Vision Assessments and Interventions for Infants 0-2 Years at High Risk for Cerebral Palsy: a Systematic Review

Publication date: Available online 20 July 2017
Source:Pediatric Neurology
Author(s): Olena D Chorna, Andrea Guzzetta, Nathalie L Maitre
We performed a systematic review and evaluated the level of evidence of vision interventions and assessments for infants at high-risk for or with a diagnosis of cerebral palsy from 0-2 years of age.Articles were evaluated based on the level of methodological quality, evidence, and clinical utilization.Thirty publications of vision assessments and 5 of vision interventions met criteria for inclusion. Assessments included standard care neuroimaging, electrophysiology, neuro-ophthalmologic examination techniques that are utilized clinically with any pre-verbal or non-verbal pediatric patient.The overall level of evidence of interventions was strong for neuroprotective interventions such as caffeine and hypothermia but weak for surgery, visual training or developmental programs.There are few evidence-based interventions and assessments that address cerebral/cortical visual impairment-related needs of infants and toddlers at high risk for or with CP. Recommendation guidelines include the use of 3 types of standard care methodologies and 2 types of protective interventions.



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