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Hemianopia after stroke — DGM MCQ

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ModerateStroke and rehabilitationHemianopia after strokeDGM

A 77-year-old man bumps into objects on his left after a right occipital stroke. He denies weakness and wants to drive immediately. Confrontation testing suggests left homonymous hemianopia. Current medicines include clopidogrel. What is the most appropriate assessment?

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Correct answer: A — Formal visual field assessment and driving advice

Homonymous hemianopia after stroke requires formal visual assessment and clear driving advice. Subjective confidence is inadequate, neglect is a different syndrome, cataract drops are irrelevant, and hip rehabilitation does not address vision. Visual deficits after stroke can be disabling even when motor function is good.

Reference: NICE NG236; DVLA medical standards