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August 22, 2017

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Can a Concussion Make You Cross-Eyed?

May 10, 2018

Did you know that the brain structures associated with binocular vision function differently in people with brain injuries and those without brain injuries? In a 2015 study published in Frontiers Neurology, the authors used functional MRI to assess the structures associated with a type of eye movement called vergence eye movements. These type of movements, which  you actually learned about when you were in Kindergarten, allow us to transition our vision from near to far, or far to near... or back in Kindergarten allow you to cross your eyes. These types of eye movements also allow us to have depth perception.

 

These researchers found that the signals from the areas of our brain that control for these types of eye movements were significantly reduced, overall, in the TBI group. They also noted that the speed of the eye movements associated with transitioning from near-to-far (divergence) or far-to-near (convergence) was also decreased in those with TBI.

 

From a rehabilitation perspective this information is very valuable to us. This allows us to understand how some individuals with TBI can struggle with blurred vision, neck pain, headache, especially in the settings of the classroom (looking down at their desk then back up to the instructor), sports (where depth perception is crucial), office work (where one might be looking at computer monitors for long periods of time), or driving a vehicle (where depth perception is critical).

 

This also enables us to understand how we might help those with brain injuries overcome their symptoms, by assessing the integrity of their vergence systems, and prescribing uniquely appropriate rehabilitation exercises to improve performance of these areas of the brain, and creating long term plasticity.

 

This paper was published in Frontiers in Neurology in 2015 by Christopher Tyler and colleagues, and was titled “Deficits in the activation of human oculomotor nuclei in chronic traumatic brain injury.”

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