- Visibility 193 Views
- Downloads 175 Downloads
- Permissions
- DOI 10.18231/j.ijceo.v.11.i.3.22
-
CrossMark
- Citation
Assessment of knowledge of vision consequences and vision-related quality of life in head injury patients: A cross-sectional study
Background: Head injuries, including traumatic brain injuries (TBIs) and concussions can significantly impact vision and visual pathways, leading to visual symptoms and ocular motor dysfunction in post-concussion individuals due to neurophysiological changes.
Aim and Objectives: The study assesses knowledge about visual consequences of head traumas, evaluates injury severity's impact on vision health, and compares vision health scores and composite VFQ-25 scores.
Materials and Methods: This is a cross-sectional study on patients with head injury seeking care near Chennai, India, over nine months. 200 participants were chosen using specific criteria, with medical professionals gathering data on their knowledge post-admission. A NEI – VFQ 25 questionnaire was administered one month after hospital discharge.
Results: The mean score of knowledge among the participants regarding the awareness of vision consequences post head injury was found to be of average, 9.49 (max score: 18). The highest mean score was secured by health care professionals (14.74), followed by the participants with postgraduate level education status (14.61). Age significantly influenced VRQoL, with severe head injury severity resulting in a mean score of nearly half that of mild participants in all components. The mean total score of NEI VFQ-25 is as follows, Mild injury – 74.94 ±13.57; Moderate injury – 66.40 ±16.93; Severe injury – 31.69 ±15.79.
Conclusion: The research shows a lack of public awareness about vision-related issues after head injuries, with age significantly affecting quality of life. The severity of the injury significantly impacts VRQoL, necessitating regular ophthalmic assessments in post-injury care plans and patient follow-up consultations.
References
- Sen N. An insight into the vision impairment following Traumatic Brain Injury. Neurochem Int. 2017;111:103–7.
- Padula WV, Argyris S, Ray J. Visual evoked potentials (VEP) evaluating treatment for post-trauma vision syndrome (PTVS) in patients with traumatic brain injuries (TBI). Brain Inj. 1994;8(2):125–33.
- Armstrong RA. Visual problems associated with traumatic brain injury. Clin Exp Optom. 2018;101(6):716–26.
- Dewan MC, Rattani A, Gupta S, Baticulon RE, Hung YC, Punchak M, et al. Estimating the global incidence of traumatic brain injury. J Neurosurg. 2018;130(4):1080–97.
- Qiu J, Boucher M, Conley G, Li Y, Zhang J, Morriss N, et al. Traumatic brain injury-related optic nerve damage. J Neuropathol Exp Neurol. 2022;81(5):344–55.
- Rauchman SH, Zubair A, Jacob B, Rauchman D, Pinkhasov A, Placantonakis DG, et al. Traumatic brain injury: Mechanisms, manifestations, and visual sequelae. Front Neurosci. 2023;17:1090672.
- Akhand O, Balcer LJ, Galetta SL. Assessment of vision in concussion. Curr Opin Neurol. 2019;32(1):68–74.
- Fox SM, Koons P, Dang SH. Vision Rehabilitation After Traumatic Brain Injury. Phys Med Rehabil Clin N Am. 2019;30(1):171–88.
- Uzzell BP, Obrist WD, Dolinskas CA, Langfitt TW, Wiser RF. Relation of visual field defects to neuropsychological outcome after closed head injury. Acta Neurochir (Wien). 1987;86(1–2):18–24.
- Kapoor N, Ciuffreda KJ. Vision Disturbances Following Traumatic Brain Injury. Curr Treat Options Neurol. 2002;4(4):271–80.
- Lindblad AS, Clemons TE. Responsiveness of the National Eye Institute Visual Function Questionnaire to progression to advanced age-related macular degeneration, vision loss, and lens opacity: AREDS Report no. 14. Arch Ophthalmol. 2005;123(9):1207–14.
