A client who had a stroke is seen bumping into things on the side and is having difficulty picking up the beginning of the next line of what he is reading. The client is experiencing which of the following conditions?
A. Visual neglect
B. Astigmatism
C. Blepharitis
D. Homonymous Hemianopsia
Correct Answer: D. Homonymous Hemianopsia
Homonymous Hemianopsia is the loss of half of the visual field. It is usually caused by a stroke, brain tumor, and trauma. A client with hemianopia may bump into things on the side of the visual field defect and often lose their place in reading due to the visual field loss.
Option A: Visual neglect is an attention problem to one side of the body. It is a sensory loss limited to the visual fields and results from damage to the primary visual pathways connecting the optic tract and striate cortex.
Option B: Astigmatism is a condition that causes blurred vision due either to the irregular shape of the cornea, the clear front cover of the eye, or sometimes the curvature of the lens inside the eye.
Option C: Blepharitis is the inflammation of the eyelids that is usually caused by a bacterial infection of the eyelid margin at the origin of the eyelashes. Signs and symptoms include itching and burning of the eyelid margins with edema and redness.
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