A prospective profile of visual field loss following stroke: prevalence, type, rehabilitation, and outcome.
A prospective profile of visual field loss following stroke: prevalence, type, rehabilitation, and outcome.
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DOI：
10.1155/2013/719096
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发表时间：
2013
影响因子：
--
通讯作者：
Freeman C
中科院分区：
文献类型：
--
作者：
Rowe FJ;Wright D;Brand D;Jackson C;Harrison S;Maan T;Scott C;Vogwell L;Peel S;Akerman N;Dodridge C;Howard C;Shipman T;Sperring U;Macdiarmid S;Freeman C
目标。描述卒中/脑血管意外的部位、场丢失的类型和程度、治疗选择和结局。方法.前瞻性多中心队列试验。视觉参数的标准化转诊和调查方案。结果招募了915例患者，平均年龄为69岁（SD 14）。479例患者（52%）有视野丧失。51例（10%）患者无视觉症状。几乎一半有症状的患者（n = 226）仅主诉视野丧失：几乎一半（n = 226）还存在阅读困难、视力模糊、复视和感知困难。31%（n = 151）的患者仅有视野缺损，69%（n = 328）的患者视力低下、眼动缺陷或视觉感知困难。枕叶和顶叶中风最常引起视野丧失。治疗选择包括视觉搜索训练、视觉意识、印刷镜、替代棱镜、低视力辅助器、屈光和封闭贴片。随访时，15例患者（7.5%）完全恢复，78例（39%）改善，104例（52%）未恢复。2例患者（1%）视野进一步下降。视野缺损患者的生活质量评分低于无视力损害的卒中患者。结论.有视野丧失的中风幸存者需要进行评估，以准确定义视野丧失的类型和程度，诊断共存的视觉障碍，并提供有针对性的治疗。
Aims. To profile site of stroke/cerebrovascular accident, type and extent of field loss, treatment options, and outcome. Methods. Prospective multicentre cohort trial. Standardised referral and investigation protocol of visual parameters. Results. 915 patients were recruited with a mean age of 69 years (SD 14). 479 patients (52%) had visual field loss. 51 patients (10%) had no visual symptoms. Almost half of symptomatic patients (n = 226) complained only of visual field loss: almost half (n = 226) also had reading difficulty, blurred vision, diplopia, and perceptual difficulties. 31% (n = 151) had visual field loss as their only visual impairment: 69% (n = 328) had low vision, eye movement deficits, or visual perceptual difficulties. Occipital and parietal lobe strokes most commonly caused visual field loss. Treatment options included visual search training, visual awareness, typoscopes, substitutive prisms, low vision aids, refraction, and occlusive patches. At followup 15 patients (7.5%) had full recovery, 78 (39%) had improvement, and 104 (52%) had no recovery. Two patients (1%) had further decline of visual field. Patients with visual field loss had lower quality of life scores than stroke patients without visual impairment. Conclusions. Stroke survivors with visual field loss require assessment to accurately define type and extent of loss, diagnose coexistent visual impairments, and offer targeted treatment.
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影响因子：
3.6
作者：
DeLuca, M;Spinelli, D;Zoccolotti, P
通讯作者：
Zoccolotti, P
DOI：
10.1136/bjo.39.4.220
发表时间：
1955-04-01
期刊：
The British journal of ophthalmology
影响因子：
--
作者：
FRANCOIS, J;NEETENS, A;COLLETTE, J M
通讯作者：
COLLETTE, J M
影响因子：
14.5
作者：
GASSEL, MM;WILLIANS, D
通讯作者：
WILLIANS, D
影响因子：
14.5
作者：
Doricchi, F;Guariglia, P;Gasparini, M
通讯作者：
Gasparini, M
影响因子：
11.1
作者：
FALKE, P;ABELA, BM;STAVENOW, L
通讯作者：
STAVENOW, L