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Cerebral Visual Impairment (CVI) and Special children Services

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What is CVI?

Cerebral visual impairment (sometimes called cortical visual impairment or CVI) is a disorder caused by damage to the parts of the brain that process vision. Most commonly seen in babies and young children, but it can continue into adulthood.

It is emerging as a major cause of visual impairment among children in the developing world and we are seeing an increasing number of such children in our clinic. This is mostly associated with increased survival of preterm babies along with better neonatal and perinatal care. In India, an estimated 10% of the 15 lakh newborn are affected by developmental delay.

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Why is it important to seek help early ?

Early intervention is recommended for children with CVI.

If not intervened early, this may lead to permanent disabilities with regard to cognition, hearing, and vision.

Also these children often have several other impairments. Visual improvement facilitates improvement of their other deficits.

Studies show the neural plasticity and critical vision development is noted from birth to 10 months of age and occurs much more slowly till upto 10 years.

Hence the importance of early intervention at the critical period of visual plasticity to improve the visual functioning of children who sustain serious brain injury during their infancy or early childhood.

About 50% children with CVI have associated treatable ophthalmic conditions eg. refractive error, accommodative insufficiency, squint, cataracts.

Hence, it is recommended that any child with a stormy perinatal birth, should be examined once before 3 months of age.

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Why choose Jyotirmay Eye Clinic for your child with CVI?

Special Skill set and Experience: With special children is needed for gathering information about their visual behaviour and completing ophthalmic assessment.

Dr Gogri has a special interest in these young children. The virtue of patience helps her walk this path.

Examination protocol: We have a comprehensive assessment protocol which facilitates specific interventions. Click here

Visual Intervention: Specific functional intervention (active and interactive) is planned out and customized for every child based on the detailed assessment. This approach has been known to have better functional improvement than a blanket vision stimulation which is passive.

OUR GOAL is to eliminate AVOIDABLE disability in these children with pre-existing disability

Symptoms of CVI?

  • Difficulty in responding to the things they see
  • Not seeing certain parts of what is in front of them, like busy moving scenes
  • Poor Recognition of faces and objects
  • Poor identification of things in cluttered spaces
  • Difficulty in reaching out to an object they are seeing
  • Difficulty in understanding what they’re looking at
  • Delayed reaction to visual cues
  • Prefers to look at things in motions
  • Prefers to look at things in their peripheral (side) vision
  • Stare at light
  • sensitivity to light.
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