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Located on North Main Street across from the Va. Tech campus

Located on North Main Street across from the Va. Tech campus

Home » Eye Care Services in Blacksburg » Traumatic Brain Injuries – Symptoms and Care » Concussions- Mild Traumatic Brain Injuries

Concussions- Mild Traumatic Brain Injuries

Concussions: You don’t even need to be “knocked out”

Traumatic Brain Injuries (TBI) affect 2 to 4 million Americans a year. Most are mTBI (mild), otherwise known as concussions. You don’t even need to be “knocked out”.

Different causes are more likely at different ages with falls predominating for younger and older, sports in the teens and 20s, and motor vehicle accidents (MVA) during the rest of adulthood. A wider-than-one-would-think variety of “head bumps” is also common. Symptoms can persist for months to years and affect thinking, headaches, balance, emotions, sleep and vision.
More of the brain’s surface is devoted to visual processing than all other senses combined. So it’s not surprising that 90% of sufferers experience one or more visual symptoms such as blur, double vision, strain, focusing, print jumping around, light sensitivity and problems with visual movement.

• Refractive – Following an mTBI, even very low powers or small changes can make a big difference in clarity and comfort.

• Oculomotor/binocular – Getting your eyes to work together is one of those things you don’t think about until something goes wrong. With a TBI it often does, leading to a variety of problems, especially with reading and computer work. A special type of glasses prescription called a prism can be helpful, and a little can go a long way.

• Visual perceptual – The eyes and other parts of the brain don’t communicate well after a concussion. Balance and movement can be a problem and result in dizziness, nausea, light sensitivity and poor depth perception. One treatment, which seems weird but can work well, is Bi-Nasal Occlusion. Strips of tape are placed over inner parts of both eyeglass lenses. This reduces information coming in and can relax and stabilize perception, at times with dramatic results.

• Ocular health – Vision involves a lot more than just the eye, but the eye can be damaged too – anywhere from the front surface all the way to the back, including the optic nerve and nerves controlling eye movements.

Head injuries are a lot more complex than we used to think. At the same time, they and their symptoms aren’t always obvious. Affecting a wide range of behaviors, they’re best managed by a range of experienced professionals (preferably as part of a team). If you ever “bump” your head and don’t feel quite yourself in any way, find a doctor who knows about TBIs. You’ll likely still get a headache, but you’ll save yourself a bunch more!

Protecting our Patients from Coronavirus Disease Outbreak

Making sure our patients and staff are safe is our top priority. While the risk of getting the COVID-19 in the US is currently low, we know many patients are concerned about the spread of Coronavirus.

Our Promise to Our Patients:

We understand the obvious concern that coronavirus has brought to the area. We want to make you aware of the steps we are taking to protect our patients and team members in this time of uncertainty.

We request the following of patients:

  1. If you have traveled in the last 14 days to a country other than the U.S. where coronavirus has been diagnosed, or to any area in this country that has had a number of cases of concern (eg, Seattle, DC-NY metro area, parts of CA, etc…) please call the office to reschedule your appointment for next month or beyond.
  2. If you have any symptoms that mimic that of the coronavirus, which includes a fever or respiratory symptoms, including a cough, please call and reschedule your appointment at least 14 days from now.
  3. If you suspect that you have had direct contact with people who have been around any of the people who have tested positive for the coronavirus, please call us to reschedule your visit beyond 14 days from now.
  4. Remember to follow basic hygiene guidelines to avoid the spread of germs, which includes washing your hands thoroughly with warm water and soap for at least 20 seconds.

Our staff will also follow these guidelines and will not be present at work if they exhibit any of the above-mentioned symptoms:

  1. Any eye doctor or team member who is sick is staying home
  2. We sanitize every piece of equipment after each use and again at the end of the day (as part of our precautions we always adhere to).
  3. We will sanitize all patient contact surfaces between every patient.
  4. Our team washes their hands often throughout the day
  5. If we don’t shake hands with our patients during this time, please don’t take it personally.
  1. Please call us with any questions or concerns, and if you feel it best for you or your family member to reschedule your appointment, feel free to do so.
  2. We do expect this to be an ongoing situation in our area for an extended period of time, and do not want our patients to neglect their eye care needs during this time. We will continue to give recommendations based on the evidence we have on safe delivery of eye care in a time of uncertainty.

For the most up-to-date information on treatments, FAQs, news and more, please visit the following official health organizations:

Centers for Disease Control & Prevention (CDC) at

World Health Organization (WHO) at

Thank you for helping us to protect all of our patients.

Drs. Jacobs, Steckenrider and Staff