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Research Article Open access CC BY 4.0

Post-stroke Visual Impairment: A Systematic Literature Review of Types and Recovery of Visual Conditions

Lauren R. Hepworth, Fiona J. Rowe, Marion F. Walker, Janet Rockliffe, Carmel Noonan, Claire Howard, Jim Currie

Ophthalmology Research: An International Journal · pp. 1–43 · Published 16 Nov 2015

10.9734/OR/2016/21767

Abstract

Aim: The aim of this literature review was to determine the reported incidence and prevalence of visual impairment due to stroke for all visual conditions including central vision loss, visual field loss, eye movement problems and visual perception problems. A further aim was to document the reported rate and extent of recovery of visual conditions post stroke. Methods: A systematic review of the literature was conducted including all languages and translations obtained. The review covered adult participants (aged 18 years or over) diagnosed with a visual impairment as a direct cause of a stroke. Studies which included mixed populations were included if over 50% of the participants had a diagnosis of stroke. We searched scholarly online resources and hand searched journals and registers of published, unpublished and ongoing trials. Search terms included a variety of MESH terms and alternatives in relation to stroke and visual conditions. The quality of the evidence was assessed using key reporting guidelines, e.g. STROBE, CONSORT. Results: Sixty-one studies (n=25,672) were included in the review. Overall prevalence of visual impairment early after stroke was estimated at 65%, ranging from 19% to 92%. Visual field loss reports ranged from 5.5% to 57%, ocular motility problems from 22% to 54%, visual inattention from 14% to 82% and reduced central vision reported in up to 70%. Recovery of visual field loss varied between 0% and 72%, with ocular motility between 7% and 92% and visual inattention between 29% and 78%. Conclusion: The current literature provides a range of estimates for prevalence of visual impairment after stroke. Visual impairment post stroke is a common problem and has significant relevance to the assessment and care these patients receive. Prospective figures regarding incidence remain unknown.  

Incidence prevalence visual impairment stroke recovery review

References (95)

