Review of experience with a collaborative eye care clinic in inpatient XXXX rehabilitation.

@entity1 @entity227 @entity64
BACKGROUND: @entity227 following @entity64 are frequently subtle and are often overlooked. Even though these @entity227 may be less overt in nature, they are still debilitating to survivors. @entity227 have been shown to negatively impact cognition, mobility, and activities of daily living (ADL). There is little consistency across healthcare facilities regarding protocol for assessing vision following @entity64 . OBJECTIVE: This research was designed to describe a profile for @entity1 exhibiting @entity227 following @entity64 , examine the role of occupational therapists in vision assessment, and discuss a potential model to provide a protocol for collaboration with an eye care professional as part of the rehabilitation team. METHODS: The sample consisted of 131 @entity1 in an inpatient rehabilitation (IPR) unit who were identified as having potential @entity227 . Occupational therapists on an IPR unit administered initial vision screenings and these @entity1 were subsequently evaluated by the consulting optometrist. Frequencies were calculated for the appearance of functional symptoms, diagnoses, and recommendations. Correlations were also computed relating diagnoses and recommendations made. RESULTS: All @entity1 referred by the occupational therapist for optometrist evaluation had at least one visual diagnosis. The most frequent visual diagnoses included: saccades (77.7%), pursuits (61.8%), and convergence (63.4%). There was also a positive correlation between number of functional symptoms seen by occupational therapists and visual diagnoses made by the optometrist (r    =    0.209, P    =    0.016). CONCLUSION: Results of this study support the need for vision assessment following @entity64 in IPR, confirm the role of occupational therapists in vision assessment, and support the need for an optometrist as a member of the rehabilitation team.
