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The spectrum of cerebral visual impairment as a sequel to premature birth: an overview

Gordon N Dutton1

  • 1Department of Visual Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow, G4 0BA, UK. dutton@duttonhome.com

Documenta Ophthalmologica. Advances in Ophthalmology
|May 10, 2013
PubMed

Insights

Vision impairment in premature children often stems from brain damage, not just retinopathy. Early diagnosis of cerebral visual impairment is crucial for optimal development and support at home and school.

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Developmental Pediatrics

Background:

  • Vision impairment in premature infants is frequently caused by brain damage, surpassing retinopathy of prematurity.
  • Cerebral visual impairment (CVI) diagnosis in this population is often overlooked.
  • Premature birth is a significant risk factor for acquired brain injury leading to visual deficits.

Purpose of the Study:

  • To review cerebral visual impairment in children born prematurely.
  • To elucidate the types of visual deficits and associated behaviors resulting from premature birth.
  • To raise awareness regarding the diagnosis and management of CVI in preterm infants.

Main Methods:

  • Comprehensive literature review utilizing PubMed as the primary data source.
  • Synthesis of information on the origins and manifestations of visual deficits linked to premature birth.
  • Analysis of behavioral outcomes associated with various visual impairments.

Main Results:

  • Premature birth-related brain damage can cause a spectrum of visual deficits, including primary visual function impairments, perceptual dysfunction, and optic ataxia.
  • Disorders affecting visual attention and memory are also observed.
  • These deficits can manifest in diverse combinations and varying degrees, leading to specific behavioral outcomes.

Conclusions:

  • Accurate identification and characterization of vision impairment due to prematurity-associated brain damage are essential.
  • Timely diagnosis prevents disadvantages for affected children.
  • Optimal management at home and school enhances developmental outcomes for children with CVI.
Abstract

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