PT  - JOURNAL ARTICLE
AU  - R S Lowery
AU  - D Atkinson
AU  - S R Lambert
TI  - Cryptic cerebral visual impairment in children
AID  - 10.1136/bjo.2006.094250
DP  - 2006 Aug 01
TA  - British Journal of Ophthalmology
PG  - 960--963
VI  - 90
IP  - 8
4099  - http://bjo.bmj.com/content/90/8/960.short
4100  - http://bjo.bmj.com/content/90/8/960.full
SO  - Br J Ophthalmol2006 Aug 01; 90
AB  - 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.