rss
Br J Ophthalmol 2006;90:960-963 doi:10.1136/bjo.2006.094250
  • Clinical science
    • Scientific reports

Cryptic cerebral visual impairment in children

  1. R S Lowery1,3,
  2. D Atkinson2,
  3. S R Lambert1
  1. 1Department of Ophthalmology, Emory University Atlanta, GA, USA
  2. 2Department of Radiology, Emory University Atlanta, GA, USA
  3. 3Department of Ophthalmology, University of Arkansas, Little Rock, AR, USA
  1. Correspondence to: Scott R Lambert Emory Eye Center, 1365B Clifton Road, Suite B4500, Atlanta, GA 30322, USA; slamber{at}emory.edu
  • Accepted 7 April 2006
  • Published Online First 10 May 2006

Abstract

Aim: To review the medical records of seven children with a delayed diagnosis of cerebral visual impairment.

Methods: The charts of a consecutive series of children examined in a university based ophthalmology clinic with a delayed diagnosis of cerebral visual impairment were reviewed. Their neuroimaging studies were evaluated by a paediatric neuroradiologist.

Results: The seven patients ranged in age from 2 years to 10 years at the time of presentation and had acuities ranging from 20/40 to 20/400. Their visual fields ranged from full visual fields to homonymous hemianopias. Neuroimaging findings ranged from subtle occipital lobe abnormalities to obvious cerebral volume loss.

Conclusions: Cerebral visual impairment can be cryptic in children with mild visual impairment. Neuroimaging studies and visual field testing can help to differentiate this condition from other causes of visual impairment.

Footnotes

    This Article

    1. Abstract
    2. Full text
    3. PDF
    4. All versions of this article:
      1. bjo.2006.094250v1
      2. 90/8/960 most recent

    Responses

    1. Submit a response
    2. No responses published

    Register for free content

    The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.