TY - JOUR
T1 - Visual acuity and visually evoked responses in children with cerebral palsy
T2 - Gross Motor Function Classification Scale
AU - Ghasia, F.
AU - Brunstom, J.
AU - Tychsen, L.
PY - 2009/8
Y1 - 2009/8
N2 - Background/aims: Measurement of visual acuity can be difficult in children with cerebral palsy (CP). The purpose of this study was to determine the probability of obtaining quantitative (logMAR) visual acuities in CP children with different severities of motor dysfunction. Methods: An observational, cross-sectional design study was conducted in 76 children (mean age 5.9 years) who had CP severity graded using the Gross Motor Function Classification Scale (GMFCS). Visual testing was performed using optotypes, spatial-sweep (SSVEP) or flash (FVEP) visually evoked potentials. Results: LogMAR acuity was obtainable in 88% of CP children, using either optotypes or SSVEPs. The success rate decreased with increasing severity of GMFCS Levels 1-5; nevertheless, logMAR acuities were obtainable in more than one-half (56%) of children with the most severe disease: Level 5. Similar results were obtained for CP severity assessed using physiological-anatomical subtype (hemiplegic; diplegic; quadriplegic) rather than GMFCS. The mean logMAR acuity (0.37; 20/48) in the CP cohort as a whole was ∼2 Snellen-equivalent lines worse than that recorded in age-matched, normal children (0.22; 20/33). Conclusion: Quantitative visual acuities can be obtained in the majority of CP children, including those with severe motor dysfunction. Difficulties in testing CP children lead often to the misconception that the children have immeasurably low vision.
AB - Background/aims: Measurement of visual acuity can be difficult in children with cerebral palsy (CP). The purpose of this study was to determine the probability of obtaining quantitative (logMAR) visual acuities in CP children with different severities of motor dysfunction. Methods: An observational, cross-sectional design study was conducted in 76 children (mean age 5.9 years) who had CP severity graded using the Gross Motor Function Classification Scale (GMFCS). Visual testing was performed using optotypes, spatial-sweep (SSVEP) or flash (FVEP) visually evoked potentials. Results: LogMAR acuity was obtainable in 88% of CP children, using either optotypes or SSVEPs. The success rate decreased with increasing severity of GMFCS Levels 1-5; nevertheless, logMAR acuities were obtainable in more than one-half (56%) of children with the most severe disease: Level 5. Similar results were obtained for CP severity assessed using physiological-anatomical subtype (hemiplegic; diplegic; quadriplegic) rather than GMFCS. The mean logMAR acuity (0.37; 20/48) in the CP cohort as a whole was ∼2 Snellen-equivalent lines worse than that recorded in age-matched, normal children (0.22; 20/33). Conclusion: Quantitative visual acuities can be obtained in the majority of CP children, including those with severe motor dysfunction. Difficulties in testing CP children lead often to the misconception that the children have immeasurably low vision.
UR - http://www.scopus.com/inward/record.url?scp=68049087518&partnerID=8YFLogxK
U2 - 10.1136/bjo.2008.156372
DO - 10.1136/bjo.2008.156372
M3 - Article
C2 - 19429585
AN - SCOPUS:68049087518
SN - 0007-1161
VL - 93
SP - 1068
EP - 1072
JO - British Journal of Ophthalmology
JF - British Journal of Ophthalmology
IS - 8
ER -