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Oculomotor screening and neuro-visual rehabilitation following pediatric brain tumor resection
Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine. Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine.ORCID iD: 0000-0001-6464-9130
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus.ORCID iD: 0000-0001-8921-431X
Linköping University, Department of Health, Medicine and Caring Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine.
Department of Clinical Neuroscience, Division of Eye and Vision, Karolinska Institute, Stockholm, Sweden.
2024 (English)In: Journal of Pediatric Rehabilitation Medicine, ISSN 1874-5393, E-ISSN 1875-8894, Vol. 17, no 2, p. 253-260Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Ios press , 2024. Vol. 17, no 2, p. 253-260
Keywords [en]
Pediatrics; brain tumor; oculomotor rehabilitation; orthoptics; vision disorders
National Category
Ophthalmology
Identifiers
URN: urn:nbn:se:liu:diva-200816DOI: 10.3233/prm-220127ISI: 001267014500011PubMedID: 37807791OAI: oai:DiVA.org:liu-200816DiVA, id: diva2:1836368
Available from: 2024-02-08 Created: 2024-02-08 Last updated: 2024-12-02

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Ertzgaard, PerNyman, Per

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Ertzgaard, PerNyman, PerJakobsson, Maria
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Faculty of Medicine and Health SciencesDepartment of Rehabilitation MedicineDivision of Prevention, Rehabilitation and Community MedicineDivision of Diagnostics and Specialist MedicineH.K.H. Kronprinsessan Victorias barn- och ungdomssjukhusDepartment of Health, Medicine and Caring Sciences
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