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Visual Impairment and Functional Classification in Children with Cerebral Palsy

M Rauchenzauner1,2, K Schiller1, M Honold2

  • 1Department of Pediatrics and Neonatology, Kliniken Ostallgäu-Kaufbeuren, Kaufbeuren, Germany.

Neuropediatrics
|January 29, 2021
PubMed

Insights

Visual impairment (VI) affects over half of children with cerebral palsy (CP) and is linked to motor function. Early eye assessments are crucial for children with CP to detect VI and ensure timely intervention.

Area of Science:

  • Pediatric Neurology
  • Ophthalmology
  • Developmental Pediatrics

Background:

  • Cerebral palsy (CP) is a prevalent childhood motor disorder.
  • CP frequently presents with diverse comorbidities.
  • Limited data exists on visual impairment (VI) and functional classification in CP.

Purpose of the Study:

  • To determine the prevalence of VI in children with CP.
  • To explore the association between VI and motor function classifications (GMFCS, BFMF).

Main Methods:

  • Hospital-based study.
  • Reviewed records of 200 children diagnosed with CP.
  • Aged 2 to 17 years.

Main Results:

  • VI identified in 59.5% of children with CP, a higher prevalence than in non-CP children.
  • Correlation found between VI severity and Gross Motor Function Classification System (GMFCS) and Bimanual Fine Motor Function (BFMF).
  • Severe CP associated with increased risk of severe VI, particularly cerebral VI.

Conclusions:

  • Visual impairment is a significant issue in children with CP, linked to motor function.
  • Detailed ophthalmologic and orthoptic evaluations are recommended for early intervention in CP patients.
Abstract

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