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Accurate Eye Exam after Stroke?
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bjscott posted:
My Dad,, who is 78, had a mild stroke 3 months ago. Outside of some short term memory issues, the main result was loss of vision to the outside of each eye. He sees straight ahead but nothing to the sides.

We had him get new glasses thinking that would help see the best he can with what sight he does have. Im not confident that the Dr giving him the exam got a good picture of what Dad can actually see due to Dad getting mixed up in how he will say what he sees.

Does that make sense? He watches TV, but cannot read any more as the letters are blurry (dbl vision?) and he has a hard time making the letters make sense.

Im really hoping some of this will improve in the next few months as the brain continues to heal/compensate.

My question is...is there an eye exam that can be done that would be more accurate in these situations?

Thank you! These discussions have been very helpful! It is so hard to see my Dad who had SUCH a sharp mind & was so excellent with numbers to lose so much independence due to his eyesight. But Im grateful...as it could be so much worse!
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Richard C Senelick, MD responded:
It would be unusual to lose vision to both sides after a stroke. The typical situation is to lose vision to one side or the other. Another problem is that people may "ignore" one side of their world. It may be that your father is difficult to accurately test and not all ophthalmologists have a lot of experience with stroke patients. You may want to ask if their is a neuro-ophthalmologist within a reasonable distance. The other choice is to look for a low vision clinic in your area. These may be associated with a children's hospital, but many are willing to see adults. The optometrist or vision therapist usually has good ideas on how to compensate for the visual loss. Finally, don't forget about electronic readers like the "Kindle" where you can easily change/enlarge the size of the print. Good Luck.
After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.


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Richard C. Senelick M.D. is a physician specializing in both neurology and the subspecialty of neurorehabilitation. He did his undergraduate and medic...More

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