Prism therapy and visual rehabilitation in homonymous XXXX .

@entity1 @entity227 @entity64
PURPOSE: @entity227 ( @entity227 ) are common and frequently occur after @entity64 . They significantly impair visual function and cause disability particularly with regard to visual exploration. The purpose of this study was to assess a novel interventional treatment of monocular prism therapy on visual functioning in @entity1 with @entity227 of varied etiology using vision targeted, health-related quality of life (QOL) questionnaires. Our secondary aim was to confirm monocular and binocular visual field expansion pre- and posttreatment. METHODS: Twelve @entity1 with acquired, documented @entity227 were eligible to be included. All @entity1 underwent specific vision-targeted, health-related QOL questionnaire and monocular and binocular Goldmann perimetry before commencing prism therapy. @entity1 were fitted with monocular prisms on the side of the @entity227 with the base-in the direction of the field defect creating a peripheral optical exotropia and field expansion. After the treatment period, QOL questionnaires and perimetry were repeated. RESULTS: Twelve @entity1 were included in the treatment group, 10 of whom were included in data analysis. Overall, there was significant improvement within multiple vision-related, QOL functioning parameters, specifically within the domains of general health (p < 0.01), general vision (p < 0.05), distance vision (p < 0.01), peripheral vision (p < 0.05), role difficulties (p < 0.05), dependency (p < 0.05), and social functioning (p < 0.05). Visual field expansion was shown when measured monocularly and binocularly during the study period in comparison with pretreatment baselines. CONCLUSIONS: @entity1 with @entity227 demonstrate decreased QOL. Monocular sector prisms can improve the QOL and expand the visual field in these @entity1 .
