Riise Ruth, Gundersen Britt, Brodal Solveig, Bjerke Per
Øyeavdelingen, Sykehuset Innlandet, 2326 Hamar.
Tidsskr Nor Laegeforen. 2005 Jan 20;125(2):176-7.
It is estimated that every year 13,000 persons in Norway have a cerebral stroke. Visual problems after cerebral stroke are frequent but visual rehabilitation is rarely performed. We wanted to estimate the frequency of a visual field defect being detected in patients with cerebral stroke during their stay in a medical department.
Twenty consecutive patients referred to the hospital with cerebral stroke had their visual field examined in the department of medicine with Donders' method. Eighteen of the patients could cooperate in an examination by eye clinic personnel in which visual acuity, eye motility and fundus of the eye were also examined.
Visual acuity was mostly within normal limits. No patient had a visual acuity of less than 0.4. Two patients had homonymous visual field defects. Both were detected in the department of medicine. Disturbances of eye motility were detected in 10 patients.
Visual problems are common in patients with cerebral stroke. Homonymous defects in the visual field can be detected in the medical departments and visual training should be given. The nature of the disturbances in eye motility is not understood.
据估计,挪威每年有13000人发生脑卒中。脑卒中后的视力问题很常见,但很少进行视力康复治疗。我们想估计脑卒中患者在住院期间被检测出视野缺损的频率。
连续20例因脑卒中入院的患者在医学科采用东德斯法进行视野检查。其中18例患者能够配合眼科门诊人员进行检查,检查项目还包括视力、眼球运动和眼底。
视力大多在正常范围内。没有患者视力低于0.4。2例患者有同向性视野缺损。均在医学科被检测出。10例患者存在眼球运动障碍。
视力问题在脑卒中患者中很常见。在医学科可以检测出同向性视野缺损,应给予视力训练。目前尚不清楚眼球运动障碍的性质。