Age and ageing · 2000
Correctable visual impairment in stroke rehabilitation patients.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Lotery A J, Wiggam M I, Jackson A J, Refson K, Fullerton K J, Gilmore D H, Beringer T R
Аннотация
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.
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.