Loss Of Visual Field Due To Brain Injury

Hemianopsia and Neglect

Patients who have had a stroke or traumatic brain injury, may lose one half of their side vision to the right or left. This type of side vision loss is called"Hemianopsia" (hemi field loss). Patients who just have a hemianopsia are aware of the side vision loss and often can be easily taught to scan their eyes in the direction of the hemianopsia, in order to compensate for the field loss. This allows them to not miss things on the side of the hemianopsia.

"Neglect" is the inattention to, or lack of awareness of visual space to the right or left and is most often associated with a hemianopsia. The lesion in the brain causing neglect usually occurs in the right frontal-parietal lobe, resulting in a left side neglect. Some patients just have a hemianopsia with no neglect, but others may experience a lot of "neglect" and may be unaware that they can not see to the affected side.


Signs and Symptoms of Hemianopsia and Neglect

  • Can not or does not readily/spontaneously scan into the area of the hemianopsia.
  • No awareness that a hemi field loss exists
  • Says doesn't see out of the eye (on the side of the neglect)
  • Bumps into things on side of the hemianopsia but doesn't learn to compensate for the problem
  • Misses parts of words on the side of the neglect when reading
  • Misses parts of eye chart line on the side of the neglect
  • Tendency to orient head or body turned away from the neglect, and the patient may ambulate/drift in direction away from the neglect.

Treatment for Hemianopsia

Specially designed and prescribed  "Side Vision Awareness Glasses". These custom made glasses allow an immediate increase in side vision awareness. This helps reduce hemianopsia-related safety issues and enhances the patient's performance of many activities of daily living. "Side Vision Awareness Glasses" cost about $2,500.

Location

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Hours of Operation

We are closed for lunch daily from 12:00 PM to 1:00 PM

Brier Creek Vision Care

Monday:

8:00 AM - 5:00 PM

Tuesday:

8:00 AM - 5:00 PM

Wednesday:

8:00 AM - 5:00 PM

Thursday:

8:00 AM - 5:00 PM

Friday:

8:00 AM - 5:00 PM

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "Excellent office. Staff is helpful and polite when dealing with my special needs child. They understand when he needs break and how to redirect to another technique to achieve goal. Would highly recommend to others!"
    Jennifer, Raleigh, NC
  • "I needed an eye doctor to see me for my concussion issue that effected my eyesight. There isn't many who are able to assess. Dr. Durham knew just how to work with my case in a gentle manner to help keep me calm. I finally have hope for healing now."
    Elizabeth 3/15/19 - Answer to Prayer
  • "Dr Durham is amazing. She takes the time to hear the patient and is extemely knowlegable."
    Susan 3/16/19 - Amazing
  • "All the staff were very helpful & Susan Durham was very thorough & professional"
    Jill 3/14/19
  • "Dr. Durham and her staff are the best and most knowledgeable dealing with brain injuries. Highly recommended!"
    Kristina 3/11/19 - Absolutely the best!
  • "Thought exam was personal, deteilrd and fully explained. Staff were prompt, kind, snd professional. I’d recommend Dr. Durham’s clinic to anyone needing eye care."
    Thomas 3/10/19
  • "The staff was very polite and extremely patient with my condition. Very specific about my condition and caring to help me recover. We will have a long road to recovery together."
    Elizabeth 3/11/19
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    Sandy 3/7/19 - Great eye checkup
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    I have already told my friends about my visit to the future."
    Patricia 2/24/19 - Everything was perfect.
  • "My daughter and I have have had great experiences at Brier Creek Vision! Dr. N. Is fantastic!! The office staff is super friendly, accommodating and very pleasurable to work with. Eye glass frames are plentiful and the opticians are helpful, suggestive and patient! Thanks to everyone for making all of visits wonderful!!"
    Cynthia 2/14/19 – Great Experience
  • "Dr Nakagawara is open, friendly and extremely knowledgeable. Karim Glover in the optical dispensary took great care in explaining and helping me to get great value on a new set of prescription sunglasses that will do much more than my previous set. Extremely happy.
    Loved the Optician!"
    Thomas 2/22/19 - Great Doctors and Team...
  • "I cannot tell you how happy I am with Brier Creek Vision. Everyone from the moment you enter, all the way through the appointment, is knowledgeable friendly and caring. I receive excellent and professional care. Highly recommend!"
    Helen 2/21/19 - Excellent care
  • "Went from 20/30 to 20/20! The sky is the limit with dr Patel. Will continue to bring both my kids here...."
    Temidayo 2/17/19 - Dr Patel Rocks!!!!
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  • "The atmosphere in the office is very pleasant and welcoming. I always feel comfortable in both the waiting room and the exam rooms. Selecting glasses is also a breeze, as the staff is extremely helpful and knowledgable."
    Kris 1/31/19 - Amazing Experience
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    Melissa 1/31/19 - Recommend
  • "I always have the best visit at Brier Creek Vision. My Doctor, Esther Nakagawara, is the best at what she does! She handles the procedures with care, caution and concern, explains well and has the best solutions to keep your eyes healthy. The staff is accommodating, patient and very kind to everyone; they never mind answering questions. The opticians are helpful in assisting with the selection of eyecare that looks good and works the best for you. I have told many people about my positive experiences at Brier Creek Vision and recommended this office as well."
    Kailah 1/30/19 - The Best in Eyeccare!!
  • "My family and I have been patients of Brier Creek Vision for 2 years. Dr. Nakagawara is a very caring and skilled OD who communicates, teaches and plans well. The staff and optometrists are inviting, knowledgeable and very helpful. We have recommended BCV to all our friends and family!"
    Cynthia 1/30/19 - Highly recommend
  • "I was thrilled to learn about the new Shaw lens concept to treat my daughter's amblyopia!"
    Molly 1/30/19 - Excellent Experience