Related Experiment Video
Updated: Aug 8, 2026

A Method to Quantify Visual Information Processing in Children Using Eye Tracking
Published on: July 9, 2016
Cryptic cerebral visual impairment in children
R S Lowery1, D Atkinson, S R Lambert
1Department of Opthamology, Emory University, Atlanta, GA, USA.
Insights
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.
- 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.
Aim:
To review the medical records of seven children with a delayed diagnosis of cerebral visual impairment.
Methods:
The charts of a consecutive series of children examined in a university based ophthalmology clinic with a delayed diagnosis of cerebral visual impairment were reviewed. Their neuroimaging studies were evaluated by a paediatric neuroradiologist.
Results:
The seven patients ranged in age from 2 years to 10 years at the time of presentation and had acuities ranging from 20/40 to 20/400. Their visual fields ranged from full visual fields to homonymous hemianopias. Neuroimaging findings ranged from subtle occipital lobe abnormalities to obvious cerebral volume loss.
Conclusions:
Cerebral visual impairment can be cryptic in children with mild visual impairment. Neuroimaging studies and visual field testing can help to differentiate this condition from other causes of visual impairment.
Related Concept Videos
Visual Agnosia
Photoreceptors and Visual Pathways
Learning Disabilities
Dyslexia
Dyslexia is a...
Prosopagnosia
Language and Cognition
