ArticlePloS one2019
High incidence and prevalence of visual problems after acute stroke: An epidemiology study with implications for service delivery.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 7 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
93 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- European Stroke Organisation (ESO) guideline on visual impairment in stroke.European stroke journal · 2025Guideline
- Interventions for people with perceptual disorders after stroke: the PIONEER scoping review, Cochrane systematic review and priority setting project.Health technology assessment (Winchester, England) · 2024Pooled it
- Vision-related quality of life after unilateral occipital stroke.Brain and behavior · 2024Pooled it
- The effects of visual skills training on cognitive and executive functions in stroke patients: a systematic review with meta-analysis.Journal of neuroengineering and rehabilitation · 2024Pooled it
- Brazilian practice guidelines for stroke rehabilitation: Part II.Arquivos de neuro-psiquiatria · 2022Guideline
- Audio-visual stimulation for visual compensatory functions in stroke survivors with visual field defect: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022Pooled it
- Biomechanical adaptation to post-stroke visual field loss: a systematic review.Systematic reviews · 2021Pooled it
- Towards Network-Based Neurofeedback of Visual Areas to Enhance Visual Perception.Brain topography · 2026Trial
- Visual and visual-proprioceptive training improve gait via sensory reweighting after chronic stroke: a randomized controlled trial.Journal of neuroengineering and rehabilitation · 2026Trial
- A randomized controlled trial of Scanning Eye trAining as a Rehabilitation Choice for Hemianopia after stroke (SEARCH).International journal of stroke : official journal of the International Stroke Society · 2025Trial
- Pathway-dependent brain stimulation responses indicate motion processing integrity after stroke.Brain : a journal of neurology · 2025Trial
- Non-invasive electrical brain stimulation for vision restoration after stroke: An exploratory randomized trial (REVIS).Restorative neurology and neuroscience · 2021Trial
- Diagnostics and rehabilitation of post-stroke visual field loss using innovative visual field evaluation. The impact of losing driving privileges (DRIVE-study): Protocol for a randomized controlled trial.Contemporary clinical trials communications · 2026Article
- Prevalence of Visual Symptoms and Deficits Among Inpatients with Acquired Brain Injury.Neurology international · 2026Article
- Development of an easy-read version of the Brain Injury associated Visual Impairment - Impact Questionnaire (BIVI-IQ).Clinical rehabilitation · 2026Article
- Interventions for Visual Field Loss After Acquired Brain Injury: A Systematic Review.Life (Basel, Switzerland) · 2026Review
- Clinical Predictors and Recovery Patterns of Visual Impairment as a Post-Stroke Complication: A Retrospective Single-Center Cohort Study from a Romanian Comprehensive Stroke Unit.Journal of clinical medicine · 2026Article
- Using continuous visual stimulus tracking for detecting visual function loss due to acquired brain injury.Acta ophthalmologica · 2026Article
- Validation of the Vision Impairment Screening Assessment in acute stroke care: a prospective diagnostic accuracy study.European stroke journal · 2026Article
- DELP Treatment on Vision and Retinal Microcirculation in Patients With Acute Ischemic Stroke: Report of Five Cases and Literature Review.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2026Review
33 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundVisual problems are an under-reported sequela following stroke. The aim of this study is to report annual incidence and point prevalence of visual problems in an acute adult stroke population and to explore feasibility of early timing of visual assessment. METHODS AND
findingsMulti-centre acute stroke unit, prospective, epidemiology study (1st July 2014 to 30th June 2015). Orthoptists reviewed all patients with assessment of visual acuity, visual fields, ocular alignment, ocular motility, visual inattention and visual perception. 1033 patients underwent visual screening at a median of 3 days (IQR 2) and full visual assessment at a median of 4 days (IQR 7) after the incident stroke: 52% men, 48% women, mean age 73 years and 87% ischaemic strokes. Excluding pre-existent eye problems, the incidence of new onset visual sequelae was 48% for all stroke admissions and 60% in stroke survivors. Three quarters 752/1033 (73%) had visual problems (point prevalence): 56% with impaired central vision, 40% eye movement abnormalities, 28% visual field loss, 27% visual inattention, 5% visual perceptual disorders. 281/1033 (27%) had normal eye exams.
conclusionsIncidence and point prevalence of visual problems in acute stroke is alarmingly high, affecting over half the survivors. For most, visual screening and full visual assessment was achieved within about 5 days of stroke onset. Crucial information can thus be provided on visual status and its functional significance to the stroke team, patients and carers, enabling early intervention.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.