Identify the Eye Health Outcomes of Stroke Patients in Iraq Through an Exploratory Study


  • Dr. Guler khidir Ghalib M.B.Ch.B., Arabic Board of Ophthalmology 2009 Iraqi Ministry of Health, Kirkuk Health Directorate, Azadi Teaching Hospital, Kirkuk, Iraq
  • Dr. MUTHANNA ABDULKHUDHUR ABBAS M.B.Ch.B, MSc, (Ophthalmology) Iraqi Ministry of Health, Baghdad Health Directorate, Al Karama Teaching Hospital, Baghdad, Iraq
  • Abbas AbdulWahhab Jumaah Department of Applied Embryology, High Institute for Infertility Diagnosis and Assisted Reproductive Technologies, Nahrain University, Kadhimiya, Baghdad, Iraq


Stroke, vision sign, eye movement impairment, Strabismus, Visual inattention


Introduction: In developed countries, stroke represents one of the most important determinants of hospital admission, permanent disability, and death. It is the main cause of disability, dependency, and loss of the capacity for social relationships in Western countries. Most strokes are of ischemic origin, and most ischemic strokes are due to atherothrombosis. Aim: This paper aims to identify the eye health outcomes of stroke patients in Iraq through an exploratory study. Patients and methods: This study was conducted by making an exploratory study of stroke patients, where this study focused on the Identify the eye health outcomes of stroke patients in Iraq. This study was applied to patients between the ages of younger than 30 to older than 65 years of age, for both sexes, male and female, in Baghdad-Iraq hospitals for a study that ranged from 17th of Jun 2021 to 24th March 2022. This study examined and analyzed all the data collected through the use of the program SPSS. The study data was divided into two groups: where the first group represented stroke patients, which included 40 patients, and the second group included non-stroke patients, which included 40 patients. Results and discussions: Stroke is considered one of the most severe factors affecting the visual vision of gold, which causes visual impairment, which allowed the stroke team to conduct an appropriate eye examination, where most of the injured patients were found to suffer from problems in eye movement and visual alignment or loss of visual field, as well as deformities in sight, and some of them did not suffer. The ‘suspicion' of visual difficulties was frequently used by personnel as a justification for a referral. Many forms of visual impairment, such as visual field loss, are invisible to an observer. Indicators of their presence, such as visual complaints, peculiar head motions used to compensate, neglecting one side, or shutting one eye due to double vision, should be looked for. We especially considered the type of sign and if this affected accuracy. Although many of these signs went unnoticed, identification of abnormal head posture, ptosis, strabismus, and nystagmus all had high accuracy, between (40%-78%) for the patients’ group and (70%-93%) for the control group. Conclusions: In conclusion, this study showed that stroke has a big impact on the vision signs of patients were got higher percentages of diseases for patients. This study that, our results showed in the measure of visual accuracy for both groups, where it was found that the control group, who represent patients who have been cured of stroke, had better accuracy than the patients’ group, and this results from the presence of a significant effect of stroke on the group of patients, especially in three factors Abnormal head posture, Pupil anomalies, and Facial weaknesses.


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Rowe FJ, VIS group Visual impairment following stroke. Do stroke patients require vision assessment? Age and Ageing. 2009; 38:188–193.

Jones SA, Shinton RA. Improving outcome in stroke patients with visual problems. Age Ageing. 2006; 35:560–565.

MacIntosh C. Stroke re-visited: visual problems following stroke and their effect on rehabilitation. Br Orthopt J. 2003; 60:10–14.

Ramrattan RS, Wolfs RC, Panda-Jonas S, Jonas JB, Bakker D, Pols HA, et al. Prevalence and causes of visual field loss in the elderly and associations with impairment in daily functioning: the Rotterdam Study. Arch Ophthalmol. 2001; 119:1788–1794.

Rowe FJ. Who sees visual impairment following a stroke? Strabismus. 2009; 17:37–40.

Department of Health. National Stroke Strategy. DH: London; 2007.

Royal College of Physicians Intercollegiate Stroke Working Party National Clinical Guidelines for Stroke3rd edn. Royal College of Physicians: London; 2008

Lotery AJ, Wiggam MI, Jackson AJ, Silvestri G, Refson K, Fullerton KJ, et al. Correctable visual impairment in stroke rehabilitation patients. Age and Ageing. 2000; 29:221–222.

