Assessment of the Pediatric Visual System

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Dr Anne Fulton's powerpoint presentation from the 2005 ADVISOR workshop titled "Assessment of the Pediatric Visual System"

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Assessment of the Pediatric Visual System

  1. 1. Assessment of the Pediatric Visual System Anne B. Fulton, MD Ophthalmology Department Children’s Hospital Boston
  2. 2. The Visual Pathways
  3. 3. <ul><li>5. Albinism </li></ul><ul><li>4. Cataract </li></ul><ul><li>3. ROP, Retinal Degeneration, Leber Congenital Amaurosis </li></ul><ul><li>2. Optic Nerve Hypoplasia </li></ul><ul><li>Optic Atrophy </li></ul><ul><li>1. Cerebral Visual Impairment </li></ul>
  4. 4. <ul><li>Albinism </li></ul>Irides transilluminate light
  5. 5. <ul><li>Albinism </li></ul><ul><li>Cataract </li></ul>
  6. 6. <ul><li>Albinism </li></ul><ul><li>Cataract </li></ul><ul><li>ROP </li></ul>Retinal Degeneration, Leber Congenital Amaurosis Normal Retinal Degeneration
  7. 7. <ul><li>Albinism </li></ul><ul><li>Cataract </li></ul><ul><li>ROP, Retinal Degeneration, Leber Congenital Amaurosis </li></ul><ul><li>Optic Nerve Hypoplasia </li></ul>Normal Optic Nerve Hypoplasia
  8. 8. <ul><li>Albinism </li></ul><ul><li>Cataract </li></ul><ul><li>ROP, Retinal Degeneration, Leber Congenital Amaurosis </li></ul><ul><li>Optic Nerve Hypoplasia </li></ul><ul><li>Optic Atrophy </li></ul>Normal Optic Atrophy
  9. 9. <ul><li>Albinism </li></ul><ul><li>Cataract </li></ul><ul><li>ROP, Retinal Degeneration, Leber Congenital Amaurosis </li></ul><ul><li>Optic Nerve Hypoplasia </li></ul><ul><li>Optic Atrophy </li></ul><ul><li>Cerebral Visual Impairment </li></ul>MR imaging
  10. 10. <ul><li>Albinism </li></ul><ul><li>Cataract </li></ul><ul><li>ROP, Retinal Degeneration, Leber Congenital Amaurosis </li></ul><ul><li>Optic Nerve Hypoplasia </li></ul><ul><li>Optic Atrophy </li></ul><ul><li>Cerebral Visual Impairment </li></ul>Age (years) Acuity (cpd)
  11. 11. Summary <ul><li>Clinical examination demonstrates the main features of disorders that cause visual impairment in children. </li></ul><ul><li>  </li></ul>
  12. 12. <ul><li>  </li></ul><ul><li>Other assessments refine the diagnosis, monitor the child's course and characterize visual abilities. </li></ul>NEXT
  13. 13. Goldmann Visual Fields in Children with Lesions of the Retina
  14. 14. Normal Fundus Photo OD
  15. 15. Estefani’s Fundus Photo OD
  16. 16. Normal Fundus Photo OS
  17. 17. Estefani’s Fundus Photo OS
  18. 18. Normal versus Optic Nerve Hypoplasia Normal Optic Nerve Hypoplasia
  19. 19. Normal versus Optic Atrophy Normal Optic Atrophy
  20. 20. ROP patient: Picture on left shows right eye with normal cupping of disc, picture on right shows the left eye with “dragging”

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