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Commentary: Profiling Children With Cerebral Visual Impairment (CVI) Using Multiple Methods of Assessment to Aid in
Amanda H Lueck1, Sylvie Chokron2, Gordon N Dutton3
1Department of Special Education, San Francisco State University, San Francisco, CA.
Insights
Cerebral visual impairment (CVI) in children is increasing globally. Multiple assessment methods help profile individual CVI cases, improving diagnosis and addressing behavioral outcomes.
Area of Science:
- Pediatric Neurology
- Ophthalmology
- Developmental Pediatrics
Background:
- Cerebral visual impairment (CVI) is a leading cause of vision loss in children, with increasing global prevalence.
- Improved infant survival rates contribute to the rise in CVI cases.
- CVI impacts various visual functions, including central vision, visual fields, and visual processing.
Purpose of the Study:
- To highlight the challenges in diagnosing CVI in children.
- To demonstrate how multiple assessment methods can improve the understanding of CVI.
- To aid in the differential diagnosis of CVI.
Main Methods:
- Utilizing a comprehensive approach with diverse assessment tools.
- Profiling individual children's unique clinical presentations of CVI.
- Analyzing the impact of pathology topography, site, and extent on visual deficits.
Main Results:
- CVI often presents with unique clinical pictures, leading to underdiagnosis or misdiagnosis.
- A multi-method assessment strategy enhances the understanding of CVI.
- Individualized profiling is crucial for effective CVI management.
Conclusions:
- Multiple assessment methods are essential for accurate CVI diagnosis in children.
- Comprehensive profiling aids in addressing the full spectrum of CVI-related challenges.
- Improved understanding of CVI leads to better identification and management of behavioral outcomes.
Abstract:
PROFILING CHILDREN WITH CEREBRAL VISUAL IMPAIRMENT USING MULTIPLE METHODS OF ASSESSMENT TO AID IN DIFFERENTIAL DIAGNOSIS: Amanda H. Lueck , Gordon N. Dutton , Sylvie Chokron Seminars in Pediatric Neurology Volume 31, October 2019, Pages 5-14 Cerebral (cortical) visual impairment (CVI), the primary cause of visual impairment in chil dren in high-income countries, is increasing globally due to improved life-saving measures for premature and full-term infants. Yet the consequences of this condition are only begin ning to be understood and addressed. According to the topography, site, and the extent of the pathology, the deficit may variably concern central visual functions, visual field, percep tion of movement, visual analysis, visual exploration, attention, or visual memory, as well as visual guidance of movement. Each affected child has a unique clinical picture, which needs to be identified and individually profiled. This is probably the underlying reason that CVI is commonly underdiagnosed or misdiagnosed, especially in children, and, as a consequence, the full range of potential behavioral outcomes are not identified and adequately addressed. The present paper shows how the use of multiple methods of assessment can improve understanding of children with CVI.
