AOA comments on CDC’s pediatric mTBI Guidelines and Review

On November 28, 2017, the AOA submitted a comment letter in response to the Centers for Disease Control and Prevention's (CDC) Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children and Diagnosis and Management of Mild Traumatic Brain Injury Among Children: A Systematic Review.

Unfortunately, the CDC Review and Guidelines do not mention doctors of optometry and failed to adequality review the plethora of evidence establishing eye doctors as an essential part of the mTBI care team.

The AOA comment letter was developed by SPVC and VRC. This letter is part of AOA's larger advocacy efforts to support our members' role as primary eye care physicians and the importance of comprehensive eye exams. Specifically, the SPVC and VRC is committed to ensuring that patients and the medical community understand:

  • Many doctors of optometry are experts in evaluating and treating the visual symptoms of TBI ·       
  • All patients suffering from TBIs should be referred to an eye doctor for a comprehensive eye exam and treatment of TBI-related vision disorders ·      
  • A comprehensive eye exam is essential to detect the visual symptoms of TBIs ·     
  • Doctors of optometry can provide essential data, such as baseline testing, for the entire managed care team and help improve the treatment of TBI sufferers ·       


For individuals who may not realize they are suffering for an undiagnosed TBI, regular Comprehensive Eye exams are can help detect visual signs of TBIs and result in referrals to appropriate specialists for follow-up diagnosis and care.

In addition to raising awareness throughout the public and other healthcare professionals, the AOA is dedicated to helping our members to better serve patients with TBIs. In 2018, SPVC and VRC will continue to provide TBI resources that help members incorporate basic TBI services to their practices and eye examinations.

Please continue to visit AOA's Concussion Care Page for more information.