European Stroke Organisation (ESO) guideline on visual
impairment in stroke

J 2025

European Stroke Organisation (ESO) guideline on visual impairment in stroke

ROWE, Fiona J; Lauren R HEPWORTH; Maria Begona COCO-MARTIN; Celine R GILLEBERT; Luis LEAL-VEGA et al.

Základní údaje

Originální název

European Stroke Organisation (ESO) guideline on visual impairment in stroke

Autoři

ROWE, Fiona J; Lauren R HEPWORTH; Maria Begona COCO-MARTIN; Celine R GILLEBERT; Luis LEAL-VEGA; Anja PALMOWSKI-WOLFE; Eleni PAPAGEORGIOU; Stephen James RYAN; Karolína SKORKOVSKÁ a Anne Hege AAMODT

Vydání

EUROPEAN STROKE JOURNAL, LONDON, SAGE PUBLICATIONS LTD, 2025, 2396-9873

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30207 Ophthalmology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 4.500 v roce 2024

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/25:00143867

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Guideline; systematic review; stroke; vision; visual impairment; ocular stroke; eye movements; visual fields; visual perception; visual neglect; screening; treatment

Štítky

14110615, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 4. 3. 2026 14:37, Mgr. Tereza Miškechová

Anotace

V originále

Visual impairment due to stroke is common. However, controversy exists on how best to screen for visual impairment, the timing at which to screen, and on the optimal management of the varying types of visual impairment. This European Stroke Organisation (ESO) guideline provides evidence-based recommendations to assist clinicians in decision-making on screening methods, timing of screening and assessment and management options in adult stroke survivors. The target audience for this guideline is health care providers involved in stroke care from prehospital screening, in stroke units and rehabilitation centres, ophthalmological departments and community stroke care, and for stroke survivors and care givers. The guideline was developed according to the ESO standard operating procedure and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology. The working group identified relevant clinical questions, performed systematic reviews and, where possible, meta-analyses of the literature, assessed the quality of the available evidence and made specific recommendations. Expert consensus statements were provided where insufficient evidence was available to provide recommendations based on the GRADE approach. We found evidence of acceptability and feasibility of early visual screening within 1 week of stroke onset. We describe the accuracy of various vision screening tools at pre-hospital and hyper/acute stages as well as specialist vision assessment. We suggest vision screening in all patients with stroke to improve detection of their visual problems We describe a range of treatment options for visual impairment post-stroke across the typical categories of impaired central vision, ocular stroke (central retinal artery occlusion), eye movements, visual fields, visual neglect and visual perception. This guideline highlights specific areas where robust evidence is lacking and where further definitive randomised controlled trials and diagnostic accuracy studies are required.

Citovat

ROWE, Fiona J; Lauren R HEPWORTH; Maria Begona COCO-MARTIN; Celine R GILLEBERT; Luis LEAL-VEGA; Anja PALMOWSKI-WOLFE; Eleni PAPAGEORGIOU; Stephen James RYAN; Karolína SKORKOVSKÁ a Anne Hege AAMODT. European Stroke Organisation (ESO) guideline on visual impairment in stroke. EUROPEAN STROKE JOURNAL. LONDON: SAGE PUBLICATIONS LTD, 2025, roč. 10, č. 4, s. 1087-1159. ISSN 2396-9873. Dostupné z: https://doi.org/10.1177/23969873251314693.

@article{2558244,
   author = {Rowe, Fiona J and Hepworth, Lauren R and CocoandMartin, Maria Begona and Gillebert, Celine R and LealandVega, Luis and PalmowskiandWolfe, Anja and Papageorgiou, Eleni and Ryan, Stephen James and Skorkovská, Karolína and Aamodt, Anne Hege},
   article_location = {LONDON},
   article_number = {4},
   doi = {https://doi.org/10.1177/23969873251314693},
   keywords = {Guideline; systematic review; stroke; vision; visual impairment; ocular stroke; eye movements; visual fields; visual perception; visual neglect; screening; treatment},
   language = {eng},
   issn = {2396-9873},
   journal = {EUROPEAN STROKE JOURNAL},
   title = {European Stroke Organisation (ESO) guideline on visual impairment in stroke},
   url = {https://academic.oup.com/esj/article/10/4/1087/8377220},
   volume = {10},
   year = {2025}
}

TY  - JOUR
ID  - 2558244
AU  - Rowe, Fiona J - Hepworth, Lauren R - Coco-Martin, Maria Begona - Gillebert, Celine R - Leal-Vega, Luis - Palmowski-Wolfe, Anja - Papageorgiou, Eleni - Ryan, Stephen James - Skorkovská, Karolína - Aamodt, Anne Hege
PY  - 2025
TI  - European Stroke Organisation (ESO) guideline on visual impairment in stroke
JF  - EUROPEAN STROKE JOURNAL
VL  - 10
IS  - 4
SP  - 1087-1159
EP  - 1087-1159
PB  - SAGE PUBLICATIONS LTD
SN  - 23969873
KW  - Guideline
KW  - systematic review
KW  - stroke
KW  - vision
KW  - visual impairment
KW  - ocular stroke
KW  - eye movements
KW  - visual fields
KW  - visual perception
KW  - visual neglect
KW  - screening
KW  - treatment
UR  - https://academic.oup.com/esj/article/10/4/1087/8377220
N2  - Visual impairment due to stroke is common. However, controversy exists on how best to screen for visual impairment, the timing at which to screen, and on the optimal management of the varying types of visual impairment. This European Stroke Organisation (ESO) guideline provides evidence-based recommendations to assist clinicians in decision-making on screening methods, timing of screening and assessment and management options in adult stroke survivors. The target audience for this guideline is health care providers involved in stroke care from prehospital screening, in stroke units and rehabilitation centres, ophthalmological departments and community stroke care, and for stroke survivors and care givers. The guideline was developed according to the ESO standard operating procedure and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology. The working group identified relevant clinical questions, performed systematic reviews and, where possible, meta-analyses of the literature, assessed the quality of the available evidence and made specific recommendations. Expert consensus statements were provided where insufficient evidence was available to provide recommendations based on the GRADE approach. We found evidence of acceptability and feasibility of early visual screening within 1 week of stroke onset. We describe the accuracy of various vision screening tools at pre-hospital and hyper/acute stages as well as specialist vision assessment. We suggest vision screening in all patients with stroke to improve detection of their visual problems We describe a range of treatment options for visual impairment post-stroke across the typical categories of impaired central vision, ocular stroke (central retinal artery occlusion), eye movements, visual fields, visual neglect and visual perception. This guideline highlights specific areas where robust evidence is lacking and where further definitive randomised controlled trials and diagnostic accuracy studies are required.
ER  -

ROWE, Fiona J; Lauren R HEPWORTH; Maria Begona COCO-MARTIN; Celine R GILLEBERT; Luis LEAL-VEGA; Anja PALMOWSKI-WOLFE; Eleni PAPAGEORGIOU; Stephen James RYAN; Karolína SKORKOVSKÁ a Anne Hege AAMODT. European Stroke Organisation (ESO) guideline on visual impairment in stroke. \textit{EUROPEAN STROKE JOURNAL}. LONDON: SAGE PUBLICATIONS LTD, 2025, roč.~10, č.~4, s.~1087-1159. ISSN~2396-9873. Dostupné z: https://doi.org/10.1177/23969873251314693.

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