• Title/Summary/Keyword: Confrontation visual field test

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A case study of bilateral superior altitudinal hemianopia in a stroke patient treated with Korean Medicine (뇌졸중 후 양안의 동측 상방 수평반맹을 호소하는 환자 한의 치험 1례)

  • Choi, Jeong-Woo;Kim, Seo-Young;Kim, Ha-Ri;Shin, Hee-Yeon;Yang, Seung-Bo;Cho, Seung-Yeon;Park, Seong-Uk;Ko, Chang-Nam;Park, Jung-Mi
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.20 no.1
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    • pp.43-52
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    • 2019
  • ■ Objectives The purpose is to report the case of Korean medicine in the treatment of bilateral superior altitudinal hemianopia after a stroke. ■ Methods The patient was treated with acupuncture, electroacupuncture, bee venom, and herbal medicine. The visual field defect was assessed using humphrey visual field analyzer and confrontation visual field test. ■ Results After treatment, humphrey visual field analyzer and confrontation visual field test showed improvement in field of vision ■ Conclusion This study suggested that Korean medical treatment could be an effective option for treating visual field defect after stroke.

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Case Study of Right-side Homonymous Hemianopia in a Stroke Patient Treated by Traditional Korean Medical Treatment (우측 반맹을 호소하는 환자 치험 1례)

  • Ey, Yoo-lee;Son, Jeong-hwa;Park, Min-jeong;Cho, Ki-ho;Moon, Sang-kwan;Jung, Woo-sang
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.237-242
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    • 2016
  • Objective: This study presents a case of a 56-year-old Korean male with right-side hemianopia due to stroke. Homonymous hemianopia represents a visual field defect related to loss of vision in all or part of the left or right visual field in both eyes; treatment options for this condition are limited.Method: The patient was treated with acupuncture, moxibustion, herbal medicine (Yangguksanhwa-tang), and electroacupuncture around the eyes. We executed a confrontation visual field exam (the Donders test) to evaluate any visual field defectsResults: The visual field area showed improvement after the management of traditional Korean medical treatments.Conclusion: Based on this case, traditional Korean medical treatments may be effective in treating hemianopia due to stroke.

A Case of Combined Korean Medicine Treatment for Homonymous Hemianopia and Loss of Visual Acuity after hemorrhagic Stroke (동측 반맹 및 시력저하를 호소하는 후두엽 및 측두엽 뇌출혈 환자 한의복합치료 1례)

  • Si Yun Sung;Dabin Lee;Youngseon Lee;Ki-Ho Cho;Sang-Kwan Moon;Woo-Sang Jung;Seungwon Kwon;Han-Gyul Lee
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.24 no.1
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    • pp.25-40
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    • 2023
  • Background: Although not clarified, the overall prevalence of visual field loss after stroke was estimated at 52% of stroke survivors and for visual acuity loss, at 70% of them. Among visual field loss patients after stroke, homonymous hemianopia is the most common symptom. Visual defect degrades the quality of life by disrupting independent life and affecting the survival of the patients, but highly-evidenced treatment has not been found until now. ■Case report A 51-year-old female with left-side homonymous hemianopia and central vision loss by a right occipital-temporal hemorrhage was treated with Hyeolbuchukeo-tang, Ikgibohyeol-tang, acupuncture, electroacupuncture, and moxibustion. We used a confrontation visual field exam, automated perimetry and visual analog scale, and visual acuity test to observe changes in the patient's symptoms and evaluate the efficacy of the treatment. After 61 days of such interventions, the patient's subjective discomfort lessened, followed by positive changes in the scales of tests mentioned above. ■Conclusion This case suggests that combined Korean medicine treatment might be an effective tool for treating post-stroke homonymous hemianopia and central vision loss. More studies should be conducted to support the effectiveness of the treatment.

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