DR. RUHEL CHACKO

DR. VIRNA SHAH, Dr. KARTHIK KUMAR MANI

Abstract

Aim: To document how Cerebrovascular Accidents (CVA) present initially to an ophthalmologist.

Methods: This was a retrospective, Observational, unicentric hospital-based study. The electronic medical records of new patients presenting to a Neuro–ophthalmology department of a tertiary eye hospital in the month of August 2022 were reviewed .Those with symptoms suggestive of an acute stroke requiring urgent neuroimaging were chosen for further study. Results: Out of the 710 new patients ,31 had a known Cerebrovascular Accident and presented with field defects(4.3%). We recognized 10 new patients , subsequently diagnosed to have a acute CVA on neuroimaging , initially presenting with ocular symptoms such as homonymous hemianopia in 7 cases and 3 others as transient obscuration of vision , internuclear ophthalmoplegia or cortical blindness .

Conclusion: The early detection of acute Cerebrovascular events by an ophthalmologist may help in prompt thrombolysis and reverse visual morbidity.

Full Text