Luu Susie, Lee Andrew W, Daly Andrew, Chen Celia S
Department of Ophthalmology, Royal Adelaide Hosptial, South Australia.
Aust Fam Physician. 2010 Jul;39(7):499-503.
Visual field defect after stroke can result in significant disability and reduction in quality of life. Visual rehabilitation aims to maximise the residual vision and decrease functional disability. Understanding the rehabilitation options available, and where to refer patients with visual defects after a stroke, can help patients, and their families, in the rehabilitation process.
This article provides a review of the functional disability from visual field loss and discusses the various forms of visual rehabilitation.
Optical therapy, eye movement therapy and visual field restitution are the rehabilitation therapies currently available. Rehabilitation needs to cater to each patient's specific needs. Any patient recognised as having a visual field defect after stroke needs prompt referral for further assessment and consideration for visual rehabilitation.
中风后视野缺损可导致严重残疾并降低生活质量。视觉康复旨在最大限度地提高残余视力并减少功能残疾。了解可用的康复选择以及将中风后有视觉缺陷的患者转诊至何处,有助于患者及其家人进行康复过程。
本文综述了视野丧失导致的功能残疾,并讨论了各种形式的视觉康复。
光学疗法、眼球运动疗法和视野恢复是目前可用的康复疗法。康复需要满足每个患者的特定需求。任何被认定为中风后有视野缺损的患者都需要迅速转诊以进行进一步评估,并考虑进行视觉康复。