School of Optometry & Vision Science, University of Waterloo, Waterloo, Canada.
bCentre for Eye and Vision Research (CEVR), Hong Kong, Hong Kong.
Ann Med. 2024 Dec;56(1):2422053. doi: 10.1080/07853890.2024.2422053. Epub 2024 Nov 4.
A survey was conducted to describe the current status of optometric awareness and involvement regarding post-stroke management as literature suggests that visual impairment often goes undiagnosed and unmanaged in stroke survivors.
A questionnaire was developed by the researchers, pilot tested by 5 other optometric researchers and 15 optometrists and modified based on the feedback. Practicing optometrists were invited to complete the anonymous online survey through optometric organizations in Canada, Hong Kong, India, UK, and US.
Results showed that the majority of optometrists (61%) see 1-5 post-stroke patients per month, although 15% report seeing none. In all cases, optometrists referred stroke patients to other health care professionals more often than receiving incoming referrals from them. About 21% of all respondents were already fully involved in post-stroke vision care and 57% were interested in being more involved. Limiting factors to seeing more post-stroke patients included resources (29.8%), funding (25.8%), awareness (25.1%), and interest (9.8%). There was consensus among respondents in all countries that optometrists should be members of post-stroke care teams.
Optometrists are well suited to provide post-stroke visual rehabilitation but are often not included in care teams for these patients. As a result, the visual management of post-stroke patients often is unaddressed.
本研究旨在描述目前在脑卒中管理方面的视光意识和参与情况，因为文献表明，脑卒中幸存者的视力障碍常常未被诊断和管理。
研究人员编制了一份问卷，由 5 名其他视光研究人员和 15 名视光师进行了试点测试，并根据反馈进行了修改。通过加拿大、中国香港、印度、英国和美国的视光组织邀请执业视光师完成匿名在线调查。
结果表明，大多数视光师（61%）每月接诊 1-5 名脑卒中患者，尽管 15%的视光师报告称没有接诊过此类患者。在所有情况下，视光师将脑卒中患者转介给其他医疗保健专业人员的频率高于从其他医疗保健专业人员那里收到转诊的频率。约 21%的受访者已经全面参与脑卒中后的视力护理，57%的受访者有兴趣更多地参与其中。接诊更多脑卒中患者的限制因素包括资源（29.8%）、资金（25.8%）、意识（25.1%）和兴趣（9.8%）。所有国家的受访者都一致认为，视光师应该成为脑卒中护理团队的成员。
视光师非常适合提供脑卒中后的视觉康复服务，但他们通常不被纳入这些患者的护理团队。因此，脑卒中患者的视觉管理往往得不到解决。
