Cortical/Cerebral Visual Impairment 2018: What You Need to Know to Diagnose and Treat including Perspective from a Parent of a Child with CVI
Sharon S. Lehman, MD; Rebecca Davis, Linda Lawrence, MD; Kanwal Nischal, MD, FRCOphth
American Academy of Pediatrics Section on Ophthalmology
Purpose/Relevance: Cortical/Cerebral Visual Impairment (CVI) is the most common cause of visual loss in children in developed countries. Lack of a standardized method for evaluation, diagnosis and providing recommendations for children with CVI creates challenges for the pediatric ophthalmologist. This workshop will provide practical information to close those existing gaps.
Target Audience: pediatric ophthalmologists, orthoptists
Current Practice: Lack of knowledge and attitudes of pediatric ophthalmologists concerning the care of patients with CVI limits the effectiveness of the team in caring for patients. A recent survey of teachers of the visually impaired showed that 68.4% of the TVI’s determined communication by the pediatric ophthalmologist about children with CVI to be inadequate.
Best Practice: A pediatric ophthalmologist familiar with the latest information about CVI using standardized tools will improve the effectiveness of the pediatric ophthalmologist as a part of the team caring for a child with CVI and ultimately provide the best care for the patient.
Expected Outcomes: Participation in this workshop will allow the pediatric ophthalmologist to have practical tools (questionnaires and templates) that will allow for easier diagnosis, evaluation and communication of recommendations to the child’s team.
Format: Case presentation, didactic lecture, question and answer
Summary: Lack of a standardized method for evaluation, diagnosis and providing recommendations for children with CVI creates challenges for the care team. Education of pediatric ophthalmologists and development of standardized tools which can provide the necessary information are practical ways to approach this problem.
References: Lehman SS. Attitudes Concerning Cortical Visual Impairment Among Pediatric Ophthalmologists and Teachers of the Visually Impaired. Poster presented at: 2016 American Conference on Pediatric Cortical Visual Impairment; 2016 July 8-10; Omaha, Nebraska
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