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Age and Ageing, Vol 29, 221-222, Copyright © 2000 by British Geriatrics Society

ARTICLES

Correctable visual impairment in stroke rehabilitation patients

A Lotery, M Wiggam, A Jackson, G Silvestri, K Refson, K Fullerton, D Gilmore and T Beringer
Departments of Ophthalmology and Health Care for the Elderly, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, UK; College of Medicine and Health Sciences, The Queen's University of Belfast, Belfast, UK; Elderly Care Unit, Belfast City Hospital, Belfast, UK; Corresponding author; Fax: (+44) 1232 263159

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.Setting. Stroke rehabilitation unit in a Belfast teaching hospital.Subjects. 77 Consecutive patients admitted for rehabilitation after acute stroke.Method. 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.Conclusion. 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.Keywords: cerebrovascular disorders, eyeglasses, rehabilitation, vision, vision tests
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