Visual field defects in prematurely born patients with white matter damage of immaturity: a multiple‐case study

Abstract

ABSTRACT.Purpose: White matter damage of immaturity may affect visual, motor and cognitive functions. This multiple-case study presents standardized perimetry results in six teenagers and young adults born prematurely with visual dysfunction due to white matter damage of immaturity of pre-or perinatal origin. Methods: Six subjects, aged 13-25 years, born at a gestational age of 28-34 weeks, with white matter damage of immaturity documented by MRI, and optic disc appearances documented by fundus photography, were examined with manual and computerized quantitative perimetry. Results: All subjects had subnormal visual field (VF) function, although the depth and extension of the VF defects differed between subjects. The inferior VF function was more deviant than the superior in all cases. The concordance between the VF defects detected with the different techniques was good, although the static computerized techniques revealed slightly more abnormality. Conclusion: White matter damage of immaturity may affect the VF. The lower VF is often more affected than the upper. The abnormalities can be demonstrated by both manual and computerized perimetry.

Cognitive visual impairment with good visual acuity in children with posterior periventricular white matter injury: A series of 7 cases

“…1,2 These include hyperopic refractive error, 3 optic disk cupping, 4 lower visual field impairment, 5 reduced central visual function, 3 and ocular motility deficits including nystagmus, strabismus, and supra-nuclear disorders of gaze. 3 Children born prematurely may exhibit subtle features of cognitive visual dysfunction, which may in part be related to periventricular white matter damage.…”

Visual fields in children with attention‐deficit / hyperactivity disorder before and after treatment with stimulants

“…They also provide valuable information in different neurological and developmental disorders in children and young adults (Larsson et al 2004;Martin et al 2004;Jacobson et al 2006;Martin & Lundvall Nilsson 2007). However, although ADHD is a disorder that affects both the structure and function of the brain, there are, to our knowledge, no published papers describing VFs in children and adolescents with ADHD.…”

The Apparently Blind Infant

“…351 Selective dorsal stream dysfunction correlates with the finding that PVL shows a predilection for involving the lower visual fields. 141,142,283 These findings could be explained by bilateral injury to the superior striate or extrastriate cortex. Galetta and Grossman found that horizontal meridian corresponds to the base of the calcarine fissures, 186 which lie adjacent to the lesions of PVL.…”