Vision Health

Helping a Stroke Patient Recover 3D Vision

Impaired vision is one of the most common consequences of a stroke. In rare cases, patients may even lose their ability to perceive depth. Such patients see the world around them as flat, like a two-dimensional picture. This makes it impossible for them to judge distances accurately – a skill they need, for instance, when reaching for a cup or when a car is approaching them on the street. A patient with this particular type of visual dysfunction has recently been studied in detail by the research team at Saarland University in Germany led by Professor Georg Kerkhoff and Anna-Katharina Schaadt in collaboration with colleagues at the Charité university hospital in Berlin. The team has developed the first effective treatment regime and have identified the area of the brain that, when damaged, may cause loss of binocular depth perception. The results of the study were published in April 2015 in the journal Neuropsychologia.

A release from the university notes that strokes can result in a wide variety of visual impairments. “A patient may, for example, be blind on one side so that he fails to perceive obstacles or people on that side or have problems when reading,” explains Georg Kerkhoff, Professor of Clinical Neuropsychology at Saarland University and head of the Neuropsychological Outpatient Service. In some cases, however, the consequences are even more serious. Recently, the team around Kerkhoff and Schaadt collaborated with Professor of Neurology Dr. Stephan Brandt and his colleague Dr. Antje Kraft, both at the Berlin Charité, in treating and supervising a patient who had lost his stereoscopic visual perception as a result of a stroke. Although the patient was able to perceive all the details of his surroundings, he was not able to assess distances with any accuracy. “Everything for him was flat, like on a painting,” explains Anna-Katharina Schaadt, a doctoral research student who is supervised by Kerkhoff and is the study’s lead author. “He moved as if in slow-motion and was very uncertain about how far away a coffee cup was on a table or how quickly a car was approaching.” Like a blind person, he used a long cane to find his way around.

Kerkhoff and Schaadt’s team at the Neuropsychological Outpatient Service on the Saarbrücken campus began by looking for the cause of the patient’s visual impairment.

“We discovered that the patient was unable to converge the visual impressions from each eye into a single overall image,” says Schaadt. In healthy individuals, this process is known technically as “binocular fusion” and is important for three-dimensional vision.