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Age Ageing. 2000 May;29(3):221-2.

Correctable visual impairment in stroke rehabilitation patients.

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  • 1Department of Ophthalmology, Royal Victoria Hospital, Belfast, UK.

Abstract

BACKGROUND:

after stroke, visual impairment may exacerbate the impact of other impairments on overall disability and negatively influence rehabilitation.

OBJECTIVE:

to examine the visual status of patients after stroke and determine whether this can be improved by simple interventions.

DESIGN:

prospective study.

SETTINGS:

stroke rehabilitation unit in a Belfast teaching hospital.

SUBJECTS:

77 consecutive patients admitted for rehabilitation after acute stroke.

METHODS:

full optometric and ophthalmic assessment within 2 weeks of admission.

RESULTS:

of 70 patients with glasses, 19 did not have their glasses in hospital before prompting and 18 had glasses in unacceptable condition. Twenty patients had impaired visual acuity (6/12 or worse) with existing glasses (if helpful); 11 of these improved to better than 6/12 with refractive correction.

CONCLUSIONS:

stroke professionals need to enquire about patients' spectacles and assess their condition. Patients with reduced visual acuity in the absence of significant non-refractive disease should be referred to an optometrist: in this series 14% of patients had visual impairment which benefited from refractive correction.

PMID:
10855903
[PubMed - indexed for MEDLINE]
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