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Treatment of vertical heterophoria ameliorates persistent post-concussive symptoms

By February 4, 2016August 5th, 20242 Comments

A new study was just published establishing the link between post concussive syndrome and vertical heterophoria. In this retrospective study there was shown to be an 80% reduction in symptoms using the Feinberg method of prismatic correction. The Neuro Visual Center is the only practice in New York using the proven Feinberg method.

Abstract

Primary objective: To examine the effectiveness of neutralizing prismatic lenses for reduction of headache, dizziness and anxiety in patients with persistent post-concussive symptoms and vertical heterophoria (VH).

Background: Approximately 5–10% of patients with traumatic brain injury (TBI) develop persis- tent post-concussive symptoms. Many rehabilitation/treatment modalities are tried, but are largely unsuccessful, indicating a need for more effective treatment.

Design and method: This retrospective study included 38 patients with persistent post-con- cussive symptoms, who were diagnosed by an optometric binocular vision sub-specialist with VH (a sub-set of binocular vision dysfunction [BVD] that manifests as vertical eye and image misalignment). Data was collected both before and after prism application and included validated survey instruments for headache, dizziness, anxiety and BVD symptom burden; subjective rating (0–10 scale) of headache, dizziness and anxiety severity; and a sub-analysis of the BVD survey instrument questions that pertain specifically to headache, dizziness and anxiety. Upon conclusion of treatment, subjective assessment of overall improvement of heterophoria symptoms was obtained utilizing a 10 cm visual analogue scale.

Outcomes: Results demonstrated marked reduction in all measures of headache, dizziness and anxiety (19.1–60.8%) and an overall subjective improvement of VH symptoms of 80.2%. Conclusions: Neutralizing prismatic lenses are an effective treatment of headache, dizziness and anxiety in patients with persistent post-concussive symptoms and VH.

Read More: http://dx.doi.org/10.3109/02699052.2015.1113564

Dr. Cheryl Berger Israeloff

Dr. Cheryl specializes in the optometric treatment of dizziness and headaches utilizing the Feinberg method. She is the only practitioner in the state of New York trained by Dr. Debby Feinberg of Vision Specialists of Michigan. Dr. Cheryl is a graduate of Cornell University and SUNY College of Optometry.

2 Comments

  • JIm McMullen says:

    I was throne from a horse over three years ago and received a concussion leaving me with the condition described in the article. when walking I experience dizziness /lightheadedness, feeling like I am falling forward. When setting still I am fine.
    Would the Prism Glasses help me ?