Volume : 6, Issue : 7, July - 2017

A study of the ocular manifestations in patients with Cerebrovascular Accidents.

Dr Gargi A Shah, Dr Anamika H. Agrawal, Dr Chanchal Gadodiya, Dr Anjali D Nicholson

Abstract :

<p>&nbsp;<b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,serif">Purpose: </span></b><span lang="EN-IN" style="font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">To study the &nbsp;ocular manifestations in patients with cereovascular accidents &nbsp;and to co-relate clinically.</span></p> <p class="MsoNormal" style="line-height:200%"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,serif">Methods:</span></b><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif"> A prospective, observational study was conducted on 50 patients diagnosed as stroke at tertiary care hospital. Patients with head or ocular injury, CNS infection or pre-existing ocular motility disorder were excluded. Visual assessment, pupillary reaction, &nbsp;anterior segment and fundus examination, ocular motility, visual fields &amp; neurological examination were done. Neuro imaging findings were noted.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,serif">Results:</span></b><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif"> Of 50 patients, 3 were venous, 37 were ischaemic and 10 were haemorrhagic arterial stroke. 14% had pupillary abnormalities, 14% &nbsp;had papilloedema, 46% had visual field defects commonest being&nbsp; </span><span lang="EN-IN" style="font-family:&#10;&quot;Times New Roman&quot;,serif">c</span><span lang="EN-IN" style="font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">ontralateral homonymous hemianopia </span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif">and 48% &nbsp;had ocular motility defects. MCA was affected most commonly.<span style="color:red"><o:p></o:p></span></span></p> <p class="MsoNormal" style="line-height:200%"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,serif">Conclusion:</span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif"> Studying ocular manifestations in CVA can help in localising the level of lesion in ain.&nbsp;<o:p></o:p></span></p>