Visual impairment in stroke patients - a review

Sand, Kristin Modalsli; Midelfart, Anna; Thomassen, Lars; Melms, Arthur; Wilhelm, Helmut; Hoff, Jana Midelfart

doi:10.1111/ane.12050

Cited by 76 publications

(67 citation statements)

References 31 publications

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“…These defects lead to impairments in activities of daily living such as reading, driving, or overall orientation (Kerkhoff, 1999). Besides the impaired overall well-being and quality of life (QoL), the risk for falling and trauma as well as social isolation in older patients increases (Timmis and Pardhan, 2012; Sand et al, 2013). In addition, the burden on the health care systems is tremendous since visually impaired patients are often unable to continue their occupation.…”

Section: Introductionmentioning

confidence: 99%

Remaining Visual Field and Preserved Subjective Visual Functioning Prevent Mental Distress in Patients with Visual Field Defects

Gall¹,

Brösel²,

Sabel³

2013

Front. Hum. Neurosci.

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Background: Patients with visual field defects after visual pathway lesion may experience reduced vision-related quality of life (vrQoL). It has not been clarified how vrQoL impairments contribute to vision-related mental distress.Methods: One hundred and eight subjects with visual field defects caused by optic neuropathies (age M = 57.6; SD = 13.7 years) answered the National Eye Institute Visual-Functioning Questionnaire 39 (NEI-VFQ) for vrQoL and the SF-12 Short Form Health Survey for health-related quality of life. A 10 item composite of NEI-VFQ “visual functioning” and 5 items of “mental-health symptoms due to vision problems” were subjected to Rasch analysis. The test battery comprised static and High Resolution Perimetry (HRP). Regression and path analysis were used to investigate associations between QoL, mental distress, and perimetry results.Results: A higher level of “visual functioning” was associated with monocular impairment and a larger remaining visual field compared to binocular impairment. Subjective “visual functioning” but not visual field parameters predicted “mental-health symptoms due to vision problems” which was the only variable associated with the SF-12 mental component score. The SF-12 physical component score was less strongly associated with “mental-health symptoms due to vision problems.” Here, reaction time in HRP and mean threshold in perimetry were additional significant variables. Path analysis revealed a significant path from remaining visual field via visual functioning on mental health.Conclusion: Subjective consequences of visual impairments in everyday life impact mental health rather than “objective” visual function loss as measured by perimetry. Since a higher extent of vrQoL was related to lower levels of mental distress, the maintenance of vrQoL could reduce and prevent mental distress due to vision problems. Patients with persisting visual field defects may benefit from neuropsychological rehabilitation and supportive therapies.

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Section: Introductionmentioning

confidence: 99%

Remaining Visual Field and Preserved Subjective Visual Functioning Prevent Mental Distress in Patients with Visual Field Defects

Gall¹,

Brösel²,

Sabel³

2013

Front. Hum. Neurosci.

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“…This might be explained by the fact that the visual problems are less common compared to mobility and speech problems following stroke. In line with this, [23] reported that only 30% of the patients with stroke suffer visual problems. Hence, [24] mentioned that the rehabilitation needs to adapt to each patient's specific needs.…”

Section: Discussionmentioning

confidence: 52%

Effect of Nursing Care Strategy on the Functional and Physical Abilities of Patients Following Stroke

Ali¹

2012

J Neurol Neurophysiol

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“…The most common visual disorders resulting from vascular-cerebral incidents found during routine clinical practice include [1,8]:…”

Section: Discussionmentioning

confidence: 99%

Disability caused by post-stroke visual impairment as an underestimated clinical problem — case report

et al. 2016

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Ischaemic cerebral stroke is a common complication following cardiovascular diseases. In everyday clinical practice, visual field defects are diagnosed in approximately one in four ischaemic stroke patients. The incidence of cerebral stroke manifesting only with visual defects is higher than might be expected. Post-stroke visual impairment is associated with deteriorated quality of life of the affected, can lead to partially reduced self-reliance, and imposes job changes. We present a case of a 46-year-old male with visual field impairment secondary to cerebral ischaemia, to highlight this important issue.

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Visual impairment in stroke patients - a review

Cited by 76 publications

References 31 publications

Remaining Visual Field and Preserved Subjective Visual Functioning Prevent Mental Distress in Patients with Visual Field Defects

Remaining Visual Field and Preserved Subjective Visual Functioning Prevent Mental Distress in Patients with Visual Field Defects

Effect of Nursing Care Strategy on the Functional and Physical Abilities of Patients Following Stroke

Disability caused by post-stroke visual impairment as an underestimated clinical problem — case report

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