1. Prognostic value of transient pattern visual evoked potentials in children with cerebral visual impairment
- Author
-
Ngozi Oluonye, Dorothy A. Thompson, Richard Bowman, Jessica Howes, Naomi Dale, and Alki Liasis
- Subjects
Male ,medicine.medical_specialty ,Visual acuity ,genetic structures ,Vision Disorders ,Visual Acuity ,Minute of arc ,Ophthalmology department ,Visual evoked potentials ,Audiology ,Developmental Neuroscience ,Cerebral visual impairment ,medicine ,Humans ,Child ,Retrospective Studies ,School age child ,business.industry ,Infant ,Prognosis ,Pattern reversal ,Pattern visual evoked potentials ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Evoked Potentials, Visual ,Female ,Neurology (clinical) ,medicine.symptom ,business - Abstract
AIM To investigate whether pattern reversal visual evoked potentials (PRVEPs) could predict future visual acuity in infants with cerebral visual impairment (CVI). METHOD Fifty-five children (27 males, 28 females) with severe CVI seen in the ophthalmology department of a specialist children's hospital were identified retrospectively. Behavioural visual acuity and visual evoked potentials (VEPs) at presentation (time 1, T1) were compared with final visual acuity at late preschool/early school age (time 2, T2). Predictors of visual acuity at T2 were identified using univariate and multivariate logistic and linear regression analysis. RESULTS Median age was 14 months at T1 (range: 6-44mo) and 63 months at T2 (range: 29-150mo). The presence of a PRVEP produced by a check width of 50' (minutes of arc) or smaller (T1) predicted (p=0.05) the presence of measurable preferential looking acuity at T2. The presence of PRVEP to check widths of 25' or smaller (T1) predicted (p=0.02) better preferential looking acuity (logMAR-equivalent) scores at T2. The latter association was independent of presenting acuity at T1. INTERPRETATION The presence of PRVEPs to check widths of 50' and 25' in infancy provided useful information. VEPs in young children with CVI may have prognostic value regarding future acuity.
- Published
- 2021