Integrating Multidisciplinary Care for Post-Stroke Visual Dysfunction: From Mechanisms to Clinical Practice

ABSTRACT

Post-stroke visual dysfunction (PSVD) is prevalent but remains under-recognized and poorly understood. Its high incidence and associated impairments significantly hinder rehabilitation and reduce patients’ quality of life. This paper aims to bridge mechanistic research and clinical practice. It comprehensively reviews the pathophysiology, rehabilitation strategies, and collaborative models in PSVD, while also exploring future directions. Mechanistically, the paper elucidates both direct stroke damage and emerging processes, such as retinal immune-inflammatory response. Clinically, the asymptomatic nature of PSVD frequently leads to diagnostic delays. Addressing this issue requires the establishment of a standardized, multidisciplinary pathway that integrates ophthalmology, neurology, and rehabilitation. Regarding treatment, the paper outlines the evolution from multisensory stimulation to an integrated rehabilitation model. Looking ahead, it introduces innovative technologies such as AI-assisted screening, virtual reality, and multimodal neural regulation. These technologies will combine with multidisciplinary models to build a novel “hospital-community-family” PSVD rehabilitation system. This integration will usher in an era of precise and efficient rehabilitation.