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3 vs. no TBI 10.7; P = .179). Participants with a TBI history had a significantly lower median SF-36 General Health score (with TBI 67.5 vs. no TBI 92.5; P = .009). Vision-related QOL of COT patients is generally good in the long term. However, those with both COT and a history of TBI conditions showed significantly worse functioning in several domains than those without TBI. As TBI is a common finding in COT, this association is an important factor impacting this population's overall clinical presentation and daily functions. Visi