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Screening methods for post-stroke visual impairment: a systematic review.

Kerry Louise Hanna1, Lauren Rachel Hepworth1, Fiona Rowe1

  • 1a Department of Health Services Research , University of Liverpool , Liverpool , UK.

Disability and Rehabilitation
|September 28, 2016
PubMed
Summary
This summary is machine-generated.

Current post-stroke visual impairment screening tools are inadequate, often missing crucial deficits. Future research must develop a comprehensive tool for accurate identification and management of visual impairments in stroke survivors.

Keywords:
Vision screeningreviewstroketoolvision assessment

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Area of Science:

  • Neuroscience
  • Ophthalmology
  • Rehabilitation Medicine

Background:

  • Over 65% of stroke survivors experience visual impairment.
  • Visual impairment significantly impacts quality of life, affecting work, driving, and mental health.
  • Many stroke units (45%) do not routinely assess vision post-stroke.

Purpose of the Study:

  • To systematically review available screening tools for post-stroke visual impairment.
  • To identify gaps in current visual screening practices for stroke patients.

Main Methods:

  • A comprehensive literature review was conducted across multiple study types and languages.
  • Searches included major online databases and hand-searched trial registers.
  • Study selection, quality assessment, and risk of bias evaluation were performed independently by two authors.

Main Results:

  • Twenty-five articles involving 2924 participants were included.
  • Most tools focus on visual perception and visual neglect (VN), with fewer assessing visual acuity (VA), visual field (VF) loss, or ocular motility (OM) defects.
  • Only two tools screened for all visual impairments, and most struggle with patients who have aphasia or communication deficits.

Conclusions:

  • No single standardized tool accurately assesses all potential post-stroke visual impairments.
  • Current tools may miss significant visual deficits, and their sensitivity decreases in patients unable to report symptoms.
  • Development of a comprehensive, user-friendly screening tool is needed to improve identification and management of visual impairments in stroke survivors, aiding rehabilitation and quality of life.