Eye Recovery Automation for Post Injury Dysfunction (iRAPID)

Inclusion Criteria

• •1. are aged 18 - 40;
• •2. have suffered a mTBI according to VA/Department of Defense (DoD) criteria with documented evidence of alteration of consciousness (AOC) \< 24 hours or loss of consciousness (LOC) less than 30 minutes;
• •3. were injured between 1 month and 15 years ago;
• •4. received a Glasgow coma scale (GCS) score of between 13 and 15 upon emergency department (ED) admission, if available;
• •5. experienced less than 24 hours of post-traumatic amnesia (PTA), if any;
• •6. have ongoing post-concussive symptoms as evidenced by a score of 18 or greater or a score of 2 or greater on question 6 (vision problems, blurring, trouble seeing) on the Neurobehavioral Symptom Inventory (NSI);
• •7. have ongoing vision-related symptoms as evidenced by a score of 31 or higher on the Brain Injury Vision Symptom Survey (BIVSS);
• •8. have PTCI as evidenced by obtaining a score of 21 or higher on the convergence insufficiency symptom survey (CISS), a specific measure of convergence insufficiency;
• •9. are fluent in English; and
• •10. have been on stable doses of any vision-altering medications for the past 2 months.
• •11. Stereopsis of 500 sec arc using Randot Stereo Test.
• •12. Exophoria at near 4 prism-diopter (PD) or greater than magnitude at distance
• •13. Near point of convergence (NPC) \> 5 cm
• •14. Convergence amplitude at near \< 15PD break or the Sheard criterion not met
• •1. are aged 18 - 40;
• •2. CISS score of 20 or lower;
• •3. near point of convergence (NPC) \< 6cm; and
• •4. positive fusional range \>15 prism diopters.
• •5. Stereopsis of 500 sec arc using Randot Stereo Test.