International Journal of Research and Review Vol.7; Issue: 12; December 2020 Website: www.ijrrjournal.com Research Paper E-ISSN: 2349-9788; P-ISSN: 2454-2237 International Journal of Research and Review (ijrrjournal.com) 246 Vol.7; Issue: 12; December 2020 Comparison of Visual Field Defect Change Post Ischemic Stroke Patients Dicky Kurniawan Putra 1 , Muhammad Hidayat 1 , Fitratul Ilahi 1 1 Department of Ophthalmology, Faculty of Medicine, Andalas University, Padang, Indonesia Corresponding Author: Dicky Kurniawan Putra ABSTRACT Background: Evaluation of changes in visual field defects in post-stroke patients is very important given the large incidence rate. The aim of this study was to investigate the comparison of visual field defect post ischemic stroke patients. Methods: The cross sectional is used in this study. In this study, field defects were assessed in patients who had passed the acute phase and the following 3 months. Furthermore, the change in the value of The Visual Field Index (VFI) and Mean Deviation (MD) that occurs in post-ischemic stroke patients is assessed. The number of samples was 18 subjects. Sampling technique with consecutive sampling. Hypothesis test used chi-square test. A two- tailed P-value of <0.05 was considered statistically significant. Results: The results showed that both the right and left eye experienced improvement in MD after 3 months. In the right eye, the greatest changes were seen in mild degrees (first examination 11.1% to 22.2% at second examination) where moderate severity decreased in number. Whereas in the left eye the greatest change was in mild degrees from 38.9% to 27.75% and normal degrees increased from 22.2% to 38.9%. Comparison of VFI values in the field of view of post-acute ischemic stroke patients, it is known that the right eye (3.5%) has a greater mean increase in VFI values than the left eye (0.89%). There has been an increase in the visual field as assessed by the mean deviation and visual field index in ischemic stroke patients after the acute phase and after the next 3 months (p<0.05). Conclusion: This analysis confirmed there has been an increase in the visual field as assessed by the mean deviation and visual field index in ischemic stroke patients after the acute phase and after the next 3 months. Keywords: Visual Field Defects, Post Ischemic, Stroke INTRODUCTION Visual disturbances are one of the main complications in post-stroke patients. Approximately 65% of patients after acute stroke experience visual problems. Visual disturbances can be in the form of decreased central vision, visual field disturbances, eye movement disorders and visual perception disorders. One of the things that get attention is visual field defects that arise and have negative implications for the quality of life and daily activities of post-stroke patients. [1],[2] Impaired visual field in stroke occurs when the lesion occurs in the visual pathway, where clinical manifestations may include blindness of one eye, bitemporal hemianopia, binasal hemianopia, left or right homonymous hemianopia, superior or inferior homonym quadranopia, central scotoma or other forms. The ratio of this defect in the left eye and right eye is almost the same. [3],[4] Visual field examination is important in evaluating lesions involving the visual pathway. Automated perimetry has a better standard and provides statistical analysis that is based on normative data by age. This perimetry also provides data on reliability and patient response, which can only be estimated by the operator on the perimetric manual. [5],[6]