christine hazelton
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Christine Hazelton. Contents. Vision problems after stroke Scottish Vision & Stroke Network SVSN Projects. Vision Problems . Visual field loss Eye movement disorders Visual neglect. Visual Field Loss. Prevalence: 20-57 % - PowerPoint PPT PresentationTRANSCRIPT
Christine Hazelton
Contents1. Vision problems after stroke
2. Scottish Vision & Stroke Network
3. SVSN Projects
Vision Problems
• Visual field loss
• Eye movement disorders
• Visual neglect
Visual Field Loss
Prevalence: 20-57%
Area affected: the same side of the visual field in both eyes
Most common: homonymous hemianopia
Visual Field Defects
Visual Field DefectsMobility
Functional ability
Reading
Driving
Falls
Quality of Life
Participation in Rehabilitation
Social isolation
Depression
Eye Movement Disorders
Prevalence: 7 - 55%
Main disorders:
Difficulty in maintaining normal ocular position
Difficulty with moving eyes appropriately
Eye Movement Disorders
Visual Neglect
Prevalence: 8-90 %
Definition: 'fails to report, respond, or orient to novel or meaningful stimuli presented to the side opposite a brain lesion’
Also called: spatial neglect, visuo-spatial neglect, visual inattention, hemi-inattention
Visual Neglect
Scottish Vision & Stroke Network
• formed in 2009
• arose from concerns regarding the care of those with visual problems after stroke
• is a collaboration between stroke charities, vision charities, health care professionals, researchers and people affected by stroke
Representation• British and Irish
Orthoptic Society• Chartered Society of
Physiotherapists • Chest Heart & Stroke
Scotland• College of
Occupational Therapists
• Fife Society for the Blind
• NHS Scotland
• North East Sensory Services
• NMAHP Research Unit• RNIB Scotland• Scottish Council on
Visual Impairment• Scottish Stroke AHP
Forum• Scottish Stroke
Nurses Forum• The Stroke
Association • Visibility
StructureNetwork
• open membership
Steering Group
• charity reps• eye care workers• stroke care workers• researchers• service users
AimsTo improve awareness, diagnosis and treatment of visual problems after stroke within Scotland
To support the research needed into effective assessments and treatments
1. Awareness
Visual problems after stroke have a lower profile with stroke survivors, health care
professionals and at policy and political levels.
1. Awareness
• gathering personal stories• engaging with the Scottish Parliament• developing an online information resource• provided NHSInform with accurate
information
2. Diagnosis & Treatment
Significant inequalities exist in the assessment of visual function and in the management of
visual problems across Scotland.
2. Diagnosis & Treatment
• Best Practice Statement• Inclusion in Scottish & UK strategies • Workshop to share and discuss
current projects • placements for trainee orthoptists
3. Research
There is clinical uncertainty on referral pathways and the most
effective treatments to use; research in the topic is scarce
3. Research
• Eye movement disorders workshop in September 2013
• Research findings shared with clinicians and educators
• Opportunities to collaborate and network
4. Developing SVSN
• Defining network policies and structures• Developing SVSN website
Funding• Currently funded by SCOVI
• Covers administration and key running costs
Currently
• significant areas for improvement
• increasing awareness
• the importance of collaboration
Contact email - [email protected]
THANK YOUQuestions?