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REVIEW ARTICLE
Year : 2019  |  Volume : 67  |  Issue : 10  |  Page : 1536-1543

Understanding low functioning cerebral visual impairment: An Indian context


1 Head, The David Brown Children's Eye Care Centre, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh, India
2 PhD (Special Education), Program Director, Chetana Trust, 15 Arunachalam Road, Kottupuram, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Niranjan K Pehere
Head, The David Brown Children's Eye Care Centre, L V Prasad Eye Institute, Kode Venkatadri Chowdary Campus, Tadigadapa, Vijayawada - 521 137, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2089_18

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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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