Over 60% of stroke survivors have vision problems. Most are never told that structured rehabilitation exists. Neuro-optometric rehabilitation can meaningfully improve independence, reading, mobility, and quality of life after stroke.
In the acute phase after stroke, physiotherapy, speech therapy, and occupational therapy are the immediate priorities. Vision is rarely assessed systematically — even though it affects every other aspect of rehabilitation.
Each type of post-stroke visual impairment has a specific rehabilitation approach. Identifying the exact condition determines the treatment path.
Detailed review of stroke type, location, timing, and current rehabilitation programme. Review of imaging if available. Assessment of vision-specific complaints and functional limitations including reading, driving, and mobility.
Confrontation visual field testing and, where indicated, formal automated perimetry (Humphrey or Goldmann) for precise field mapping and documentation of hemianopia or quadrantanopia.
Comprehensive assessment of cranial nerve function, smooth pursuit, saccades, convergence, and binocular alignment at near and distance. Diplopia charting where indicated.
Standardised neglect screening tests and postural/spatial perception assessment. Yoked prism trial to assess immediate postural and balance response for visual midline shift syndrome.
Functional reading assessment to identify whether the reading difficulty is driven by hemianopia, oculomotor disorder, or acquired alexia. Visual memory and spatial processing screening.
A written report with all findings and a targeted rehabilitation plan. Prescription of prism glasses, vision therapy programme, and home exercise recommendations where indicated.
The greatest neuroplasticity-driven recovery occurs in the first 6 months, but patients with chronic, stable visual field deficits continue to benefit from rehabilitation at any stage. Many patients who had their stroke years ago and were never offered vision rehabilitation can still achieve significant functional gains — particularly in reading, independence, and daily mobility. The question is not whether the brain has recovered — it is whether the patient has been given the right tools to compensate effectively.
Treatment · Pan-India
In-clinic in Chennai & Hyderabad — telehealth for Delhi, Mumbai and 5 more cities.
