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Vision therapy: Occlusion, prisms, filters, and vestibular exercises for mild traumatic brain injury

traumatic brain injury, concussion, tbi

1. The article discusses various treatment approaches for visual complaints following mild traumatic brain injury (TBI).

2. These approaches include binasal occlusion, yoked prisms, vertical prisms, filters, and vestibular training.

3. Binasal occlusion is suggested for visual motion sensitivity, but its effectiveness is not well-supported by evidence.

4. Base-in prisms may help with convergence insufficiency, but there is limited data on their efficacy.

5. The concept of midline shift and the use of yoked prisms for its treatment in mild TBI cases are questionable and lack strong evidence.

6. Vertical heterophoria and the use of vertical prisms for mild TBI symptoms also lack controlled data and evidence.

7. Filters could potentially alleviate light intolerance, but studies supporting their effectiveness are lacking.

8. Better evidence is emerging for the benefits of vestibular therapy, with some randomized controlled trials providing support.

9. Overall, many of these techniques lack substantial evidence and should be considered unproven and, in some cases, implausible for treating mild traumatic brain injury symptoms.

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