM #4
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Thanks for the input. It is mere curiosity I am done with my vision therapy and did not use prism glasses. I do home therapy as maintenance supposed to be twice a week. But since things have gotten worse it has just been here and there when I can and I can feel my self back sliding some.

I photo copied some of the material she sent home with me so when up to it I can do more of the hard stuff not on computer myself.
Again we did use prisms but they were held by hand and she said think of them as weights and we started small and worked higher strengthening my eye or eyes.
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