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Understanding low functioning cerebral visual impairment: An Indian context

For several reasons, cerebral visual impairment (CVI) 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 clinics. Owing to lack of early training about CVI and it being a habilitation orientated subj...

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Detalles Bibliográficos
Autores principales: Pehere, Niranjan K, Jacob, Namita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786190/
https://www.ncbi.nlm.nih.gov/pubmed/31546476
http://dx.doi.org/10.4103/ijo.IJO_2089_18
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author Pehere, Niranjan K
Jacob, Namita
author_facet Pehere, Niranjan K
Jacob, Namita
author_sort Pehere, Niranjan K
collection PubMed
description For several reasons, cerebral visual impairment (CVI) 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 clinics. Owing to lack of early training about CVI and it being a habilitation orientated subject, we need to become equipped to optimally help the affected children. In this paper we have explained our pragmatic approach in addressing children who present with low functioning CVI. Initially we explain briefly, how vision is processed in the brain. We then present what should be specifically looked for in these children in regular clinics as a part of their comprehensive ophthalmic examination. We discuss the process of functional vision evaluation that we follow with the help of videos to explain the procedures, examples of how to convey the conclusions to the family, and how to use our findings to develop intervention guidelines for the child. We explain the difference between passive vision stimulation and vision intervention, provide some common interventions that may be applicable to many children and suggest how to infuse interventions in daily routines of children so that they become relevant and meaningful leading to effective learning experiences.
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spelling pubmed-67861902019-10-16 Understanding low functioning cerebral visual impairment: An Indian context Pehere, Niranjan K Jacob, Namita Indian J Ophthalmol Review Article For several reasons, cerebral visual impairment (CVI) 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 clinics. Owing to lack of early training about CVI and it being a habilitation orientated subject, we need to become equipped to optimally help the affected children. In this paper we have explained our pragmatic approach in addressing children who present with low functioning CVI. Initially we explain briefly, how vision is processed in the brain. We then present what should be specifically looked for in these children in regular clinics as a part of their comprehensive ophthalmic examination. We discuss the process of functional vision evaluation that we follow with the help of videos to explain the procedures, examples of how to convey the conclusions to the family, and how to use our findings to develop intervention guidelines for the child. We explain the difference between passive vision stimulation and vision intervention, provide some common interventions that may be applicable to many children and suggest how to infuse interventions in daily routines of children so that they become relevant and meaningful leading to effective learning experiences. Wolters Kluwer - Medknow 2019-10 /pmc/articles/PMC6786190/ /pubmed/31546476 http://dx.doi.org/10.4103/ijo.IJO_2089_18 Text en Copyright: © 2019 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Pehere, Niranjan K
Jacob, Namita
Understanding low functioning cerebral visual impairment: An Indian context
title Understanding low functioning cerebral visual impairment: An Indian context
title_full Understanding low functioning cerebral visual impairment: An Indian context
title_fullStr Understanding low functioning cerebral visual impairment: An Indian context
title_full_unstemmed Understanding low functioning cerebral visual impairment: An Indian context
title_short Understanding low functioning cerebral visual impairment: An Indian context
title_sort understanding low functioning cerebral visual impairment: an indian context
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786190/
https://www.ncbi.nlm.nih.gov/pubmed/31546476
http://dx.doi.org/10.4103/ijo.IJO_2089_18
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