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A Method to Quantify Visual Information Processing in Children Using Eye Tracking
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Adaptive functioning and relationship to visual behavior in children with cerebral/cortical visual impairment

Randy Nguyen1, Sharon H O'Neil2, Mark S Borchert3

  • 1Keck School of Medicine of USC, Los Angeles, California.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|January 23, 2025
PubMed

Insights

Children with cerebral/cortical visual impairment (CVI) show significantly reduced adaptive functioning. Visual behavior is linked to socialization and daily living skills, suggesting potential for improvement with better visual acuity.

Area of Science:

  • Pediatric ophthalmology
  • Neuroscience
  • Developmental psychology

Background:

  • Cerebral/cortical visual impairment (CVI) is a primary cause of pediatric vision loss in developed nations.
  • CVI is linked to neurological conditions impacting daily adaptive skills like communication and socialization.
  • Adaptive behavior in CVI has been understudied, with its relationship to visual function unknown.

Purpose of the Study:

  • To systematically investigate adaptive behavior in children with CVI.
  • To determine the relationship between visual function and adaptive behavior in this population.

Main Methods:

  • Prospective recruitment of 49 children with CVI (mean age 4 ± 3 years).
  • Adaptive behavior assessed using the Vineland Adaptive Behavior Scale, 3rd edition (VABS-III).
  • Visual acuity evaluated via the six-level Visual Behavior Scale (VBS); statistical analysis included Spearman correlation and multiple regression.

Main Results:

  • Children with CVI exhibited mean VABS-III scores below the 1st percentile across all domains.
  • VBS scores significantly correlated with VABS-III total adaptive behavior composite score, socialization domain, and interpersonal, play/leisure, and personal subdomains.

Conclusions:

  • Children with CVI demonstrate substantially impaired adaptive functioning.
  • Visual behavior is associated with socialization and specific daily living skills.
  • Further research should explore if improved visual acuity correlates with enhanced adaptive functioning in CVI, potentially aiding prognosis.
Abstract

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