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It is common to have vision problems after neurological insults such as traumatic brain injury, stroke or brain tumours. While these neurological insults can affect patients’ daily functioning to different extents, vision problems can be the main obstacle to the dysfunction. A 19-year-old boy with pontine cavernoma presented to the clinic with multiple visual problems at ten months after surgical removal of the tumour. He has left 6th cranial nerve palsy with persistent diplopia and nystagmus. These were associated with giddiness, imbalance, cerebellar impairments, right hemiparesis and hemisensory loss. This case illustrates the importance of adding the neuro-optometric vision rehabilitation, which include visual information processing therapy and other substitutive interventions, into the existing multidisciplinary rehabilitation program to achieve the greatest functional benefit.
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