This pathway and referral process has been developed to meet the needs of those with vision changes post-stroke. Visual problems that go undetected can interfere with a person’s rehabilitation, cause difficulties in their daily activities and increase their risk of falls.
Visual changes post-stroke
Changes in vision frequently occur following a stroke. These may take the form of low vision, change in eye movement, visual field impairment and /or perceptual deficits. They can be distressing and delay rehabilitation and it is important that vision assessment is carried out promptly.
RCP Stroke Guideline (2016) Section 4.17 recommends;
People with stroke should be: ‒ assessed for visual acuity whilst wearing the appropriate glasses to check their ability to read newspaper text and see distant objects clearly; ‒ examined for the presence of visual field deficit (e.g. hemianopia) and eye movement 87 disorders (e.g. strabismus and motility deficit).
People with altered vision, visual field defects or eye movement disorders after stroke should receive information, support and advice from an orthoptist and/or an ophthalmologist.