A Veterans Administration study that indicates that Iraq and Afghanistan veterans with vision loss from traumatic brain injury have significantly poorer quality of life than comparable civilian patients is part of the scientific program at the joint meeting of the AAO and PAAO today.

The program also includes a Harvard doctor's insights on how to best evaluate and care for low-vision patients who experience vivid visual hallucinations due to Charles Bonnet syndrome.

The AAO-PAAO meeting, the largest, most comprehensive ophthalmic education conference in the world, is in session October 24 through 27 at the Moscone Center, San Francisco.

Quality of Life Worse for Veterans with TBI Vision Loss than for Comparable Civilians

Many young veterans of the Iraq and Afghanistan wars suffer traumatic brain injury (TBI) from exposure to combat explosions. A recent study of TBI's affect on visual function and quality of life in such veterans by Glenn C. Cockerham, MD, Stanford University, and colleagues at the Veterans Administration Palo Alto Department of Ophthalmology, found that most had severe vision problems and poorer quality of life than comparable civilian patients.

Dr. Cockerham, Sonne Lemke, PhD, Catherine Glynn-Milley, CRNO, and Kimberly Cockerham, MD, assessed visual function and occult (not readily detectable) eye injuries in 42 young veterans with blast-related TBI, then evaluated them using two standard quality of life tests, the National Eye Institute Visual Function Questionnaire (VFQ-25) and Neuro-Ophthalmic Supplement (NOS). The veterans' VFQ-25 and NOS scores were compared with accepted norms for patients with similar visual disorders. On the VFQ-25, overall scores were significantly lower for veterans than the reference patient groups; for example, veterans scored lower than norms for patients with glaucoma, multiple sclerosis (MS) and diabetic eye disease. On the NOS the veterans' scores were significantly lower than norms for patients with MS and disease-free adults and were similar to norms for comparable neuro-ophthalmic patients.