Assessment of visual field defects in cerebrovascular disease (CVD)
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 1
Abstract
To expedite the rehabilitation process of CVD patients it becomes imperative to identify and assess the extent of the Visual Field defect and the type of CVD Through this study we aim to assess the visual field loss in patients following Cerebrovascular disease CVD and correlate the site and vessel involved with the Visual Field Loss The study is a cross sectional study carried out over 3 months All patients with anterior or posterior circulation stroke irrespective of the cause at 2 weeks following the episode of stroke formed a part of this study They underwent a thorough ophthalmological assessment and Visual Field Assessment Also the corresponding radiological data was analysed for the site and the vessels involved in the CVD and correlated with the visual field defect obtained A total of 25 patients were assessed with 88 being male and 12 female Common comorbidities were ischemic heart disease IHD diabetes mellitus DM and hypertension HTN Here 100 of the patients with IHD had visual field loss as a symptom P0032 All the patients who had gait abnormalities and giddiness as complaints were found to present primarily with visual field defect P0032 When the Posterior Cerebral Artery PCA was involved visual field defect was seen in 100 of the patients Left PCA P0032 and in 60 of patients with Right PCA involvement P0133 Hundred percent of patients with Right occipital lobe involvement had a visual field defect P0032 PCA involvement with the Left Lower temporal field loss and also MCA involvement with Right nasal fields were found to correlate significantly P 0015 0022 0023 respectively Hence incorporating Ophthalmological assessment in all patients of stroke helps in rehabilitation of the patients better and at the earliestKeywordsnbspCerebrovascular disease Nasal Rehabilitation Site of lesion Temporal Vascular territory Visual field defect
Authors and Affiliations
Soumya Ramani, Divya Vishwanatha Kini, Mahendra Javali
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