Clinical Manifestations of Cortical Visual Impairment in Department of Ophthalmology, Dr. Cipto Mangunkusumo National Hospital

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Abstract

Cortical visual impairment (CVI) is one of the primary causes of visual function disorders in children under the age of five years. It requires multi-disciplinary involvement due to its various causes, manifestations, and treatments. However, there are no specific guidelines for detecting and diagnosing CVI. The objective of this study is to provide an overview of clinical characteristics and related medical histories for the diagnosis of CVI. This is a cross-sectional study conducted based on medical records at Cipto Mangunkusumo National Hospital Kirana. Data collection was carried out from January 1 to December 31, 2016. The study employed all the children with CVI who were not accompanied by additional visual abnormalities other than nystagmus and strabismus. The analysis was carried out using the Statistical Package for Social Sciences (SPSS) software. There were 16 patients who meet the inclusion criteria. The history of seizures and retardation of growth and development was experienced respectively 14/16 and 13/16 patients. Intracranial infections and epilepsy were the most common comorbidities. Strabismus is the most common clinical pathology (8/16) and 13/16 patients could not pass the light and object fixation test. Flash visual-evoked-potential (VEP) examination revealed that 5/8 patients had a decrease in amplitude, and 7/8 patients had an extension on the latency period. The knowledge of clinical characteristics e.g. decreased visual function, strabismus, or nystagmus that was accompanied by a history of seizures, or growth and developmental disorders can help to detect CVI.
Original languageEnglish
JournaleJournal Kedokteran Indonesia
Publication statusPublished - 2020

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