Ischaemic cerebral stroke is a common complication following cardiovascular diseases. In everyday clinical practice, visual field defects are diagnosed in approximately one in four ischaemic stroke patients. The incidence of cerebral stroke manifesting only with visual defects is higher than might be expected. Post-stroke visual impairment is associated with deteriorated quality of life of the affected, can lead to partially reduced self-reliance, and imposes job changes. We present a case of a 46-year-old male with visual field impairment secondary to cerebral ischaemia, to highlight this important issue.