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Brain visual impairment in childhood: mini review
1Pediatric Eye Department, Eye Department, Hippokratio General Hospital, Thessaloniki, Greece.
Insights
Cerebral visual impairment (CVI) in children presents diverse visual, oculomotor, and perceptual issues due to brain damage. Early diagnosis and intervention can improve visual function and quality of life.
Area of Science:
- Neuroscience
- Ophthalmology
- Pediatrics
Background:
- Cerebral visual impairment (CVI) is a primary cause of severe visual impairment in childhood.
- Increased survival rates of premature infants have led to a higher incidence of CVI.
- CVI encompasses a spectrum of visual, oculomotor, and visuo-perceptual disturbances.
Purpose of the Study:
- To review current knowledge on cerebral visual impairment in children.
- To describe the range of visual disturbances and discuss prognosis in CVI.
- To highlight the impact of brain damage on visual function.
Main Methods:
- International literature search was conducted.
- Analysis of visual, oculomotor, and visuo-perceptual disturbances.
- Discussion of prognostic factors and outcomes in CVI.
Main Results:
- CVI manifests with varied visual, oculomotor, and perceptual deficits.
- Severity of CVI correlates with the timing, location, and extent of brain damage.
- Visual function can improve, particularly in cases of cortical damage, due to brain plasticity.
Conclusions:
- Early identification and intervention are crucial for improving outcomes in children with CVI.
- Understanding pathophysiological mechanisms of CVI is key to enhancing quality of life.
- Continued research is needed to optimize management strategies for CVI.
Abstract:
Cerebral visual impairment (CVI) is one of the leading causes of severe visual impairment in childhood. This article was written to highlight any new knowledge related to cerebral visual impairment in childhood.The international literature was searched to describe the type of visual, oculomotor and / or visuo-perceptual disturbances and to discuss the prognosis. CVI children show a wide range of visual disturbances. These could be either visual, oculomotor, perceptual or a combination of all. The severity of CVI depends on the time, location and extend of the brain damage.The visual function seems to improve in CVI children, especially in the cortically damaged, mainly due to brain plasticity. The increased survival rate of very premature infants during the last decades has increased the incidence of CVI in childhood. Better understanding of the pathophysiological mechanisms of CVI, early diagnosis and early intervention could lead to a better quality of life of these children.
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