Paeds Vivas · growth-development-and-behaviour
Visual impairment and development — viva
Branching structured oral on visual impairment and development.
On this page
Study tools
Target exams
RACP DCEMRCPCH Clinical
Prompt
A parent of a 4-month-old says the baby does not fix on faces. You are the paediatric registrar in clinic with an ophthalmoscope available.
Opening (must-hit)
“I will assess threat first with red-reflex and visual behaviour, separate ocular from cerebral patterns, protect the critical period with urgent specialty referral when indicated, and plan developmental habilitation in parallel.” [1] [2] [3]
References7ShowHide
- [1]Donahue SP Visual System Assessment in Infants, Children, and Young Adults by Pediatricians. Pediatrics, 2016.PMID 29756730
- [2]American Academy of Pediatrics Red reflex examination in neonates, infants, and children. Pediatrics, 2008.PMID 19047263
- [3]Dutton GN Cerebral visual impairment in children. Seminars in neonatology : SN, 2001.PMID 12014888
- [4]Wallace DK Amblyopia Preferred Practice Pattern. Ophthalmology, 2018.PMID 29108744
- [5]Birch EE The critical period for surgical treatment of dense congenital bilateral cataracts. Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 2009.PMID 19084444
- [6]Chokron S The inter-relationships between cerebral visual impairment, autism and intellectual disability. Neuroscience and biobehavioral reviews, 2020.PMID 32298709
- [7]Ingram DG Sleep Challenges and Interventions in Children With Visual Impairment. Journal of pediatric ophthalmology and strabismus, 2022.PMID 34435902