  1. 1 External validity of randomised controlled trials: “To whom do the results of this trial apply?” [DOI]
  2. 2 Estimates of the Prevalence of Acute Stroke Impairments and Disability in a Multiethnic Population [DOI]
  3. 3 Functional assessment scales: a study of persons after stroke.
  4. 4 Characterization of Incident Stroke Signs and Symptoms [DOI]
  5. 5 Natural history of homonymous hemianopia [DOI]
  6. 6 Guidelines for evaluating prevalence studies [DOI]
  7. 7 Prevalence and Causes of Visual Field Loss in the Elderly and Associations With Impairment in Daily Functioning [DOI]
  8. 8 Changes in Visual Acuity in a Population [DOI]
  9. 9 Sex differences in presentation, severity, and management of stroke in a population-based study [DOI]
  10. 10 The prevalence of low vision and blindness in Canada [DOI]
  11. 11 Patterns of spontaneous recovery of neglect and associated disorders in acute right brain-damaged patients [DOI]
  12. 12 Neglect and Anosognosia After First-Ever Stroke: Incidence and Relationship to Disability [DOI]
  13. 13 Perimetric homonymous visual field loss post-stroke [DOI]
  14. 14 HEMINEGLECT IN ACUTE STROKE-INCIDENCE AND PROGNOSTIC IMPLICATIONS [DOI]
  15. 15 Compensatory visual field training for patients with hemianopia after stroke [DOI]
  16. 16 Recovery from visuospatial neglect in stroke patients [DOI]
  17. 17 Isolated Homonymous Hemianopia [DOI]
  18. 18 Association between visual impairment and depression in the elderly.
  19. 19 Gender Differences in Presenting Signs and Symptoms of Acute Ischemic Stroke: A Population-Based Study [DOI]
  20. 20 Clinical Presentation and Epidemiology of Stroke :A Study of 100 Cases [DOI]
  21. 21 Clinical Characteristics and Rehabilitation Outcomes of Patients With Posterior Cerebral Artery Stroke [DOI]
  22. 22 Interventions for disorders of eye movement in patients with stroke [DOI]
  23. 23 Patterns of Recovery from Homonymous Hemianopia Subsequent to Infarction in the Distribution of the Posterior Cerebral Artery [DOI]
  24. 24 Conjugate Eye Deviation in Acute Stroke [DOI]
  25. 25 Visual Perceptual Consequences of Stroke [DOI]
  26. 26 Prevalence of ocular motor cranial nerve palsy and associations following stroke [DOI]
  27. 27 Interventions for Visual Field Defects in Patients With Stroke [DOI]
  28. 28 Topology of brainstem lesions associated with subjective visual vertical tilt [DOI]
  29. 29 Visual neglect and cognitive impairment in elderly patients late after stroke [DOI]
  30. 30 Neglect dyslexia: Frequency, association with other hemispatial neglects, and lesion localization [DOI]
  31. 31 The profile of strabismus in stroke survivors [DOI]
  32. 32 Reading Difficulty after Stroke: Ocular and non Ocular Causes [DOI]
  33. 33 Squints and diplopia seen after brain damage [DOI]
  34. 34 Recovery of visual fields in brain-lesioned patients by reaction perimetry treatment [DOI]
  35. 35 Functional outcome in patients with pontine infarction after acute rehabilitation [DOI]
  36. 36 Visuoperceptual deficits and participation in older adults after stroke [DOI]
  37. 37 Is Visuospatial Hemineglect Really a Determinant of Postural Control Following Stroke? An Acute-Phase Study [DOI]
  38. 38 Interventions for age-related visual problems in patients with stroke [DOI]
  39. 39 Visual hallucinations during spontaneous and training-induced visual field recovery [DOI]
  40. 40 Profile of Gaze Dysfunction following Cerebrovascular Accident [DOI]
  41. 41 Conjugate Gaze Paresis in Stroke Patients With Unilateral Damage [DOI]
  42. 42 SPATIAL CONTRAST SENSITIVITY IN UNILATERAL CEREBRAL ISCHAEMIC LESIONS INVOLVING THE POSTERIOR VISUAL PATHWAY [DOI]
  43. 43 Visual field loss after stroke: Confrontation and perimetry in the assessment of recovery [DOI]
  44. 44 Visual contrast sensitivity in patients with impairment of functional independence after stroke [DOI]
  45. 45 The frequency and severity of extinction after stroke affecting different vascular territories [DOI]
  46. 46 Visual Field Defects and the Prognosis of Stroke Patients [DOI]
  47. 47 Homonymous hemianopias: clinical-anatomic correlations in 904 cases [DOI]
  48. 48 Prevalence of visual problems among stroke survivors in Hong Kong Chinese [DOI]
  49. 49 Conjugate gaze paresis in stroke patients with unilateral damage. An unexpected instance of hemispheric asymmetry [DOI]
  50. 50 Visual impairment following stroke: do stroke patients require vision assessment? [DOI]
  51. 51 The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies [DOI]
  52. 52 Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration [DOI]
  53. 53 Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and Elaboration [DOI]
  54. 54 Tools for assessing quality and susceptibility to bias in observational studies in epidemiology: a systematic review and annotated bibliography [DOI]
  55. 55 PROSPERO: an international prospective register of systematic reviews
  56. 56 The Incidence of Neglect Phenomena and Related Disorders in Patients with an Acute Right or Left Hemisphere Stroke [DOI]
  57. 57 Cognitive rehabilitation for spatial neglect following stroke [DOI]
  58. 58 Prevalence and causes of visual impairment in an elderly Chinese population in Taiwan11The authors have no proprietary interest in any aspect of the study. [DOI]
  59. 59 Underlying Structure of the National Institutes of Health Stroke Scale [DOI]
  60. 60 Homonymous hemianopias [DOI]
  61. 61 Symptoms and Signs of Posterior Circulation Ischemia in the New England Medical Center Posterior Circulation Registry [DOI]
  62. 62 Visual impairment following stroke: do stroke patients require vision assessment? [DOI]
  63. 63 Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination [DOI]
  64. 64 Prevalence and causes of visual impairment in the Barbados eye study1 1The authors have no proprietary interest in the articles or devices mentioned herein. [DOI]
  65. 65 Screening Patients with Stroke for Rehabilitation Needs: Validation of the Post-Stroke Rehabilitation Guidelines [DOI]
  66. 66 Improving outcome in stroke patients with visual problems [DOI]
  67. 67 A Prospective Profile of Visual Field Loss following Stroke: Prevalence, Type, Rehabilitation, and Outcome [DOI]
  68. 68 Posterior Versus Anterior Circulation Infarction [DOI]
  69. 69 Interventions for visual field defects in patients with stroke [DOI]
  70. 70 Hemianopic anosognosia [DOI]
  71. 71 Is Vision Function Related to Physical Functional Ability in Older Adults? [DOI]
  72. 72 Incidence of Visual Extinction After Left Versus Right Hemisphere Stroke [DOI]
  73. 73 Causes of blindness and visual impairment in a population-based sample of U.S. Hispanics [DOI]
  74. 74 Recovery of Visual Fields in Acute Stroke: Homonymous Hemianopia Associated with Adverse Prognosis [DOI]
  75. 75 Sex Differences in Stroke Severity, Symptoms, and Deficits After First-ever Ischemic Stroke [DOI]
  76. 76 Incidence and anatomy of gaze-evoked nystagmus in patients with cerebellar lesions [DOI]
  77. 77 Neglect in elderly stroke patients: A comparison of five tests [DOI]
  78. 78 Ischaemic posterior circulation stroke in State of Qatar [DOI]
  79. 79 Symptoms of stroke-related visual impairment [DOI]
  80. 80 Correctable visual impairment in stroke rehabilitation patients [DOI]
  81. 81 Congruency in Homonymous Hemianopia [DOI]
  82. 82 The association of visual field deficits and visuo-spatial neglect in acute right-hemisphere stroke patients [DOI]
  83. 83 A cross-sectional study of visual impairment in elderly population in residential care in the South Indian state of Andhra Pradesh: a cross-sectional study [DOI]
  84. 84 Clinical significance of pathological eye movements in diagnosing posterior fossa stroke [DOI]
  85. 85 Visual assessment of patients with cerebrovascular accident on the elderly care wards
  86. 86 Ophthalmic findings in 322 patients with a cerebral vascular accident.
  87. 87 Posterior Versus Anterior Circulation Infarction: How Different Are the Neurological Deficits? [DOI]
  88. 88 Ocular–visual defect and visual neglect in stroke patients – A report from Kathmandu, Nepal [DOI]
  89. 89 CONJUGATE EYE DEVIATION IN ACUTE STROKE INCIDENCE, HEMISPHERIC ASYMMETRY, AND LESION PATTERN [DOI]
  90. 90 Short term prognosis of stroke in a clinical series of 94 patients [DOI]
  91. 91 The spectrum of nystagmus following cerebro-vascular accident [DOI]
  92. 92 Journal of Stroke and Cerebrovascular Diseases [DOI]
  93. 93 Interventions for visual field defects in patients with stroke [DOI]
  94. 94 SEX DIFFERENCES IN PRESENTATION, SEVERITY, AND MANAGEMENT OF STROKE IN A POPULATION-BASED STUDY [DOI]
  95. 95 Interventions for disorders of eye movement in patients with stroke [DOI]

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