ArticleEye (London, England)2026
Orthoptic stroke services in the UK and Ireland: how have they evolved?
Article in Eye (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThere are ~100,000 new strokes in the UK each year, 60% experience a new stroke-related visual impairment. Orthoptic stroke services were surveyed as baseline and follow-up in 2007 and 2017. Three new guidelines relating to post-stroke vision were published 2023-2025 and added to a mandatory national audit programme. This study aimed to assess the current provision of stroke orthoptic services since the 2016 National Clinical Guideline update through to 2023 updates.
methodsAn online survey was circulated to registered orthoptists in the UK and Ireland.
resultsA total of 206 responses representing 125 orthoptic departments (67% response rate) were received, from all five nations. Stroke vision services were reported to be provided by 66.1% of orthoptic departments in hospitals with a stroke unit, of which only 27.6% were funded. Services often rely on vision screening by the stroke team (84.2%) with referral to orthoptic services (65.8%), only half of which were reported to be using a validated screening tool. To cover a mean of 42.5 beds, a mean of 0.43 full-time equivalent orthoptic staffing dedicated to stroke care and 0.27 funded, with lower medians.
conclusionsSince 2017, stroke unit vision screening provision has increased, however over the same period a reduction occurred in funded services. Health inequality persists in that there remain areas with no/poor provision of post-stroke vision services. This study provides a baseline by which to assess change following the publication/updates of national and international guidelines and national audit programmes strengthening recommendations for post-stroke vision care.
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