High incidence and prevalence of visual problems after acute stroke: An epidemiology study with implications for service delivery.
TLDR
Incidence and point prevalence of visual problems in acute stroke is alarmingly high, affecting over half the survivors, and crucial information can be provided on visual status and its functional significance to the stroke team, patients and carers, enabling early intervention.Abstract:
Background Visual problems are an under-reported sequela following stroke. The aim of this study is to report annual incidence and point prevalence of visual problems in an acute adult stroke population and to explore feasibility of early timing of visual assessment. Methods and findings Multi-centre acute stroke unit, prospective, epidemiology study (1st July 2014 to 30th June 2015). Orthoptists reviewed all patients with assessment of visual acuity, visual fields, ocular alignment, ocular motility, visual inattention and visual perception. 1033 patients underwent visual screening at a median of 3 days (IQR 2) and full visual assessment at a median of 4 days (IQR 7) after the incident stroke: 52% men, 48% women, mean age 73 years and 87% ischaemic strokes. Excluding pre-existent eye problems, the incidence of new onset visual sequelae was 48% for all stroke admissions and 60% in stroke survivors. Three quarters 752/1033 (73%) had visual problems (point prevalence): 56% with impaired central vision, 40% eye movement abnormalities, 28% visual field loss, 27% visual inattention, 5% visual perceptual disorders. 281/1033 (27%) had normal eye exams. Conclusions Incidence and point prevalence of visual problems in acute stroke is alarmingly high, affecting over half the survivors. For most, visual screening and full visual assessment was achieved within about 5 days of stroke onset. Crucial information can thus be provided on visual status and its functional significance to the stroke team, patients and carers, enabling early intervention.read more
Citations
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“Invisible” visual impairments. A qualitative study of stroke survivors` experience of vision symptoms, health services and impact of visual impairments
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Trends in prevalence of acute stroke impairments: A population-based cohort study using the South London Stroke Register.
Amanda Clery,Ajay Bhalla,Ajay Bhalla,Anthony Rudd,Anthony Rudd,Charles D.A. Wolfe,Charles D.A. Wolfe,Yanzhong Wang,Yanzhong Wang +8 more
TL;DR: It is found that stroke patients in the SLSR had a complexity of acute impairments, of which limb motor deficit, dysphagia, and incontinence have declined since 2001, with women and the older population, in particular, seeing fewer reductions.
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Exploring perspectives from stroke survivors, carers and clinicians on virtual reality as a precursor to using telerehabilitation for spatial neglect post-stroke
TL;DR: End-user perspectives on the use of self-administered VR for spatial neglect in a university environment were explored to identify barriers and facilitators prior to extending its use remotely as a telerehabilitation tool.
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Vision Screening Assessment (VISA) tool: diagnostic accuracy validation of a novel screening tool in detecting visual impairment among stroke survivors.
Fiona J. Rowe,Lauren R. Hepworth,Claire Howard,Alison Bruce,Alison Bruce,Victoria Smerdon,Terry R. Payne,Phil Jimmieson,Girvan Burnside +8 more
TL;DR: This validation study indicates acceptability of VISA for screening of potential visual impairment in stroke survivors, and Sensitivity and specificity were high indicating the accuracy of this screening tool.
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The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies
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