Oculomotor screening and neuro-visual rehabilitation following pediatric brain tumor resection

Author:

Ertzgaard Per1,Nyman Per2,Jakobsson Maria1,Johansson Jan3

Affiliation:

1. Department of Rehabilitation Medicine and Department of Health, Medicine and Caring Sciences, Linkoping University, Linköping, Sweden

2. Department of Pediatrics, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden

3. Department of Clinical Neuroscience, Division of Eye and Vision, Karolinska Institute, Stockholm, Sweden

Abstract

Visual difficulties are common after brain tumors, despite a lack of visual complaints at diagnosis. These include difficulties with eye movements, visual coordination, vergence, accommodation, and photophobia, in addition to more obvious problems such as visual field defects. This case report presents the results of a thorough neuro-visual evaluation in a boy with sequelae after a brain tumor including intermittent double vision that was not explained by routine visual examination. Subjective complaints included poor reading perseverance, intermittent blurred and double vision, headache around the eyes when performing near activities, less efficient eye movement behavior in reading tasks, and increased sensitivity to visual motion. The patient participated in a multidisciplinary visual rehabilitation program that included reading glasses with prism compensation and tinted glasses, as well as training with the aim of improving eye teaming, near vision functions, and perseverance in eye movements. The patient responded quickly to the vision therapy program, with positive changes after just four weeks. Repeated neuro-visual evaluations over eight months showed remarkable improvements that were stable over time. This encouraging case report supports the notion that neuro-visual evaluation and rehabilitation should be included in the follow-up of patients after brain tumors.

Publisher

IOS Press

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Pediatrics, Perinatology and Child Health

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