Cerebral visual impairment in children: Multicentric study determining the causes, associated neurological and ocular findings, and risk factors for severe vision impairment

Simple item page
dc.contributor.authorMohapatra, Monalisaen_US
dc.contributor.authorRath, Soveetaen_US
dc.contributor.authorAgarwal, Pradeepen_US
dc.contributor.authorSingh, Abhisheken_US
dc.contributor.authorSingh, Rupalien_US
dc.contributor.authorSutar, Sameeren_US
dc.contributor.authorSahu, Anupamen_US
dc.contributor.authorMaan, Veenuen_US
dc.contributor.authorGanesh, Sumaen_US
dc.date.accessioned2023-08-25T06:35:32Z
dc.date.available2023-08-25T06:35:32Z
dc.date.issued2022-12
dc.description.abstractPurpose: To evaluate the causes, associated neurological and ocular findings in children with cerebral visual impairment (CVI), and to identify risk factors for severe vision impairment. Methods: A multicenter, retrospective, cross?sectional analysis was carried out from January 2017 to December 2019 on patients less than 16 years of age with a diagnosis of CVI. Results: A total of 405 patients were included of which 61.2% were male and 38.8% were female. The median age at presentation was 4 years (range 3 months to 16 years). Antenatal risk factors were present in 14% of the cases. The most common cause of CVI was hypoxic?ischemic encephalopathy (35.1%), followed by seizure associated with brain damage (31.3%). The most common neurological finding was seizure (50.4%), followed by cerebral palsy (13.6%). Associated ophthalmological findings were significant refractive error (63.2%), esotropia (22.2%), exotropia, (38%), nystagmus (33.3%), and optic nerve atrophy (25.9%). Severe visual impairment (<20/200) was associated with optic atrophy (odds ratio: 2.9, 95% confidence interval: 1.4–6.0; P = 0.003) and seizure disorder (odds ratio: 1.9, 95% confidence interval: 1.2–3.3; P = 0.012). Conclusion: The various ophthalmic, neurological manifestations and etiologies could guide the multidisciplinary team treating the child with CVI in understanding the visual impairment that affects the neuro development of the child and in planning rehabilitation strategiesen_US
dc.identifier.affiliationsDepartment of Pediatric Ophthalmology, MGM Eye Institute, Raipur, Chattisgarh, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatric Ophthalmology, Dr. Shroff’s Charity Eye Hospital, New Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatric Ophthalmology, CL Gupta Eye Institute, Moradabad, Uttar Pradesh, Indiaen_US
dc.identifier.affiliationsThe Bodhya Eye Consortium, a. MGM Eye Institute, Raipur, Chhattisgarh, India, b. Dr. Shroff’s Charity Eye Hospital, New Delhi, India, c. CL Gupta Eye Institute, Moradabad, Uttar Pradesh, Indiaen_US
dc.identifier.citationMohapatra Monalisa, Rath Soveeta, Agarwal Pradeep, Singh Abhishek, Singh Rupali, Sutar Sameer, Sahu Anupam, Maan Veenu, Ganesh Suma. Cerebral visual impairment in children: Multicentric study determining the causes, associated neurological and ocular findings, and risk factors for severe vision impairment. Indian Journal of Ophthalmology. 2022 Dec; 70(12): 4410-4415en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224757
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber12en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_801_22en_US
dc.subjectCerebral visual impairment in childrenen_US
dc.subjecthypoxic?ischaemic encephalopathyen_US
dc.subjectsevere visual impairment in childrenen_US
dc.titleCerebral visual impairment in children: Multicentric study determining the causes, associated neurological and ocular findings, and risk factors for severe vision impairmenten_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
IJO2022v70n12p4410.pdf
Size:
2.86 MB
Format:
Adobe Portable Document Format
Download
Collections
Indian Journal of Ophthalmology