- Brasure M, Lamberty GJ, Sayer NA, Nelson NW, MacDonald R, Ouellette J, et al. Table 1, Criteria used to classify TBI severity [Internet]. Agency for Healthcare Research and Quality (US); 2012 [cited 2024 Jun 20]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK98986/table/introduction .t1/
- Bulson R, Jun W, Hayes J. Visual symptomatology and referral patterns for Operation Iraqi Freedom and Operation Enduring Freedom veterans with traumatic brain injury. J Rehabil Res Dev. 2012;49(7):1075–82.
- Goodrich GL, Kirby J, Cockerham G, Ingalla SP, Lew HL. Visual function in patients of a polytrauma rehabilitation center: A descriptive study. J Rehabil Res Dev. 2007;44(7):929–36.
- Merezhinskaya N, Mallia RK, Park D, Bryden DW, Mathur K, Barker FM 2nd. Visual deficits and dysfunctions associated with traumatic brain injury: a systematic review and meta-analysis. Optom Vis Sci. 2019;96(8):542–55.
- Lemke S, Cockerham GC, Glynn-Milley C, Cockerham KP. Visual quality of life in veterans with blast-induced traumatic brain injury. JAMA Ophthalmol. 2013;131(12):1602–9.
- Sharma G, Kaur A. Quality of life after orbito-facial trauma. Orbit. 2017;36(6):407–10.
- Hellerstein LF, Freed S, Maples WC. Vision profile of patients with mild brain injury. J Am Optom Assoc. 1995;66(10):634–9.
- Das M, Tang X, Mohapatra SS, Mohapatra S. Vision impairment after traumatic brain injury: present knowledge and future directions. Rev Neurosci. 2019;30(3):305–15.
- Roh M, Selivanova A, Shin HJ, Miller JW, Jackson ML. Visual acuity and contrast sensitivity are two important factors affecting vision-related quality of life in advanced age-related macular degeneration. PLoS One. 2018;13(5):e0196481.
- Gupta P, Vu TA, Wong CMJ, Thakur S, Black AA, Wood JM, et al. Single and Multiple Visual Function Impairments and Associated- Vision-Related Quality of Life Impact in Older Adults Aged 60 to 100 Years. Invest Ophthalmol Vis Sci. 2025;66(2):18.
- Petzold A, Plant GT. Central and paracentral visual field defects and driving abilities. Ophthalmologica. 2005;219(4):191–201.
- Babizhayev MA. Glare disability and driving safety. Ophthalmic Res. 2003;35(1):19–25.
How to Cite This Article
Vancouver
S P, Gnaneswaran P, Matheen AM, Guttikonda S, Thirunavukkarasu P. Assessment of knowledge of vision consequences and vision-related quality of life in head injury patients: A cross-sectional study [Internet]. Indian J Clin Exp Ophthalmol. 2025 [cited 2025 Oct 02];11(3):499-507. Available from: https://doi.org/10.18231/j.ijceo.v.11.i.3.22
APA
S, P., Gnaneswaran, P., Matheen, A. M., Guttikonda, S., Thirunavukkarasu, P. (2025). Assessment of knowledge of vision consequences and vision-related quality of life in head injury patients: A cross-sectional study. Indian J Clin Exp Ophthalmol, 11(3), 499-507. https://doi.org/10.18231/j.ijceo.v.11.i.3.22
MLA
S, Poornamuki, Gnaneswaran, Premnath, Matheen, Adnan Mohamed, Guttikonda, Sruthi, Thirunavukkarasu, Pratheekshaa. "Assessment of knowledge of vision consequences and vision-related quality of life in head injury patients: A cross-sectional study." Indian J Clin Exp Ophthalmol, vol. 11, no. 3, 2025, pp. 499-507. https://doi.org/10.18231/j.ijceo.v.11.i.3.22
Chicago
S, P., Gnaneswaran, P., Matheen, A. M., Guttikonda, S., Thirunavukkarasu, P.. "Assessment of knowledge of vision consequences and vision-related quality of life in head injury patients: A cross-sectional study." Indian J Clin Exp Ophthalmol 11, no. 3 (2025): 499-507. https://doi.org/10.18231/j.ijceo.v.11.i.3.22