Vision-Related Quality of Life in Patients with Complete Homonymous Hemianopia Post Stroke

Chen, Celia S.; Lee, Andrew W.; Clarke, Gayle; Hayes, Allison; George, Stacey; Vincent, Robyn; Thompson, Annette; Centrella, Lidia; Johnson, Katherine; Daly, Andrew; Crotty, Maria

doi:10.1310/tsr1606-445

Cited by 65 publications

(54 citation statements)

References 12 publications

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“…16,17 This in turn, can help tailor the goals in rehabilitation programs to enhance the person's functioning and well-being. Additionally, with the need to evaluate the effectiveness of visual interventions, the ability to determine if these interventions influence quality of life measures positively would be beneficial.…”

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confidence: 99%

“…Additionally, with the need to evaluate the effectiveness of visual interventions, the ability to determine if these interventions influence quality of life measures positively would be beneficial. 16 In the broader field of vision research, vision -specific QoL measures have been developed. These were developed in recognition of when measuring outcomes following rehabilitation in people with visual loss, quality of life should be measured, as opposed to measuring performance of specific activities that were traditionally used.…”

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confidence: 99%

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Are Vision-Specific Quality of Life Questionnaires Important in Assessing Rehabilitation for Patients With Hemianopia Post Stroke?

George

Hayes

Chen

et al. 2011

Topics in Stroke Rehabilitation

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confidence: 99%

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Are Vision-Specific Quality of Life Questionnaires Important in Assessing Rehabilitation for Patients With Hemianopia Post Stroke?

George

Hayes

Chen

et al. 2011

Topics in Stroke Rehabilitation

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“…The NEI VFQ-25 has been shown to have good correlation with other visual function questionnaires such as the Visual Activities Questionnaire (VAQ), but only one of the questions relates to peripheral vision function and therefore there is scope for bias if relying on just the NEI VFQ-25 to assess patient perception of their peripheral vision. 16 certain subscales. [17][18][19] Studies have however suggested that glare contributes to reduced contrast sensitivity and that this will play a role in affecting visual function.…”

Section: Discussionmentioning

confidence: 98%

Optical Functional Performance of the Osteo-Odonto-Keratoprosthesis

Lee

Ong

Lam

et al. 2014

Cornea

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Results: Optical analysis showed that the optical cylinder is near diffraction-limited. A reduction in median visual acuity (logMAR) with increasing glare settings was observed from 0.04 (without glare) to 0.20 (with glare at 'High' setting) and significantly reduced statistically when compared to the control group at all levels of glare (P < 0.05). Contrast sensitivity was significantly reduced when compared to age-matched controls at medium and high spatial frequencies (P < 0.05). Median Goldmann perimetry was 65 o (interquartile range 64 -74 o , V4e isopters) and 69 o excluding two glaucomatous subjects. Several vision-related VFQ-25 sub-scales correlated significantly with visual acuity at various BAT levels and contrast sensitivity at medium spatial frequencies, including Dependency, General Vision, Near and Distance Activities. Permanent repository link Conclusions:The OOKP optical cylinder provides patients with a good level of visual acuity that is significantly reduced by glare. We have shown in vivo that updates to the optical cylinder design have improved the patient's field of view. Reduction of glare and refinement of cylinder alignment methods may further improve visual function and patient satisfaction.4

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“…Hemianopia occurs in 30% 1 to 50% 2 of strokes, 9% 3 to 12% 4 of traumatic brain injuries (TBIs), affects walking, 5–7 driving, 8, 9 independence, 7 and quality of life, 7, 10 and is unlikely to improve if the hemifield loss is complete and time since vision loss is > 1 month. 4, 11, 12 The vision loss is fixed to the position of the eye so if the eyes are scanned towards the blind side, objects in that field can be visually detected.…”

Section: Introductionmentioning

confidence: 99%

Restoration of Vision After Brain Injury Using Magnet Glasses

Houston

Paschalis

Angueira

et al. 2017

American Journal of Physical Medicine &Amp; Rehabilitation

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Visual impairments are common after traumatic brain injury (TBI) and negatively impact quality of life. We describe a 39 year-old woman with a severe TBI who was evaluated by the inpatient optometry and vision rehabilitation service with findings of complete right homonymous hemianopia and right cranial nerve III palsy with 30° right exotropia (eye turn out) and complete right ptosis (eyelid won’t open). The 30° exotropia advantageously generated 30° of right visual field expansion when the right ptosis was treated with a magnetic levator prosthesis (MLP), which restores eyelid opening. Once opened, the patient utilized visual field expansion derived from a right exotropia to overcome functional impairments caused by right hemianopia. Field expansion improved the patient’s wheelchair mobility and reaching tasks during inpatient therapy. This is the first report of visual field expansion by strabismus facilitated by correction of ptosis. Strabismus should be considered for its potential field expansion benefits when homonymous visual deficits are present, prior to considering patching. A multidisciplinary vision rehabilitation team is well suited to make this determination.

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Vision-Related Quality of Life in Patients with Complete Homonymous Hemianopia Post Stroke

Cited by 65 publications

References 12 publications

Are Vision-Specific Quality of Life Questionnaires Important in Assessing Rehabilitation for Patients With Hemianopia Post Stroke?

Are Vision-Specific Quality of Life Questionnaires Important in Assessing Rehabilitation for Patients With Hemianopia Post Stroke?

Optical Functional Performance of the Osteo-Odonto-Keratoprosthesis

Restoration of Vision After Brain Injury Using Magnet Glasses

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