Visual impairment in stroke patients – a review. (29th November 2012)

• Record Type: Journal Article
• Authors: Sand, K. M.; Midelfart, A.; Thomassen, L.; Melms, A.; Wilhelm, H.; Hoff, J. M.
• Is Part Of: Acta neurologica Scandinavica. Volume 127(2013)Supplement 196
• Page Start: 52
• Page End: 56
• Publication Date: 2012-11-29
• Subjects: Stroke -- visual impairment -- hemianopia; Neurology -- Periodicals; 616.8
• DOI: 10.1111/ane.12050
• Languages: English
• ISSNs: 0001-6314

Abstract

Abstract : Approximately 30% of all stroke patients suffer from post‐stroke visual impairment. Hemianopia is the most common symptom, but also neglect, diplopia, reduced visual acuity, ptosis, anisocoria, and nystagmus are frequent. Partial or complete recovery of visual disorders can occur, but many patients suffer permanent disability. This disability is often less evident than impairment of motor and speech functions, but is negatively correlated with rehabilitation outcome and can lead to a significant reduction in day‐to‐day functioning. To be visually impaired after stroke reduces quality of life and causes social isolation because of difficulties in navigating/orientating in the surroundings. A thorough diagnosis including targeted examination and later follow‐up with eye examination and perimetry is essential in order to establish the extent of the visual impairment and to select the best rehabilitation strategy. Patients seem to profit from visual rehabilitation focused on coping strategies.