A Systematic Review on the Management of Cortical Visual Impairment

Abstract

Objective: Cortical Visual Impairment (CVI) is a leading cause of pediatric blindness and the most common form of pediatricvisual disability, particularly prevalent among children with cerebral palsy (CP). This systematic review synthesizes the latestresearch on various interventions for managing CVI, focusing on studies published in the last decade.Design: A systematic reviewMethods: A comprehensive search was conducted in March 2024 across several databases including MEDLINE, CINAHL,Embase, and Web of Science. Studies were selected based on inclusion criteria set under the PICOSD framework and were limitedto those involving human subjects, published in English, and conducted within the past ten years. The selected studies includedrandomized controlled trials, observational studies, and case reports focusing on rehabilitation, therapy, and surgical interventionsfor CVI.Results: Out of 221 studies screened, 5 met the inclusion criteria and were reviewed in detail. These studies covered a range ofinterventions including physiotherapy, sensory integration training, visual training programs, neuromotor rehabilitation, andsurgical procedures aimed at improving visual function and overall quality of life for CVI patients.Conclusions: The studies demonstrate the potential benefits of structured, early intervention programs that incorporate familyinvolvement and are tailored to the unique needs of children with CVI. However, there remains a significant need for furtherresearch to establish evidence-based practices in this field.