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Use of In vivo Imaging to Monitor the Progression of Experimental Mouse Cytomegalovirus Infection in Neonates
Published on: July 6, 2013
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Cortical Visual Impairment in Congenital Cytomegalovirus Infection
Journal of Pediatric Ophthalmology and Strabismus
|May 23, 2019
Summary
Symptomatic congenital cytomegalovirus (CMV) infection can cause cortical visual impairment (CVI). Identifying risk factors like microcephaly and seizures may help predict CVI in infants with congenital CMV.
Area of Science:
- Ophthalmology
- Pediatrics
- Infectious Diseases
Background:
- Congenital cytomegalovirus (CMV) infection is a common cause of sensorineural hearing loss and can lead to neurological deficits.
- Cortical visual impairment (CVI) is a significant cause of visual impairment in children, often associated with brain injury.
Purpose of the Study:
- To investigate the presentation, evolution, and long-term outcomes of CVI in infants with symptomatic congenital CMV.
- To identify specific risk factors associated with the development of CVI in this population.
Main Methods:
- Retrospective subanalysis of a long-term prospective cohort study.
- Data collected from 1982 to 2013.
Main Results:
- 14.3% of symptomatic congenital CMV patients developed CVI, compared to none with asymptomatic infection.
- Worse visual outcomes were observed in symptomatic CMV patients compared to asymptomatic and control groups.
- Risk factors for CVI included microcephaly, intracranial calcification, ventricular dilatation, encephalomalacia, seizures, optic atrophy, chorioretinitis, strabismus, and hearing loss.
Conclusions:
- Symptomatic congenital CMV infection is a potential cause of CVI.
- Predictive modeling using identified risk factors could aid in early CVI detection.
- Early CVI screening in infants with symptomatic congenital CMV is crucial for timely interventions.
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