Interventions for visual field defects in people with stroke

Alex Pollock*, Christine Hazelton, Fiona J. Rowe, Sven Jonuscheit, Ashleigh Kernohan, Jayne Angilley, Clair A. Henderson, Peter Langhorne, Pauline Campbell

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Background
Visual field defects are estimated to affect 20% to 57% of people who have had a stroke. Visual field defects can affect functional ability in activities of daily living (commonly affectingmobility, reading and driving), quality of life, ability to participate in rehabilitation, and depression and anxiety following stroke. There are many interventions for visual field defects, which are proposed to work by restoring the visual field (restitution); compensating for the visual field defect by changing behaviour or activity (compensation); substituting for the visual field defect by using a device or extraneous modification (substitution); or ensuring appropriate diagnosis, referral and treatment prescription through standardised assessment or screening, or both.

Objectives
To determine the effects of interventions for people with visual field defects after stroke.

Search methods
We searched the Cochrane Stroke Group Trials Register, the Cochrane Eyes and Vision Group Trials Register, CENTRAL,MEDLINE, Embase, CINAHL, AMED, PsycINFO, and PDQT Databse, and clinical trials databases, including ClinicalTrials.gov and WHO Clinical Trials Registry, to May 2018. We also searched reference lists and trials registers, handsearched journals and conference proceedings, and contacted experts.

Selection criteria
Randomised trials in adults after stroke, where the intervention was specifically targeted at improving the visual field defect or improving the ability of the participant to cope with the visual field loss. The primary outcome was functional ability in activities of daily living and secondary outcomes included functional ability in extended activities of daily living, reading ability, visual field measures, balance, falls, depression and anxiety, discharge destination or residence after stroke, quality of life and social isolation, visual scanning, adverse events, and death.
Original languageEnglish
Article numberCD008388
JournalCochrane Database of Systematic Reviews
Issue number5
DOIs
Publication statusPublished - 23 May 2019

Keywords

  • Humans
  • Quality of Life
  • Randomized Controlled Trials as Topic
  • Stroke/complications
  • Vision Disorders/etiology
  • Visual Fields

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