Eyes and stroke: the visual aspects of cerebrovascular disease

Stroke Vasc Neurol. 2017 Jul 6;2(4):210-220. doi: 10.1136/svn-2017-000079. eCollection 2017 Dec.


A large portion of the central nervous system is dedicated to vision and therefore strokes have a high likelihood of involving vision in some way. Vision loss can be the most disabling residual effect after a cerebral infarction. Transient vision problems can likewise be a harbinger of stroke and prompt evaluation after recognition of visual symptoms can prevent future vascular injury. In this review, we discuss the visual aspects of stroke. First, anatomy and the vascular supply of the visual system are considered. Then, the different stroke syndromes which involve vision are discussed. Finally, topics involving the assessment, prognosis, treatment and therapeutic intervention of vision-specific stroke topics are reviewed.

Keywords: Amaurosis Fugax; Diplopia; Homonymous hemianopia; Stroke; Vision.

Publication types

  • Review

MeSH terms

  • Animals
  • Eye / blood supply*
  • Eye / innervation*
  • Humans
  • Prognosis
  • Regional Blood Flow
  • Stroke / complications*
  • Stroke / diagnosis
  • Stroke / physiopathology
  • Stroke / therapy
  • Vision Disorders / diagnosis
  • Vision Disorders / etiology*
  • Vision Disorders / physiopathology
  • Vision Disorders / therapy
  • Vision, Ocular*
  • Visual Pathways / physiopathology