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Can Stroke Lead To Loss Of Vision Without Glaucoma Losing Peripheral Vision On Both Sides

Posted on Fri, 29 Sep 2023

Question: My wife is suffering from loss of vision. We believe she had a stroke or similar traumatic event that caused temporary blindness in 1999. She is now unable to read without extreme measures. Her eyes have been tested many times. She doesn't have Glaucoma or Rp. She is losing peripheral vision on both sides and has trouble coordinating her eyes. She is going to a vision Occupational Therapist. There is thought that there is some damage to the Posterior Cortex but no one knows how to treat it. She is 76. We live in Sarasota, FL area

Answered by Dr. Shinas Hussain (1 hour later)

Brief Answer:
Consult a neurologist and get evaluated.

Detailed Answer:
Hello,
As per your description it seems that she is have cortical blindness which means that the visual disturbances is due to central nervous system problem rather than problems related to eyes.
Consult a neurologist and get an MRI brain to assess the extent and severity of the problem.
Unfortunately cortical blindness has got ooor prognosis and she can start on medicines like blood thinners steroids. Your neurologist can help you further.
Wishing you good health.
Thanks

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Shinas Hussain (19 hours later)

Will non0steroidal anti-inflammatories and things like Metformin be a help? She has been going to an Occupational Therapist who has dealt with her anxiety and with her vision and coordination issues and she has shown improvement.

Answered by Dr. Shinas Hussain (14 hours later)

Brief Answer:
Given

Detailed Answer:

NSAID( non steroidal anti inflammatory drugs) can help to relieve pain. But it won’t help in improving vision.Metformim is given for controlling blood sugar.
Continue current line of management and occupational therapy.
Wishing all the best.

Above answer was peer-reviewed by : Dr. Remy Koshy