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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Visual Field Loss After Stroke: Confrontation and Perimetry in the Assessment of Recovery
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Visual Field Loss After Stroke: Confrontation and Perimetry in the Assessment of Recovery

机译：中风后视野损失：在恢复评估中对抗和周边

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摘要

The purpose of this study was to examine the recovery of visual field deficits after first-ever stroke and to determine the accuracy of standard clinical assessment using oculokinetic perimetry. Of 148 patients with a hemisphere stroke and a normal conscious level, 75 (50.6%) were found to have a visual field deficit by clinical examination. Only 19 (11 women) stroke patients with visual field deficits were able to complete a perimetric examination within 1 week of their stroke. They were followed-up for a period of 12 weeks with serial clinical and perimetric examinations every 4 weeks. Clinical assessment of the patient failed to note further recovery after 4 weeks. By using oculokinetic perimetry, 8 (42.1%) patients recovered central vision but had a persistent peripheral field loss; maximal recovery of central vision was noted in the first 4 weeks. By using oculokinetic perimetry as the gold standard, the sensitivity of clinical assessment of visual field deficits was 94.4% on admission. The sensitivity fell to 55.5% during follow-up because of the clinicians' inability to detect central recovery by confrontation. The small numbers recruited show the difficult in recruiting acute stroke patients in measurements of recovery.
机译：本研究的目的是在首次中风后检查视野缺陷的恢复，并使用oculokinetic围栏确定标准临床评估的准确性。 148例患有半球中风的患者和正常的意识水平，75例（50.6％）被发现通过临床检查具有视野缺陷。只有19名（11名女性）卒中患者的视野赤字缺乏能够在他们中风的1周内完成局部检查。它们随访12周，每4周每次临床和周边检查。患者的临床评估未能注意4周后进一步复苏。通过使用oculokinetinetic perimetry，8名（42.1％）患者恢复中央视觉，但具有持续的外围损失;在前4周内注意到中央视觉的最大回收率。通过使用oculokinetic围栏作为金标准，入学田间赤字的临床评估的敏感性为94.4％。由于临床医生无法通过对抗检测中央恢复，敏感性在随访期间跌至55.5％。募集的少数令人责备表明难以招募急性中风患者在恢复的测量中。

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