Visual Field Recovery - Case Report of a Patient with Left Homonymous Hemianopsia Post-Stroke: Crimson Publishers

Visual Field Recovery - Case Report of a Patient with LeftHomonymous Hemianopsia Post-Stroke by Marsha Davis Benshir in Crimson Publishers

Optometrists specializing in Neuro-optometric rehabilitation have been working with physiatrists, neurologists and other rehabilitation specialist for decades, and have demonstrated that visual field recovery is possible for many patients beyond the expected time for recovery. The research proving that therapy can be effective is being done by neurologists who have demonstrated re-wiring of neural pathways with improved performance after repetitive visual-motor tasks and recovery of somatosensory and motor awareness after virtual reality (visual) stimulation [2].

In one UK study of 915 stroke patients 52% had visual field loss and 10% had no symptoms. Of the patients with visual field loss half had difficulty reading, blurry vision, diplopia, ocular motor and perceptual problems while half complained only of their peripheral vision loss. At follow up 15 patients (7.5%) had full recovery, 78 (39%) had improvement, and 104 (52%) had no recovery. Two patients (1%) had further decline of visual field. Patients with visual field loss had lower quality of life scores than stroke patients without visual impairment and patients with homonymous hemianopsia had worse overall prognosis for recovery [3].

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