Attitudes Concerning Cortical Visual Impairment Among Pediatric Ophthalmologists and Teachers of the Visually Impaired
Sharon S. Lehman
Nemours/AI duPont Hospital for Children
Introduction: This study was performed to identify gaps that exist in the knowledge and attitudes of pediatric ophthalmologists and teachers of the visually impaired concerning the care of children with CVI.
Methods: A survey was distributed through email to the two groups via national organizations, AAPOS and AER.
Results: A significant gap was identified in opinion of the adequacy of communication from the pediatric ophthalmologist to the care team. Communication was deemed adequate by 61.9% of pediatric ophthalmologist respondents while it was considered inadequate by 68.4% of TVI respondents. The majority of respondents of both groups (pediatric ophthalmologists: 80.5% and TVI’s: 85.8%) wished to learn more about CVI.
Discussion: This survey highlights gaps that exist in knowledge and attitudes concerning the care of patients with CVI which limit the effectiveness of the team in caring for patients. The strong desire to learn more about CVI expressed by both groups is a positive finding which bodes well for patients.
It may indicate that there is a core section of individuals within both provider groups interested in CVI who could develop expertise in providing services for children with CVI.
Conclusion: Lack of a standardized method for evaluation, diagnosis and providing recommendations for children with CVI creates challenges for the care team. Improved clinical education of pediatric ophthalmologists as well as TVI’s and development of standardized tools which can provide the necessary information needed by the patient’s team are practical ways to approach this problem.
References: Lueck AH, Dutton GN, editors.. Vision and the Brain: Understanding Cerebral Visual Impairment in Children. New York, NY: AFB Press; 2015
Roman-Lantzy C. Cortical Visual Impairment: An Approach to Assessment and Intervention. New York, NY: AFB Press; 2007