ABSTRACT NUMBER: ESOC2026OT182 SCREENING OF VISUAL FIELD DISORDER IN POST-STROKE PATIENTS AND EARLY REHABILITATION

Abstract Background and aims Assess and rehabilitation of visual field deficit in subjects with a recent cerebrovascular accident. Methods Test the effectiveness of an early, intensive, and systematic visual rehabilitation intervention based on multisensory stimulation to reduce the severity of post-stroke related visual field defects. Results Phase 1: Detection of the incidence of visual field defects in the records (800 patients in year 2023) of the Neurology Clinic in IRCCS San Martino Hospital, with analysis of the affected brain area and type of stroke, treatment administered and timing. Phase 2: Early screening of hospitalized post-stroke patients (2025-2027) and visual field assessment with wearable devices (PalmScan VF2000). The experimental visual training group will explore whether early intervention with multisensory audio-visual stimuli can improve visual functional recovery, while spontaneous recovery will be recorded in the control group at follow-up test. Conclusions The record analysis shows higher incidence of visual field defects in patients with cerebrovascular accident than expected in bibliography. Analysis of the 2023 cohort showed a prevalence of post-stroke field deficits of 48.5%, with an incidence of 61% in hemorrhagic strokes and 46.5% in ischemic strokes. These data confirm the clinical relevance of post-stroke visual deficits, particularly hemianopia, which is frequent but often difficult to assess at the bedside in clinical practice. The ongoing screening will consent detailed analysis of visual field defects related to affected brain areas and severity scores (NIHSS, Rankin, ASPOS). Conflict of interest