[The progress and prospect of ophthalmological research on cerebral visual impairment in children]

Zhonghua Yan Ke Za Zhi. 2019 Jun 11;55(6):469-474. doi: 10.3760/cma.j.issn.0412-4081.2019.06.015.
[Article in Chinese]

Abstract

With the rapid development of global perinatal medicine and neonatal medicine, the survival rate of high-risk neonates (premature, and those who suffer neurologic lesion during or shortly after birth, et al.) improved significantly, however the incidence of cerebral visual impairment (CVI) also rose, which has become the most common cause of visual impairment in children in developed countries. Studies found that visual abnormalities of patients with CVI can be various. Since children's cognition and motor development are inseparable from visual functions, children with CVI are usually characterized by abnormalities in sensory perception, cognition and even movement, other than visual impairment itself. Due to the characteristics of CVI, such as early onset, complex etiology, difficulty in diagnosis and treatment, and involvement with ophthalmology, pediatrics, rehabilitation medicine, genetic epidemiology and other multi-disciplinary content, current domestic research on CVI is limited. From the perspective of ophthalmologist, this paper reviews the progress of ophthalmology diagnosis and treatment in children with CVI in recent years, aiming to have better early recognition and individualized intervention, so as to help pediatrician and rehabilitation physicians to improve survival skills for CVI children and their quality of life. (Chin J Ophthalmol, 2019, 55:469-474).

随着全球围产医学及新生儿医学的快速发展,高危新生儿(如早产儿、出生时或生后不久即遭受神经损伤的新生儿等)存活率较以往得到显著提高,而脑源性视力损伤(CVI)的发病率也随之上升,目前已成为发达国家儿童视力障碍的最常见病因。CVI患者的视力异常表现多种多样。由于儿童的认知和运动发展均离不开视觉功能,因此儿童CVI患者除视力障碍外,还通常合并感知觉、认知以及运动等方面的异常。CVI由于其自身的特殊性,如起病早、病因复杂、诊治困难且同时涉及眼科学、儿科学、康复医学、遗传病学等多学科内容,目前国内相关研究甚少。本文拟从眼科学角度,对近年来有关CVI的研究进展进行综述,以期眼科临床更好地对CVI进行早期识别和个体化干预,协助儿科及康复科医师,共同提高儿童CVI患者的生存技能并改善其生活质量。(中华眼科杂志,2019,55:469-474).

Keywords: Blindness, cortical; Child; Vision disorders; Visual perception.

Publication types

  • Review

MeSH terms

  • Child
  • Child, Preschool
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • Ophthalmology* / trends
  • Quality of Life
  • Vision Disorders* / diagnosis
  • Vision Disorders* / therapy
  • Vision, Low*