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


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Old 02-26-2015, 12:20 AM #1
injuredbutrecoverin injuredbutrecoverin is offline
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Default optometry vs opthamology

does anyone have any thoughts on who is best to see.. an optometrist vs an opthamologist? i am looking to see someone for an evaluation that deals with neuro related eye issues but also to look at the health of my eyes overall.
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Old 02-26-2015, 12:32 AM #2
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Both can check out your eye health. Opto's may be trained in behavioral optometry. Ophthalmologists are MD's. They don't usually get into the behavioral opto issues. Neuro-ophthalmologists are more specialized. If your concern is your misreading of words, a behavioral optometrist may be a good start. I think you are being too hard are yourself. Unless you are constantly misreading words, I suggest you go slow with seeking treatment.
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Old 02-26-2015, 01:25 AM #3
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thanks Mark, can I ask why you suggest I go slow with seeking treatment? is it your general feeling that doctors are (while well meaning) not super useful?
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Old 02-26-2015, 11:42 AM #4
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If your struggle is just the occasional misread, letting your brain heal and learning to lower stress levels may be as effective or more effective than any therapies. Some get so wrapped up in therapies that they become fatigued from the therapy. Then, they can not determine between therapy fatigue and PCS fatigue.
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Old 02-26-2015, 07:33 PM #5
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My mva left me with an injury to my left eye. If you are having issues with your vision such as flashing lights and black holes in your vision, I would seek a consult.
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1 year post-concussion caused by a high-speed MVA.
Driver to driver head-on. I was stationary and the other vehicle hit me traveling > 110 km/hr successfully breaking my sternum.
Diagnosed with chronic neuropathic pain, PTSD, somatic symptom disorder, depression, anxiety. I suffer from daily headaches, 24x7.
Meds: On prescription medication for neuropathic pain, breakthrough pain, anxiety, depression and sleep disorder.
OTC medications used to try and keep headaches in check: acetaminophen and ibuprofen.
Treatments: Physio (declined since May '14), RMT (declined since Feb '14), Psychiatry CBT (since Nov '13), Pain Clinic Nerve Blocks, Botox and Lidocaine Infusion (since May '14), SLP (since Aug '14), OT (since Sep '14).
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Old 02-26-2015, 08:04 PM #6
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a consult with an ophthalmologist or optometrist? other than their MD vs OD degrees i don't really understand the difference in their abilities.
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Old 02-26-2015, 11:41 PM #7
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Ophthalmologists will cost $200 to $400 for an exam. An optometrist will likely cost less than $100, at least to start.

The question is, What is your concern that you want answered by a specialist ?
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Old 02-27-2015, 12:23 AM #8
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well i'm trying to make sure that the only visual problems i am having are neurological in nature and not something physically wrong with my eye (which may require intervention).
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Old 02-27-2015, 01:03 AM #9
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By visual problems, do you mean misreading words ? or, do you have other visual problems ?
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Old 02-27-2015, 01:05 AM #10
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misreading is one problem. my eyes also get sore from working on the computer for a while with reading. these both are neuro related i'm sure but i also just want to make sure there is no eye damage since one of the incidents was being hit by a bicyclist in the face and i was also poked in my eye by a resident who examined me which caused about a month worth of inflammation.
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