"My child can't see"-workup and management of children with low vision: a joint workshop of the AAPOS Low Vision Rehabilitation and Genetic Eye Diseases Committees

Abstract

Children with visual impairment present a unique challenge to pediatric ophthalmologists. Diagnostic workup may include tests that require specialized interpretation, such as genetic testing and neuropsychological assessments. The differential diagnosis includes rare conditions, such as certain inherited retinal disorders, as well as more common conditions, such as cerebral/cortical visual impairment. Management of children with visual impairment requires ophthalmologists to become familiar with visual prognosis associated with various conditions and supports available for children with low vision, which vary by age. Younger children benefit from early intervention services, which may include pre-braille skills and orientation and mobility training. Older children require counseling with regard to driving, independent skills, and transition to adult care. This workshop provides detailed discussion of differential diagnoses, diagnostic tests, and management strategies in infants and older children with visual impairment. We emphasize the importance of a multidisciplinary approach, since vision impacts development in multiple domains, and many children with visual impairments are multiply disabled.