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Published on: January 11, 2016

Visual disorders associated with cerebral palsy

P Black

    The British Journal of Ophthalmology
    |January 1, 1982
    PubMed

    Insights

    Cerebral palsy (CP) significantly impacts vision in school children, with most experiencing ocular issues like squint and refractive errors. Early ophthalmological assessment is crucial for managing visual impairments in children with CP.

    Area of Science:

    • Ophthalmology
    • Pediatrics
    • Neurology

    Background:

    • Cerebral palsy (CP) is a group of disorders affecting movement and posture, often accompanied by other neurological and developmental challenges.
    • Visual impairments are common in children with CP, but their spectrum and frequency in unselected populations require further elucidation.

    Purpose of the Study:

    • To investigate the prevalence and types of ocular abnormalities in school-aged children with cerebral palsy.
    • To emphasize the importance of early and comprehensive ophthalmological assessment for children diagnosed with CP.

    Main Methods:

    • A cohort of 120 unselected school children diagnosed with cerebral palsy were examined.
    • Ocular status, including visual acuity, refractive errors, ocular motility, and visual fields, was assessed.

    Main Results:

    • Only 20% of children had normal ocular findings.
    • High incidences were observed for squint (52.5%), significant refractive errors (50%), strabismic and anisometropic amblyopia (15%), and visual field defects (11%).
    • Many identified ocular abnormalities were untreatable.

    Conclusions:

    • Children with cerebral palsy exhibit a high burden of ocular defects, necessitating routine ophthalmological evaluations.
    • Early detection and management of treatable visual impairments are vital for optimizing educational outcomes and overall well-being.
    • Identifying untreatable conditions is also important for educational planning and support.

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