Freeman CF, Rudge NB. Cerebrovascular accident and the Orthoptist. Br Orthopt J. 1988; 45:8–18.

Brand D. Parallel vision. British and Irish Orthoptic Society. 2009;126 6:1.

Awh CC, Cupples HP, Javitt JC. Improved detection and referral of patients with diabetic retinopathy by primary care physicians. Arch Intern Med. 1991; 151:1405–1408.

Moeller JJ, Kurniawan J, Gubitz GJ, Ross JA, Bhan V. Diagnostic accuracy of neurological problems in the emergency department. Can J Neurol Sci. 2008; 35:335–341.

Fischer CE, Barnung S, Nielsen SL, Rasmussen LS. Prehospital identification of stroke—room for improvement. Eur J Neurol. 2008; 15:792–796.

Fink A, Wright L, Wormald R. Detection and prevention of treatable visual failure in general practice: room for improvement. Br J Gen Pract. 1994; 44:587–589.

Ijaola FO, Kausar SA. Visual impairment following stroke: Do stroke patients require vision assessment? Letter to the editor. Age and Ageing. 2009; 38:629–630.

Rowe FJ, VIS group Visual impairment following stroke: Do stroke patients require vision assessment? Letter to the editor. Age and Ageing. 2009; 38:629–630.

Kreis AJ, Nguyen T, Rogers S, Wang JJ, Harper CA, Clark DJ, et al. Acute retinal arteriolar emboli after cardiac catheterization Stroke 2008; 39: 3086-3087.

Fisher CM. Transient ischemic attacks. N Engl J Med 2002; 347: 1642-1643.

Albers GW, Caplan LR, Easton JD, Fayad PB, Mohr JP, Saver JL, et al. TIA Working Group. Transient ischemic attack proposal for a new definition. N Engl J Med 2002; 21; 347: 1713-1716.

Lovett JK, Dennis MS, Sandercock PA, Bamford J, Warlow CP, Rothwell PM. Very early risk of stroke after a first transient ischemic attack. Stroke 2003; 34: 138-142.

Calleja S, Vega F, Zeidán N, Lahoz CH. Amaurosis fugaz inducida por la luz intensa. Neurologia 2006; 21: 159-161

Benavente O, Eliasziw M, Streifler JY, Fox AJ, Barnett HJ, Meldrum H. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Prognosis after transient monocular blindness associated with carotid artery stenosis. N Engl J Med 2001; 345: 1084-1090.

Fisher CM. Late-life migraine accompaniments: Further experience. Stroke 1986; 17: 1033-1042.

Caplan LR. The posterior cerebral arteries (PCAs). Posterior Circulation Disease. Clinical Findings, Diagnosis, and Management. Cambridge, Blackwell Science, 1996; 444-491.

Irimia P, Martinez Vila E. Transient blurred vision as the only manifestation of basilar stenosis. Cerebrovasc Dis 2004; 18: 88-89.

García R, Moreno Ramos T. Neuropatías ópticas: revisión sindrómica y etiológica. Neurol 2007; 3 Supl 8:16-26.

Mathews MK. Nonarteritic anterior ischemic optic neuropathy. Curr Opin Ophthalmol 2005; 16: 341-345.

Fry CL, Carter JE, Kanter MC, Tegeler CH, Tuley MR. Anterior ischemic optic neuropathy is not associated with carotid artery atherosclerosis. Stroke 1993; 24: 539-542.

Lin MC, Hsu FM, Sheu SJ. Nonarteritic ischemic optic neuropathy. J Chin Med Assoc 2007; 70: 61-64.

Gonzalez-Gay MA, Miranda-Filloy JA, Lopez-Diaz MJ, Perez-Alvarez R, Gonzalez-Juanatey C, Sanchez-Andrade A et al. Giant cell arteritis in northwestern Spain: a 25-year epidemiologic study. Medicine (Baltimore) 2007; 86: 61-68.




How to Cite

Dr. Guler khidir Ghalib, Dr. MUTHANNA ABDULKHUDHUR ABBAS, & Abbas AbdulWahhab Jumaah. (2023). Identify the Eye Health Outcomes of Stroke Patients in Iraq Through an Exploratory Study. INTERNATIONAL JOURNAL OF HEALTH SYSTEMS AND MEDICAL SCIENCES, 2(11), 71–80. Retrieved from