Andrew W Lee
Celia S Chen
Stroke is the third most common cause of death after heart disease and cancer, with 48 000 new cases each year.1 More than three out of four stroke sufferers report some form of disability, of which visual impairment is becoming more recognised. Approximately 16% of these have a homonymous visual field defect poststroke.2
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
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.
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