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


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Old 11-12-2015, 07:10 PM #1
Sharon345 Sharon345 is offline
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Default Eye strain

Does PCS eye strain get better over time? It is one of my enduring symptoms and I am wondering if I am missing something

I have been to vision therapy but it has not changed my eye fatigue.

The eye docs say I just need to increase time on the computer/tv in increments but gives no other guidance.

Thanks for listening.
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Old 11-12-2015, 07:49 PM #2
Mark in Idaho Mark in Idaho is offline
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How do you define eye strain/eye fatigue ?

Do you eyes start to hurt ?

Do you struggle to focus ?

Do you struggle to read text ?

Do your eyes get heavy like you need to take a nap ?

Have you had any testing like a Visual Evoked Potential test ? It is administered like an EEG but uses visual stimuli.
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Old 11-12-2015, 08:22 PM #3
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Quote:
Originally Posted by Mark in Idaho View Post
How do you define eye strain/eye fatigue ?

Do you eyes start to hurt ?

Do you struggle to focus ?

Do you struggle to read text ?

Do your eyes get heavy like you need to take a nap ?

Have you had any testing like a Visual Evoked Potential test ? It is administered like an EEG but uses visual stimuli.
My eyes hurt like I have been on the computer for days but I am only on a 10 minutes or so.

I don't seem to have focus issues and my eyes don't feel heavy. They feel really tired and overused in a brief amount of time.

I discussed the Visual evoked potential test with the eye doctor. It seems that it may tell you what was wrong but does not offer solutions to fix it.
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Old 11-12-2015, 08:53 PM #4
injuredbutrecoverin injuredbutrecoverin is offline
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you might have convergence insufficiency? they usually treat this with brock string exercises. the efficacy of this treatment is a point of debate.
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Old 11-12-2015, 09:01 PM #5
Mark in Idaho Mark in Idaho is offline
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Yes, the VEP is limited but it can tell you if you have a processing problem.

Have you tried fLux to see if you can change your screen brightness and color temp ? Some have found benefit from tinted lenses.

Your vision therapy suggest you have but I'll ask anyway.
Have you been assessed by a behavioral optometrist ?

Have you been checked to see if you need a prism correction ?
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Old 11-12-2015, 10:18 PM #6
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I have issues with my eyes. Convergence, tracking, fatigue like you describe. I have had 30 weeks of vision therapy, have prisms in my glasses and wear tape on the lenses.

The doctor gave me basic over the counter drops called Systane to put in my eyes twice a day and moist heat for 15 minutes to help with the eyes aching. The moist heat seems to help gives me a quiet meditation time as well.

I still have ten weeks more of therapy. Improvements are slow and it is discouraging to not see much improvement. The aching in my eyes does feel better.
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Old 11-12-2015, 10:18 PM #7
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Quote:
Originally Posted by Mark in Idaho View Post
Yes, the VEP is limited but it can tell you if you have a processing problem.

Have you tried fLux to see if you can change your screen brightness and color temp ? Some have found benefit from tinted lenses.

Your vision therapy suggest you have but I'll ask anyway.
Have you been assessed by a behavioral optometrist ?

Have you been checked to see if you need a prism correction ?

What is does a behavioural optometrist do?
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Old 11-12-2015, 11:53 PM #8
Mark in Idaho Mark in Idaho is offline
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Behavioral optometrists help with how your eyes are functioning rather than just vision acuity and health. They prescribe therapies and such. Many on NT have found benefit from an assessment. They are sort of occupational therapists for your eyes.

Behavioral optometry is a type of complementary and alternative medicine which encompasses a number of unorthodox ideas and practices related to visual processes. In general, behavioral optometrists attempt to improve vision and well-being using eye exercises and lenses in ways which depart from conventional optometry. from Wikipedia.
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Old 11-13-2015, 08:23 PM #9
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I have seen a behavioral optometrist. I just feel they are missing something.
They said I don't need prisms.

I still have problems watching tv as well. So maybe it is a processing problem?

Anything else I can do? Thanks for the flux recommendation.

Almost, I will try moist heat. Thank you.
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Old 11-14-2015, 04:59 PM #10
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My vision therapists tell me to do "palming" whenever I feel visually overstimulated, and I think it helps somewhat. You just rub your palms together for a while till they're warm, and then place them over your eyes but keeping your eyes open, blocking out all light for a while. Provides some quick (if brief) relief.
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26 year-old PhD student in evolutionary biology, slipped on ice in Feb 2014 while clipping my fingernails and walking to save time (dumbest reason for PCS ever?). Initially just had headaches and didn't feel quite right, but a minor head bump 5 days later started a downward spiral of anxiety, depression, insomnia and fatigue. Had trouble concentrating on reading/looking at screens

April 2014 - did exertion test, passed, started exercising and doing more, but didn't feel much better.

May 2014 - Went on backpacking trip OK'd by doctor, trip itself went fine, but felt worse a few days after getting back, more difficulty concentrating, worse headaches.

June 2014 - Bumped head on ceiling walking slowly down stairs, no immediate symptoms, but caused worsening headahces, more difficulty concentrating and looking at screens. Have not felt as good as I did before this since this bump.

December 2014 - after feeling relatively better I went xc skiing and fell but didn't hit my head (something my psychologist who specializes in brain injuries told me he hoped would happen so I saw it was OK), felt worse

Feb 2015 - back in grad school, light teaching load and some research, nowhere close to operating at my full capacity. Still have constant headaches, difficulty reading/looking at screens, mild anxiety and depression, and just not feeling like my normal sharp self.

Trying, but struggling, to believe that I'll get back to my old self, or at least get close.
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