Christine Hazelton

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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 Presentation

Transcript of Christine Hazelton

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Christine Hazelton

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Contents1. Vision problems after stroke

2. Scottish Vision & Stroke Network

3. SVSN Projects

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Vision Problems

• Visual field loss

• Eye movement disorders

• Visual neglect

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Visual Field Loss

Prevalence: 20-57%

Area affected: the same side of the visual field in both eyes

Most common: homonymous hemianopia

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Visual Field Defects

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Visual Field DefectsMobility

Functional ability

Reading

Driving

Falls

Quality of Life

Participation in Rehabilitation

Social isolation

Depression

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Eye Movement Disorders

Prevalence: 7 - 55%

Main disorders:

Difficulty in maintaining normal ocular position

  Difficulty with moving eyes appropriately

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Eye Movement Disorders

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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

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Visual Neglect

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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

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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

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StructureNetwork

• open membership

Steering Group

• charity reps• eye care workers• stroke care workers• researchers• service users

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AimsTo improve awareness, diagnosis and treatment of visual problems after stroke within Scotland

To support the research needed into effective assessments and treatments

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1. Awareness

Visual problems after stroke have a lower profile with stroke survivors, health care

professionals and at policy and political levels.

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1. Awareness

• gathering personal stories• engaging with the Scottish Parliament• developing an online information resource• provided NHSInform with accurate

information

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2. Diagnosis & Treatment

Significant inequalities exist in the assessment of visual function and in the management of

visual problems across Scotland.

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2. Diagnosis & Treatment

• Best Practice Statement• Inclusion in Scottish & UK strategies • Workshop to share and discuss

current projects • placements for trainee orthoptists

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3. Research

There is clinical uncertainty on referral pathways and the most

effective treatments to use; research in the topic is scarce

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3. Research

• Eye movement disorders workshop in September 2013

• Research findings shared with clinicians and educators

• Opportunities to collaborate and network

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4. Developing SVSN

• Defining network policies and structures• Developing SVSN website

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Funding• Currently funded by SCOVI

• Covers administration and key running costs

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Currently

• significant areas for improvement

• increasing awareness

• the importance of collaboration

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Contact email - [email protected]

THANK YOUQuestions?