Accommodation dysfunction in mild to moderate traumatic brain injury – assessment and management.
Steve Leslie B Optom FACBO FCOVD
Accommodation function is very commonly disturbed in patients with a history of concussion or other traumatic brain injury. The possible mechanisms, and associated signs and symptoms of accommodation dysfunction, will be reviewed using case studies. Potential visual associations and effects of medications on accommodation will be presented. Evidence-based optometric management using lenses, prisms and vision has been shown to be very effective in treating m-TBI associated accommodative dysfunctions.
Stephen Leslie, B Optom Emeritus FACBO FCOVD, practises in Perth Western Australia, concentrating on assessment and management of accommodation-convergence dysfunctions, strabismus and amblyopia, vision problems subsequent to acquired brain injuries following stroke or head trauma, and neurological causes.
He served as National President of Optometry Australia 1990-1992 and as a National Councillor for 15 years. He is a member of the Neuro-Optometric Rehabilitation Association (NORA) and has completed Level 1 and Level 2 accreditation. He is currently Executive Director of the Australasian College of Behavioural Optometry, after four years as ACBO National President. He is a Life Member of Optometry Australia, and in 2018 was awarded the Armand Bastien International Award for contributions to the advancement of behavioural optometry internationally.
Steve is author of the chapter on Accommodation (focus) problems resulting from acquired brain injury. In: Visual and Vestibular Consequences of Acquired Brain Injury edited by Irwin Suchoff, Kenneth Ciuffreda and Neera Kapoor,