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Cortical visual impairment

Neuro-Ophthalmology

Key Points

  • •CVI is the leading cause of visual impairment in children in developed countries - characterised by normal pupillary reflexes and normal fundoscopy despite significant visual loss
  • •Hypoxic-ischaemic encephalopathy and periventricular leukomalacia are the most common causes in children; PCA stroke is the leading cause in adults
  • •Key clinical features in children: colour preference (red/yellow), visual latency, difficulty with crowded scenes, preference for movement, and light-gazing
  • •Anton syndrome (visual anosognosia - patient denies blindness) is pathognomonic of bilateral PCA stroke causing cortical blindness
  • •Children with CVI can show significant improvement with neuroplasticity-based rehabilitation (Roman-Lantzy CVI Range protocol) - early intervention is critical

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Keep reading Cortical visual impairment

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  • Definition
  • Epidemiology
  • Aetiology and causes
  • Pathogenesis
  • Classification
  • Risk factors and associations

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