dry eyes after concussion

[ranger974]

I suffered a concussion falling down my stairs in March of this year.  I never hit my head but hit my tail bone hard.  I immediately grabbed the back of my head.  After a CT scan in ER they sent me home with concusssion. I have had a three hour nueropthamologist exam...didnt find a thing.  During the healing process my eyes would tremor, I coudl feel my muscles being sore and weak in my head behind my eyes, and they would wake me up in the middle of the night with what I felt to be muscle problems. I also couldn't cry at the beginning partly due to the TBI but also becuase my tears werent there.. the nueroopth. said it was dry eyes and eye strain.  Most everythign has gotten better but on an active day my eyes get really worse...I know when I have done too much.  How long will this "dry eye" thing last and the pain in my muscles behind my eye?  Ive called a so many times for follow up but they say its normal.

[John C Hagan III, MD, FACS, FAAO]

Perhaps as many as half of the connections in your brain in someway are involved in vision. When things are scrambled in a concussion a vast spectrum of visual symptoms can occur. Among the most common are blurred vision, trouble focusing at near, sensitivity to light, double vision.

Most clear with time but that can take up to 6 months. Most things that are still present 6-9 months after the injury may be permanent.

JCH MD

[ranger974]

That is why I am feeling it is not "dry eyes" like they say it is.  Because my eyes were the most effected from the fall wtih the eye tremors and light sensitivity.  I couldn't watch tv, or look at computer  for weeks because my eyes would literally begin to tremor.  The night I hit my head my eyes formed a crust.  And eveyr night since.  
I am a speech path..I have worked with TBI's many times (now I know! for sure how to NOT treat them! )  and so i feel like I have some knowledge.  
I have sensory integration disorder (can't go to movies becuase I can see the pixels in the screen and the waves etc) and this has only exaserbated the symptoms.  My eyes seem to be the first to go.  
What else could cause your eyeballs to feel as if they can't move or function when your try to open your eyes..I literally have to move themwith my fingers to get them goign in the middle of the night or in the morning..and this is all since concussion. I will definitely go to the link you sent.  

[John C Hagan III, MD, FACS, FAAO]

1. Concussions do not normally cause dry eyes. Therefore no "timetable" can be given and the association could be incidental rather than causative. Go to Dr. Hagan's blog and read the entry on treatment of dry eyes.
2. Concussions are all pretty different therefore no generalization can be given about your eye pain.

JCH MD