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Cryptic cerebral visual impairment in children.

R S Lowery1, D Atkinson, S R Lambert

  • 1Department of Opthamology, Emory University, Atlanta, GA, USA.

The British Journal of Ophthalmology
|May 12, 2006
PubMed
Summary
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Delayed diagnosis of cerebral visual impairment (CVI) in children can be challenging. Neuroimaging and visual field testing are crucial for accurate diagnosis and differentiation from other visual impairments.

Area of Science:

  • Ophthalmology
  • Pediatric Neurology
  • Neuroimaging

Background:

  • Cerebral visual impairment (CVI) is a common cause of visual deficit in children.
  • Delayed diagnosis of CVI can significantly impact a child's development and management.
  • Identifying CVI requires a multidisciplinary approach.

Observation:

  • This study reviewed seven pediatric cases with delayed diagnosis of CVI.
  • Patients presented between 2 and 10 years of age with visual acuities from 20/40 to 20/400.
  • Visual field deficits ranged from full fields to homonymous hemianopias.

Findings:

  • Neuroimaging revealed a spectrum of abnormalities, from subtle occipital lobe issues to significant cerebral volume loss.
  • CVI can present cryptically, especially in cases of mild visual impairment.

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  • The findings highlight the variability in presentation and severity of CVI.

    • Implications:

    • Early and accurate diagnosis of CVI is essential for appropriate intervention.
    • Neuroimaging and visual field testing are vital tools for diagnosing CVI.
    • This research underscores the importance of considering CVI in children with unexplained visual problems.