Passive and active visual rehabilitation techniques offer an effective adjunctive treatment for managing the neurological deficits associated with midline shift (MLS) in patients with traumatic brain injury (TBI), particularly for those experiencing visual disturbances like diplopia (double vision) due to shifts in brain structures. The case study used in this presentation will examine the innovative application of prism and active therapy to address both the visual and neurological symptoms related to midline shifts in a TBI patient. The presentation will provide a comprehensive overview of the neurological processing hierarchy involved in ocular motor control and the types of vision-related impairments commonly observed in patients with TBI. It will also detail the diagnostic tests used to identify visual impairments resulting from traumatic brain injuries and outline management strategies for sensorimotor vision deficits. The session aims to equip optometrists with the knowledge and tools necessary to assess and manage patients with midline shifts caused by TBI. Prism lenses with active therapy will be highlighted as an innovative and effective strategy in visual management, particularly for addressing midline shift-related symptoms in TBI patients. By improving visual alignment and alleviating diplopia, passive and active vision therapy plays a crucial role in supporting overall recovery, contributing to both neurological and functional outcomes. This case study emphasizes the importance of a holistic, patient-centered approach that integrates visual rehabilitation into the management of traumatic brain injury, showcasing the potential of interdisciplinary care to enhance recovery and quality of life in these complex cases.
- Date: May 17th, 2025
- Time: 12:30 – 13:00
- Location: Linhart Hall
About Thokozile Ingrid Metsing
QUALIFICATIONS Bachelor of Optometry (UL) 1985, M.Phil (Optometry) (UJ) 2009: A comparison of the prevalence of visual anomalies amongst children in the mainstream and learning disabled schools in Gauteng DPhil (Optometry) (UJ (2018): Strategies to improve vision screening in schools at primary health care in Gauteng CURRENT ACADEMIC AND PROFESSIONAL POSITIONS Associate Professor at the University of Johannesburg from 2024 till current Binocular Vision lecturer to 4th years Head of Department of Optometry 2019-2022 Senior Lecturer 2019 to 2023 Acting Head of Optometry Department from September 2023 to February 2024 LEADERSHIP ROLES IN THE PROFESSION • Member of the Professional Board for Optometrists and Optical Dispensers (PBODO): 2004-2009 • Manager of the Medical and Dental Professions Board (Health Professions Council of South Africa (HPCSA) (2009- 2011) • Chairperson of Education Committee (PBODO) 2011-2015 • Head of the Department of Optometry (University of Johannesburg)- 2019-2022
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Linhart Hall
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Thokozile Metsing
