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London, United Kingdom 2013 19 Epidemiology of stroke Visual impairment following stroke: results from the VIS study. F.J. Rowe1 VIS Group University of Liverpool, Liverpool, UNITED KINGDOM1 Background: The Vision In Stroke (VIS) study prospectively evaluated visual impairment in stroke survivors over a three year period. This paper reports the results from the full dataset. Methods: A multi-centre prospective observation study was undertaken in 20 acute NHS Trust hos-pitals. Stroke survivors with suspected visual difficulty were recruited. We utilised standardised screening and investigation forms to document data on visual impairment including; assessment of ocular pathology, visual acuity, eye alignment and movement, visual perception (including inatten-tion) and visual field defects; reported visual symptoms; and visual rehabilitation options. Results: 915 patients were recruited with mean age of 69 years (SD 14). Most patients had their first examination within 3 weeks of stroke onset at which time point 8% had normal eye examinations. 92% had visual impairment: 64% had eye alignment/movement deficits, 52% had visual field im-pairment, 29% had low vision and 18% had visual perceptual difficulties. 84% reported symptoms of which visual field loss, blurred vision, blurred vision, reading difficulty and diplopia were the most common. There was no significant difference for type of visual impairment and quality of life score (ADLDV questionnaire). Treatment included refraction, prisms, occlusion, orthoptic exercis-es, low vision aids and advice. 63% were offered review appointments, 25% of patients were dis-charged after eye examination, and 12% referred to other vision services. At review visits, 13.5% had full recovery of visual function, 45% improved, 40% showed no change and 1% had worsened vision. Conclusions: For patients referred with suspected visual difficulty, 92% had visual impairment, typically relating to eye movement deficit or visual field loss. The most commonly reported visu-al symptoms were those of visual field loss, blurred vision and reading difficulty. Treatment, even where only advice was provided, was targeted at the patient-reported visual symptoms. E-Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 559 Table1. Multivariateanalysis†forpredictors of incident stroke in older people – the Anhui cohort study, China Variable HR† 95% CI p Sex Women 1.00 Men 1.57 (1.00-2.45) .049 Socioeconomic factor Main occupation Official/teacher 1.00 Manual labourer 1.66 (0.93-2.97) .087 Peasant 1.44 (0.61-3.43) .406 No formal job (including 1.90 (1.05-3.44) .034 business/other/housewife) Social network and psychoso-cial factors Score of contact with peo-ple@ 0-2 1.00 3-5 0.44 (0.23-0.86) .017 6-7 0.42 (0.22-0.82) .011 8-9 0.42 (0.21-0.82) .012 Feeling lonely No 1.00 Yes 1.81 (1.13-2.89) .014 Something severely upset-ting in the last 2 years No 1.00 Yes 1.74 (1.00-3.00) .049 † Adjusted for variables listed in the table, age (groups), and hypertension control, and also others including rural resident location, educational level, annual income, waist circumference, smoking status, heart disease and diabetes, which did not have significant HR. @ Score was calculated from 3 variables for contacts with Children/relatives, Friends and Neighbours, using adding in their scores (0 score was for the frequency of contacting at “<Yearly or Never”, 1 for “At least Monthly or less often”, 2 for “At least weekly” and 3 for “Everyday”.


Karger_ESC London_2013
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