Investigation of visual impairment and its rehabilitation following stroke
10.3760/cma.j.issn.0254-9026.2010.12.005
- VernacularTitle:脑卒中患者视觉受损和视力康复的临床分析
- Author:
Xudong YU
;
Yong LI
;
Longfei JIANG
- Publication Type:Journal Article
- Keywords:
Cerebrovascular accident;
Vision disorders;
Orthoptics
- From:
Chinese Journal of Geriatrics
2010;29(12):984-986
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the visual impairment and its rehabilitation after stroke.Methods After diagnosis of stroke by the neurologists, the patients received examinations of ocular pathology and visual function, especially in vision correction and rehabilitation. Results Five hundred and forty-seven stroke patients were recruited. 47.0% of the patients had eye alignment/movement impairment, 34.0% had visual field impairment, 19. 0% had visual perceptual difficulties and 19.9% had low vision blind. After using telescope, 35.7% blind patient's distance vision was ≥0.05; 58.2% low vision patient's distance vision was ≥0.3. After refraction (average vision:0.36±0.34 vs. 0.48 ±0.36,t =- 3.949,P=0.03) or using telescope(average vision of patients had low vision:0. 13±0. 07 vs. 0. 46±0.26,t=-5. 208,P=0.01 ;average vision of blind patients:0. 01 ±0.01 vs. 0. 06±0. 05,t = -3. 628, P= 0. 05), the improvement of vision for patients was significant.Conclusions The 72% of stroke patients has some kinds of visual impairment, which will affect not only the patients' independent living but also the clinical rehabilitation. Refraction and using telescope are effective for vision rehabilitation. Doctors should pay much attention to the visual therapy and rehabilitation for the stroke patients.
