Clinical assessment, investigation, diagnosis and initial management of cerebral visual impairment: a consensus practice guide.
Clinical assessment, investigation, diagnosis and initial management of cerebral visual impairment: a consensus practice guide.
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脑视力障碍的临床评估、调查、诊断和初步管理：共识实践指南。
DOI：
10.1038/s41433-022-02261-6
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发表时间：
2023-07
期刊：
影响因子：
3.9
通讯作者：
Williams, Cathy
中科院分区：
文献类型：
--
作者：
Pilling, Rachel Fiona;Allen, Louise;Bowman, Richard;Ravenscroft, John;Saunders, Kathryn J.;Williams, Cathy
脑视觉障碍（CVI）是英国的一种常见疾病。儿童眼科诊所经常看到与CVI相关的患者，这为眼科护理专业人员提供了主动识别儿童的机会。在大多数情况下，CVI作为神经发育状况的一部分或作为多重和复杂残疾的特征而发生。然而，CVI也可以在具有明显典型发育的儿童中看到。在某些情况下，高对比度视力是正常的，而在其他情况下则严重受损。因此，CVI的识别需要评价高对比度敏锐度以外的视觉性能方面，并考虑到CVI患者的视觉功能可能会波动。很少有儿科眼科医生接受过CVI的正式培训。CVI的检测和诊断在英国各地各不相同，患者报告的经历也大相径庭。CVI的诊断是基于专业的临床判断，并认识到在具体的评估方法中，个人观点和当地实践会有所不同。目前正在对专业人员进行系统的审查和调查，试图就诊断标准达成一致意见。尽管如此，建立的途径和出版的协议可以提供指导，如何儿科眼科服务可以接近评估的儿童与怀疑CVI。本文的目的是提出一个总结的研究和临床实践方法，检测和诊断CVI在儿科眼科门诊设置。它代表了目前对这一专题的理解，并承认实践和证据基础都在不断演变。进行了快速文献综述，以识别与CVI儿童临床研究相关的文章。一个由QTVI和视力损失慈善机构的主题专家组成的焦点小组进行了研究，以解决文献综述未涵盖的领域。
Cerebral Visual Impairment (CVI) is a common condition in the UK. Patients with conditions associated with CVI are frequently seen in paediatric ophthalmology clinics offering eye care professionals an opportunity to identify children proactively. In most cases CVI occurs as part of a neurodevelopmental condition or as a feature of multiple and complex disabilities. However, CVI can also be seen in children with apparently typical development. In some cases, high contrast visual acuity is normal and in other cases severely impaired. As such, identification of CVI requires evaluation of aspects of visual performance beyond high contrast acuity and consideration that visual function of those with CVI may fluctuate. Few paediatric ophthalmologists have received formal training in CVI. The detection and diagnosis of CVI varies across the UK and patients report hugely different experiences. A diagnosis of CVI is made based on professional clinical judgement and it is recognised that individual perspectives and local practice in the specific methodologies of assessment will vary. A systematic review and survey of professionals is underway to attempt to reach agreement on diagnostic criteria. Nonetheless, established pathways and published protocols can offer guidance on how a paediatric ophthalmology service can approach assessment of the child with suspected CVI. The purpose of this paper is to present a summary of research and clinical practice methods for detecting and diagnosing CVI in a paediatric ophthalmology outpatient setting. It represents current understanding of the topic and acknowledges the evolving nature of both practice and the evidence-base. A rapid literature review was undertaken to identify articles relating to clinical investigation of children with CVI. A focus group of QTVI and subject matter experts from sight loss charities was undertaken to address areas which were not covered by the literature review.
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影响因子：
2.9
作者：
Goodenough T;Pease A;Williams C
通讯作者：
Williams C
DOI：
10.1136/bjophthalmol-2014-305868
发表时间：
2015-06
期刊：
The British journal of ophthalmology
影响因子：
--
作者：
Williams C;Gilchrist ID;Fraser S;McCarthy HM;Parker J;Warnes P;Young J;Hyvarinen L
通讯作者：
Hyvarinen L
影响因子：
0.9
作者：
Dekker, Marjoke J.;Pilon, Florine;van Genderen, Maria M.
通讯作者：
van Genderen, Maria M.
影响因子：
2.9
作者：
Handa, Swati;Saffari, Seyed E.;Borchert, Mark
通讯作者：
Borchert, Mark
影响因子：
3.7
作者：
Black, S. A.;McConnell, E. L.;Saunders, K. J.
通讯作者：
Saunders, K. J.