Case #21 - Dorsal Midbrain Syndrome Presented by Rahul Bhola, MD

[Andrew_Doan]

Posted here: http://webeye.ophth.uiowa.edu/eyeforum/case21.htm

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[JennyW]

Posted here: http://webeye.ophth.uiowa.edu/eyeforum/case21.htm

The section that outlined treatment only mentioned treating the cause of the dorsal midbrain syndrome. (which is obviously important)

I have done a lot of vision therapy with patients who have sufferend head traumas/strokes and have had the privelege of working with a lot of INOs, BINOs, WEBINOs, and dorsal midbrain patients. If the deviations are less than 15 prism diopters, vision therapy can be a very effective method of helping them overcome this.

Jenny

 

[PBEA]

The section that outlined treatment only mentioned treating the cause of the dorsal midbrain syndrome. (which is obviously important)

I have done a lot of vision therapy with patients who have sufferend head traumas/strokes and have had the privelege of working with a lot of INOs, BINOs, WEBINOs, and dorsal midbrain patients. If the deviations are less than 15 prism diopters, vision therapy can be a very effective method of helping them overcome this.

Jenny

I too have dealt with post trauma/cva etc. I will often attempt remediation with optical aids and/or VT tx's. I however don't have 100% faith in the use of VT tx's, mainly because I cannot distinguish between gradual spontaneous recovery and the effects of VT tx's. My question is how do you differentiate the two, or do you bother to try?