Visual-Vestibular Interaction and Treatment of Dizziness: A Case Report

Background: The visual and vestibular systems are closely related both physiologically and functionally. Dysfunction in one or both systems can lead to subjective feelings of dizziness and/or vertigo. A common cause of vestibular dysfunction is head trauma leading to traumatic brain injury. Throughout the rehabilitation process, optometrists providing rehabilitative vision therapy services play a vital role in the recovery of visual and vestibular function and quality of life. Case Report: The patient in this case suffered a closed head trauma resulting in visual and vestibular dysfunction. Following vestibular rehabilitation and occupational therapy, she demonstrated residual symptoms of disequilibrium and eye strain that were exacerbated by computer use and large, crowded spaces. She was enrolled in a course of in-office vision therapy for treatment. Following rehabilitative vision therapy, the patient reported significant improvements in her everyday activities and quality of life. She noted that her vision was more stable, balance had improved, and reading was easier with improved comprehension.